【摘要】：目的探討等速運(yùn)動(dòng)鍛煉對(duì)老年腦卒中偏癱患者下肢肌力學(xué)及步行能力的影響。方法 82例老年腦卒中偏癱患者,按照隨機(jī)數(shù)表法平均分為兩組,其中對(duì)照組給予常規(guī)康復(fù)訓(xùn)練,觀(guān)察組在常規(guī)康復(fù)訓(xùn)練的基礎(chǔ)上加以等速運(yùn)動(dòng)鍛煉,隨訪(fǎng)6個(gè)月后,采用改良巴氏指數(shù)(MBI)比較日常生活能力(ADL)、采用Fugl-Meyer運(yùn)動(dòng)功能評(píng)定FMA、采用Berg平衡量表評(píng)測(cè)平衡功能;比較兩組6 min步行距離及10 m步行時(shí)間;采用改良Ashworyh量表比較兩組肌張力變化。結(jié)果觀(guān)察組MBI評(píng)分、FMA評(píng)分及BBS評(píng)分均高于對(duì)照組(均P0.05);觀(guān)察組6 min步行距離大于對(duì)照組,10 m步行時(shí)間小于對(duì)照組(均P0.05);兩組治療前肌張力差別不大,觀(guān)察組治療后肌張力評(píng)分低于對(duì)照組(P0.05)。結(jié)論等速運(yùn)動(dòng)鍛煉能夠有效提高老年腦卒中偏癱患者的下肢運(yùn)動(dòng)功能和平衡功能,對(duì)于降低患者的肌張力、提高患者的步行能力具有積極作用。
[Abstract]:Objective to investigate the effects of isokinetic exercise on lower limb myodynamics and walking ability in elderly stroke patients with hemiplegia. Methods 82 elderly stroke hemiplegic patients were divided into two groups according to the random number method. The control group was given routine rehabilitation training, the observation group was given isokinetic exercise on the basis of routine rehabilitation training, and the follow-up was 6 months later. The ability of daily living (ADL),) was compared with modified pasteurian index (MBI). Fugl-Meyer was used to evaluate the motor function of FMA, and Berg balance scale was used to evaluate the balance function. The walking distance of 6 min and walking time of 10 m were compared between the two groups, and the changes of muscle tension were compared with modified Ashworyh scale. Results the MBI score, FMA score and BBS score in the observation group were higher than those in the control group (P0.05), the walking distance of 6 min in the observation group was larger than that in the control group, and the walking time of 10 m in the observation group was smaller than that in the control group (P0.05). There was no significant difference in muscle tension between the two groups before treatment, and the score of muscle tension in the observation group was lower than that in the control group after treatment (P0.05). Conclusion Isokinetic exercise can effectively improve the lower limb motor function and balance function of the elderly patients with stroke hemiplegia. It can reduce the muscle tension of the patients and improve the walking ability of the patients.
【作者單位】： 西安醫(yī)學(xué)院第一附屬醫(yī)院康復(fù)醫(yī)學(xué)科;
【分類(lèi)號(hào)】：R493;R743.3

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