Efficacy of isokinetic strength training in reducing fall risk in hemiplegic patients
Objective To observe the effect of isokinetic strength training on dorsiflexion and plantarflexion,as well as inver-sion and eversion,of the hemiplegic ankle in stroke patients and its efficacy in reducing fall risk.Methods A total of 41 stroke patients in the recovery phase were randomly assigned to an experimental group(21 patients)and a control group(20 patients)using stratified sampling.The control group received conventional rehabilitation training,while the experimental group received additional isokinetic strength training.Both groups underwent static balance testing in the standing position before and after training.The Fugl-Meyer Assessment Scale was used to analyze balance function and fall risk,and the 30-second Sit-to-Stand Test(30CST)and Timed Up and Go Test(TUG)were used to evaluate walking ability.The Modified Ashworth Scale(MAS)was used to assess changes in muscle tension of the affected ankle joint.Results After training,static balance function improved significantly in both groups(P＜0.05),with significant reductions in standard deviation,mean movement speed,mean lateral movement speed,envelope area,and total sway path length in the experimental group compared to the control group(P＜0.05).Fugl-Meyer Assessment scores increased significantly in both groups(P＜0.05),with a greater increase in the experimental group(P＜0.05).Both groups showed significant improvements in 30CST scores(P＜0.05)and significant reductions in TUG scores(P＜0.05),with more significant changes in the experi-mental group(P＜0.05).There were no significant differences in MAS scores before and after training in both groups(P＞0.05).Conclusion Isokinetic strength training can significantly reduce fall risk in stroke patients by promoting lower limb muscle strength,muscle endurance,and balance function.
万方数据
维普
