等速肌力训练联合有氧运动对脑卒中患者下肢运动功能及耐力的影响
摘要
目的:探讨等速肌力训练联合有氧运动对脑卒中患者下肢运动功能及耐力的影响。方法:将符合条件脑卒中患者60名,随机分为对照组、试验组,各30例。两组患者均给以常规康复治疗,对照组增加有氧运动,试验组增加有氧运动和等速肌力训练。治疗前后采用膝关节峰力矩(PT)、耐力指数(ER)、Fugl-Meyer下肢运动功能评分(FMA-LE)及6分钟步行试验(6MWT)对2组患者运动功能及耐力进行评估。结果:2组患者治疗后膝伸展PT、膝屈曲PT、膝屈伸ER、FMA-LE、6MWT较治疗前均有明显改善,且试验组患者的改善幅度较对照组显著,差异均具有统计学意义(P<0.05)。结论:8周的等速肌力训练联合有氧运动可以改善脑卒中患者运动能力及耐力,与单一的有氧运动对比效果更显著,建议脑卒中患者进行有氧运动应辅以等速肌力训练。
引文
[1] Polese JC,Ada L,Teixeira-Salmela LF.Relationship between oxygen cost of walking and level of walking disability after stroke:An experimental study[J].Physiother Res Int,2018,23(1):e1688.
[2] Carmichael ST.Cellular and molecular mechanisms of neural repair after stroke:Making waves[J].Annals of Neurology,2010,59(5):735-742.
[3] Kluding PM,Tseng BY,Billinger SA.Exercise and Executive Function in Individuals with Chronic Stroke:A Pilot Study[J].Journal of Neurologic Physical Therapy,2011,35(1):11.
[4] McCrea PH,Eng JJ,Hodgson AJ.Time and magnitude of torque generation is impaired in both arms following stroke[J].Muscle & Nerve:Official Journal of the American Association of Electrodiagnostic Medicine,2003,28(1):46-53.
[5] Salter K,Musovic AF,Taylor N.In the first 3 months after stroke is progressive resistance training safe and does it improve activity?A systematic review[J].Topics in Stroke Rehabilitation,2016:1.
[2] Carmichael ST.Cellular and molecular mechanisms of neural repair after stroke:Making waves[J].Annals of Neurology,2010,59(5):735-742.
[3] Kluding PM,Tseng BY,Billinger SA.Exercise and Executive Function in Individuals with Chronic Stroke:A Pilot Study[J].Journal of Neurologic Physical Therapy,2011,35(1):11.
[4] McCrea PH,Eng JJ,Hodgson AJ.Time and magnitude of torque generation is impaired in both arms following stroke[J].Muscle & Nerve:Official Journal of the American Association of Electrodiagnostic Medicine,2003,28(1):46-53.
[5] Salter K,Musovic AF,Taylor N.In the first 3 months after stroke is progressive resistance training safe and does it improve activity?A systematic review[J].Topics in Stroke Rehabilitation,2016:1.