The Effect Of Isokinetic Training On Upper Limb Motor Function And Walking Ability Of Stroke Patients With Hemiplegia

Part one Effects of Isokinetic Strength Training on Upper Extremity Motor Function and Daily Living Ability in Patients with Stroke HemiplegiaObjectiveIn this study,hemiparetic hemiplegia patients with hemiplegia hemiparetic lateral flexor and extensor muscle wasokinetic training,observation of patients with upper extremity muscle strength,upper extremity motor function,daily life activity index and other numerical changes,the study of isokinetic strength training on the brain Effects of upper limbs motor function and activities of daily living in patients with hemiplegia after stroke.MethodsA total of 60 patients were enrolled in the study,and 60 patients were randomly divided into control group 30 and control group.The patients with hemiplegia due to stroke who were hospitalized in our department between January 2016 and September 2017 were selected according to inclusion criteria and exclusion criteria Cases,the observation group of 30 cases,Both groups were given routine rehabilitation training.The observation group was treated with isometric flexion and extension muscle flexion and extension of the affected elbow for a total of 6 weeks.The upper extremity motor function was assessed by the upper limb Fugl-Meyer Assessment Scale(FMA)before and after treatment.The upper limb Muscle tension was assessed by Modified Ashworth Spasticity Grading Scale(MAS).and the modified Barthel Index(MBI)was used to assess the activities of daily living activities.The Biodex System-4 isokinetic test system measures patient's PT,total work,and average power.Results1.After 6 weeks of treatment,FMA motor function and MBI scores of the upper limbs of the two groups were significantly increased,and the observation group was higher than the control group(P<0.05).There was no significant change in the upper limb MAS score between the two groups(P>0.05).2.After 6 weeks of treatment,the PT values of elbow flexors,PT values of elbow extension,total elbow flexors,and total elbow extension function were significantly higher in the two groups at 60°/s and 120°/s angular velocity(P<0.05).The observation group was significantly higher than the control group(P<0.05).3.After 6 weeks of treatment,the mean power of the elbow flexor muscle at the 60°/s angular velocity was significantly higher in both groups than before(P<0.05).The observation group was significantly higher than the control group(P<0.05).The mean power of the elbow flexors did not change significantly in the two groups at an angular velocity of 120°/s.ConclusionIsokinetic training can improve the flexion and extensor muscle strength of upper limb elbow in patients with stroke hemiplegia,thereby improving the upper extremity motor function and improving the activities of daily living activities of patients.Part two Effects of Bilateral Isokinetic Strength Training on Stroke Disability and Balance Function in Stroke PatientsObjectiveTo study the effect of bilateral isometric muscle training on the balance function and walking ability of stroke patients with hemiplegia.MethodsThe stroke patients with hemiplegia who were hospitalized in the Rehabilitation Medicine Department of the People's Hospital of Northern Jiangsu fronm January 2016 to September 2017 were selected and randomly divided into unilateral isokinetic groups(n = 31)using a random number table method.)and bilateral isokinetic group(bilateral group,31 cases),all patients were given conventional rehabilitation treatment,including exercise therapy,traditional rehabilitation therapy,physical factor therapy and so on.The unilateral group was given isotonic knee flexion and extension muscles isometric muscle training,once a day for 15 minutes,5 times a week,for 6 weeks;Bilateral group was given bilateral knee flexor and extension muscle isokinesis Force training,1 time per day,15 minutes per side,5 times per week,for 6 weeks;all tests and training modes are isokinetic concentric/cordial.Before and after treatment,Biodex System-4 isokinetic training test system,Fugl-Meyer lower extremity motor function rating scale,Berg balance scale,10m walking time,and Holden walking function scale were used for evaluation.Results1.After 6 weeks of treatment,the FMA lower extremity motor function scores of the two groups were significantly higher than before,and the observation group was higher than the control group(P<0.05).There was no significant change in the MAS score.2.After 6 weeks of treatment,PT and F/E of the knee joints in both groups were significantly improved compared with those before treatment,and the F/E improvement in the bilateral group was better than that in the unilateral group(P<0.05).3.After 6 weeks of treatment,the PT and F/E in the non-hemiplegic knee joints of the bilateral group were significantly improved compared with those before the treatment(P<0.05).There was no significant improvement in the unilateral group.4.After 6 weeks of treatment,the 10m walking time of the two groups was significantly decreased compared with that before treatment,and the bilateral group had more reductions than the unilateral group(P<0.05).5.After 6 weeks of treatment,Holden's walk function grade and the Berg score were significantly higher in the two groups than before treatment,and the improvement in the bilateral group was higher than that in the unilateral group(P<0.05).ConclusionBilateral knee isokinetic muscle training in patients with stroke hemiplegia is more effective than unilateral isokinetic muscle training in improving patient muscle strength,which in turn can significantly improve the balance function and walking ability of stroke patients with hemiplegia.