| 李媛媛,屈小伶,胡洁琼,聂婷婷,武力.渐进式阻力弹力带技术在老年卒中偏瘫患者下肢肌肉力量及平衡训练中的应用[J].中国临床保健杂志,2022,25(3):407-410. |
| 渐进式阻力弹力带技术在老年卒中偏瘫患者下肢肌肉力量及平衡训练中的应用 |
| Application of progressive resistance elastic band technique in training lower limb muscle strength and balance of elderly stroke patients with hemiplegia |
| 投稿时间：2022-02-17 |
| DOI：10.3969/J.issn.1672-6790.2022.03.028 |
| 中文关键词: 卒中 偏瘫 意外跌倒 抗阻训练 姿势平衡 老年人 |
| 英文关键词: Stroke Hemiplegia Accidental falls Resistance training Postural balance Aged 〖FL |
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| 中文摘要: |
| 目的 探讨渐进式阻力弹力带技术应用于老年卒中偏瘫患者下肢肌肉力量及平衡训练的价值。方法 选择2020年1月至2021年6月在北京友谊医院就诊的130例老年卒中偏瘫患者为研究对象。根据随机数字表法分为观察组和对照组各65例。对照组患者保持慢走30 min/d的基础活动；而观察组在对照组基础上应用渐进式阻力弹力带技术进行下肢肌肉力量及平衡训练。3个月后观察、记录2组患者下肢肌的力量、神经电生理指标、平衡能力评估；比较患者干预前后生活质量(SF-36)情况。结果 干预3个月后,观察组6 m步速试验(6MWT)、起立走(TUG)、功能性前伸测试(FR)水平显著高于对照组(P＜0.05)；观察组股神经、胫神经、腓总神经、腓肠神经神经传导速度(NCV)均显著高于对照组(P＜0.05)；观察组患者胫前肌、股直肌、腓骨长肌用力收缩时峰电位均显著高于对照组(P＜0.05)；观察组患者动、静态Berg平衡量表(BBS)评分均显著高于对照组(P＜0.05)；观察组患者社会功能、情感状况、躯体疼痛、精神状况评分明显高于对照组(P＜0.05)。结论 应用渐进式弹力带技术的抗阻训练能有效增强老年患者下肢肌肉力量、提高老年患者生活质量。 |
| 英文摘要: |
| Objective To explore the application value of progressive resistance elastic band technique in training muscle strength and balance in elderly patients.Methods A total of 130 elderly patients with falling events treated in the hospital were enrolled as the research objects between January 2020 and June 2021.According to random number table method,they were divided into observation group and control group,65 cases in each group.The patients in control group maintained the original lifestyle,while those in observation group were given progressive resistance elastic band technique for lower limb muscle strength and balance training on basis of control group.3 months later,lower limb muscle strength,nerve electrophysiology indexes and Balance in both groups were observed and recorded.The scores of short form 36 questionnaire (SF-36) before and after training were compared.Results After intervention,6 meter walk test (10 MWT),time up＆go test (TUG) and functional reaching test (FR) in observation group were significantly higher than those in control group (P<0.05),nerve conduction velocity (NCV) values of femoral nerve,tibial nerve,common peroneal nerve and sural nerve were significantly greater than those in control group (P<0.05),forced-systolic peak potentials of tibialis anterior muscle,rectus femoris muscle and peroneus longus muscle were significantly higher than those in control group (P<0.05),scores of dynamic and static scores of Berg Balance Scale (BBS) were significantly higher than those in control group (P<0.05),and scores of social function,emotional status,physical pain and mental status were significantly higher than those in control group (P<0.05).Conclusions Application of progressive resistance elastic band technique can effectively enhance muscle strength and balance of lower limbs in elderly patients,and improve their quality of life. |
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