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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Comparison of the Effects between Isokinetic and Isotonic Strength Training in Subacute Stroke Patients
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Comparison of the Effects between Isokinetic and Isotonic Strength Training in Subacute Stroke Patients

机译：亚急性卒中患者等速和等渗力量训练效果的比较

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Background: The goal of the study was to compare the effects of isokinetic and isotonic strengthening program on the changes of muscle strength, functional capacity, life quality, and inflammatory cytokines in hemiparetic patients within 6 months of stroke attack. Methods: Thirty-one participants were randomly assigned into either isotonic training group or isokinetic training group. Both training programs were carried out 5 days a week for a total of 4 weeks. Outcome measures included the peak isometric torque of knees at 90 degrees flexion, the peak torque of knees extension and flexion at angular velocities 60 degrees / s and 120 degrees / s, Short Form 36 (SF-36) Health Survey Questionnaire, Timed Up and Go test, and inflammatory cytokines including high sensitivity C-reactive protein, interleukin-6, and tumor necrosis factor-a. Results: Seven patients were not able to complete the training program and were excluded from our study. The results from the remaining 24 patients showed that there were more peak torque, and SF-36 items significantly improved in the isokinetic training group compared with the isotonic group. The Timed Up and Go test and interleukin-6 were improved in both groups, but tumor necrosis factor-a was improved in only the isokinetic group. There were no significant differences between the improvements of the 2 groups except the isokinetic flexion torque at 60 degrees / s and 120 degrees / s. Conclusions: Early strengthening exercise is important for subacute stroke patients, and isokinetic program, if accessible, can bring more significant benefits for them.
机译：背景：本研究的目的是比较等速和等渗强化计划对卒中发作后6个月内半身患者肌肉力量，功能能力，生活质量和炎性细胞因子变化的影响。方法：将31名参与者随机分为等渗训练组或等速运动训练组。两种培训计划都是每周进行5天，共进行4周。结果指标包括屈曲90度时膝盖的等距扭矩峰值，角速度60度/秒和120度/ s时膝盖伸展和屈曲的峰值扭矩，简易表格36（SF-36）健康调查问卷，定时和进行测试，以及包括高敏感性C反应蛋白，白介素6和肿瘤坏死因子-a在内的炎性细胞因子。结果：7名患者无法完成培训计划，因此被排除在我们的研究之外。其余24例患者的结果表明，与等渗组相比，等速训练组的峰值扭矩更大，SF-36项明显改善。两组的Timed Up and Go测试和白细胞介素6均得到改善，但仅等速运动组中的肿瘤坏死因子-a有所改善。除60度/ s和120度/ s的等速屈曲扭矩外，两组的改善无显着差异。结论：早期加强锻炼对亚急性中风患者很重要，等速运动程序（如果可行）可以为他们带来更大的收益。

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