Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effecti...Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.展开更多
目的:探究等速肌力训练联合镜像疗法对脑卒中偏瘫病人平衡能力及自理能力的影响。方法:选取2020年1月—2022年12月在医院治疗的100例早期脑卒中偏瘫病人作为研究对象,按随机数字表法将其分为联合组与对照组,每组50例。对照组采用等速肌...目的:探究等速肌力训练联合镜像疗法对脑卒中偏瘫病人平衡能力及自理能力的影响。方法:选取2020年1月—2022年12月在医院治疗的100例早期脑卒中偏瘫病人作为研究对象,按随机数字表法将其分为联合组与对照组,每组50例。对照组采用等速肌力训练,联合组在对照组的基础上联合镜像疗法,观察两组平衡功能[Berg平衡量表(Berg Balance Scale,BBS)]、躯干控制能力[躯干控制测试量表(Trunk Control Test,TCT)]、骨骼肌指数(SMI)、步行能力[Holden功能性步行量表(FAC)]、自理能力(Barthel量表)。结果:干预2、4周后,两组BBS得分均高于干预前(P<0.05),且联合组干预2、4周后BBS得分均高于对照组(P<0.05);干预2、4周后,两组TCT得分均高于干预前,且联合组干预2、4周后TCT得分均高于对照组(P<0.05);干预2、4周后,两组SMI均高于干预前(P<0.05),且联合组干预2、4周后SMI均高于对照组(P<0.05);干预2、4周后,两组FAC分级均高于干预前(P<0.05),且联合组干预2、4周后FAC分级均高于对照组(P<0.05);干预2、4周后,两组Barthel量表得分均高于干预前(P<0.05),且联合组干预2、4周后Barthel量表得分均高于对照组(P<0.05)。结论:等速肌力训练联合镜像疗法可改善脑卒中偏瘫病人的平衡功能、躯干控制能力、步行能力,提高其骨骼肌指数和自理能力。展开更多
目的探讨不同角度等速肌力训练对膝关节置换术(total knee arthroplasty,TKA)后膝关节活动度及本体感觉的影响。方法选择2021年1月至2022年6月在井冈山大学附属医院行TKA手术患者96例,48~74岁,平均(62.92±4.36)岁,其中男49例,女47...目的探讨不同角度等速肌力训练对膝关节置换术(total knee arthroplasty,TKA)后膝关节活动度及本体感觉的影响。方法选择2021年1月至2022年6月在井冈山大学附属医院行TKA手术患者96例,48~74岁,平均(62.92±4.36)岁,其中男49例,女47例。在等速肌力训练中,根据不同膝关节屈曲范围分为0°~30°组、31°~60°组和61°~90°组,每组32例。对比3组患者治疗前和治疗2个月后肌力指标、临床指标及本体感觉相关指标,并分析不同角度等速肌力训练后膝关节膝关节活动度(range of motion,ROM)与本体感觉之间的相关性。结果3组患者治疗2个月后股四头肌、小腿三头肌各项肌力指标均显著高于治疗前(P<0.05),治疗2个月后31°~60°组患者股四头肌各项肌力相关指标均显著高于0°~30°组和61°~90°组,而0°~30°组小腿三头肌各项肌力相关指标均显著高于31°~60°组和61°~90°组(P<0.05)。3组患者治疗后ROM、“起立-行走”计时(time“up and go”test,TUGT)时间、视觉模拟评分法(visual analogue scale,VAS)评分、Berg平衡量表(Berg balance scale,BBS)评分及美国特种外科医院膝关节功能(hospital for special surgery,HSS)评分均有显著改善(P<0.05),0°~30°组治疗后ROM、HSS评分显著高于31°~60°组和61°~90°组,31°~60°组TUGT时间则显著低于0°~30°组和61°~90°组(P<0.05);0°~30°组和31°~60°组治疗后BBS评分均高于61°~90°组(P<0.05);3组患者治疗后VAS评分差异无统计学意义(P>0.05)。治疗后被动运动阈值测量(threshold to detection of passive movement,TDPM)和主动角度重现(active angle reproduction,AAR)得到显著改善(P<0.05);31°~60°组治疗后TDPM(30°、45°、60°)和AAR(30°、45°、60°)均显著低于0°~30°组和61°~90°组(P<0.05)。Pearson分析结果显示,等速肌力训练角度为0°~30°时,治疗后膝关节ROM与AAR 30°(r=-0.50,P=0.03)存在相关性;等速肌力训练角度为31°~60°时,治疗后膝关节ROM与TDPM 30°(r=-0.49,P=0.04)、TDPM 45°(r=-0.52,P=0.03)、AAR 45°(r=-0.62,P=0.00)及AAR 60°(r=-0.59,P=0.01)存在相关性。结论不同角度的股四头肌等速肌力训练,均有助于加速TKA术后患者的康复进程,其中训练范围为31°~60°可以更好地改善患者术后本体感觉和股四头肌肌力,0°~30°范围内的股四头肌等速训练对患者小腿三头肌肌力、ROM、HSS评分改善效果最为显著。展开更多
目的为实时监测和评估对肌肉力量,设计并验证了一种基于肌肉围度变化的可穿戴肌力监测系统。方法6名非体育专业健康大学生穿戴基于肌肉围度变化的监测护具进行等速肌力测试,实时获取等速运动过程中肌肉围度变化数据。将肌肉围度随时间...目的为实时监测和评估对肌肉力量,设计并验证了一种基于肌肉围度变化的可穿戴肌力监测系统。方法6名非体育专业健康大学生穿戴基于肌肉围度变化的监测护具进行等速肌力测试,实时获取等速运动过程中肌肉围度变化数据。将肌肉围度随时间变化曲线分析处理后的结果——肌肉围度变化峰值(peak muscle perimeter change,PP)、肌肉围度变化速度峰值(peak velocity of muscle perimeter change,PVP)和单次运动肌肉围度变化随时间积累(accumulation of muscle perimeter change,AP)与等速肌力测试所获得峰值力矩(peak torque,PT)、单位体重的峰值力矩(PT to body weight ratio,PT/BW)、0.18 s时力矩(T0.18)和做功疲劳度(endurance ratio,ER)进行皮尔逊相关性分析,验证可穿戴系统对肌力实时监测的可靠性。其中,肌肉围度变化通过手臂和腿部可穿戴护具进行采样,肌肉围度监测位置分别对应上臂肱二头肌发力时肌肉围度变化最大处以及膝盖上方股四头肌发力时肌肉围度变化最大处。等速肌力测试采用Biodex System 4 pro设备进行肘、膝关节测试。结果动态肌肉围度变化可以用来监测人体的肌肉力量水平。当进行等速运动时,手臂肌肉围度变化与肘关节肌肉力量指标呈显著相关(P≤0.01),最大相关系数为0.91;腿部肌肉围度变化与膝关节肌肉力量指标呈显著相关(P≤0.01),最大相关系数为0.99。结论该可穿戴肌力监测系统具有较高的可靠性和可重复性,可以用于等速运动过程中肘关节和膝关节肌力的实时监测。展开更多
BACKGROUND Ankle normative values are limited compared to isokinetic knee assessments.Chronic ankle instability correlates with agonist-antagonist imbalances,decreased evertor/invertor ratio,and plantar flexion defici...BACKGROUND Ankle normative values are limited compared to isokinetic knee assessments.Chronic ankle instability correlates with agonist-antagonist imbalances,decreased evertor/invertor ratio,and plantar flexion deficits.Strengthening programs targeting evertor/invertor and dorsiflexor/plantar flexor balance help reduce injury recurrence.Bilateral neuromuscular deficits compromise the contralateral side,rendering healthy limbs unsuitable as recovery references.Defining normative healthy ankle parameters is crucial for establishing precise limits in nonsurgical treatments and sports return criteria.While the limb symmetry index(LSI)is used for knees with a cutoff of>90%,no such standardization exists for the ankle.AIM To comprehensively evaluate isokinetic ankle strength profiles in non-athletic individuals.METHODS This is a cross-sectional study.Two hundred ankles were evaluated using the Biodex 3 System to assess eversion,inversion,dorsiflexion,and plantar flexion.Healthy individuals with an active lifestyle and no previous injuries were evaluated.The Maximum Torque,Agonist/Antagonist Ratio,LSI,and Muscular Deficiency Index(MDI)and the correlation with demographic variables were evaluated.RESULTS The mean age(mean±SD)was 38.5±13.5 years,and the body mass index(BMI)was 25.8±4.2 in 69 men and 31 women.The mean maximum torque values by gender were(mean±SD):22.3±6.6 female(F)and 33.4±9.9 male(M)N/m for eversion;30.10±10.0(F)and 37.0±11.6 N/m(M)for inversion,37.4±10.0(F)and 53.6±13.0 N/m(M)for dorsiflexion,and 100.4±37.2(F)and 158.1±33.4(M)N/m for flexion.There was no correlation between age or BMI and maximum torque.The evertors/invertors ratio was 88.8%,and the dorsiflexors/plantar flexors ratio was 36.1%.The MDI and LSI were balanced between sides for every movement,having an average global difference of less than 10%.CONCLUSION These findings provide gender-specific normative isokinetic values for the ankle in healthy,physically active adults.These reference parameters—especially LSI and MDI above 90%—can support clinical decision-making in rehabilitation planning and return-to-sport assessment,offering objective benchmarks for functional recovery.展开更多
基金Changzhou Applied Basic Research Program(Project No.:CJ20241042)。
文摘Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.
文摘目的:探究等速肌力训练联合镜像疗法对脑卒中偏瘫病人平衡能力及自理能力的影响。方法:选取2020年1月—2022年12月在医院治疗的100例早期脑卒中偏瘫病人作为研究对象,按随机数字表法将其分为联合组与对照组,每组50例。对照组采用等速肌力训练,联合组在对照组的基础上联合镜像疗法,观察两组平衡功能[Berg平衡量表(Berg Balance Scale,BBS)]、躯干控制能力[躯干控制测试量表(Trunk Control Test,TCT)]、骨骼肌指数(SMI)、步行能力[Holden功能性步行量表(FAC)]、自理能力(Barthel量表)。结果:干预2、4周后,两组BBS得分均高于干预前(P<0.05),且联合组干预2、4周后BBS得分均高于对照组(P<0.05);干预2、4周后,两组TCT得分均高于干预前,且联合组干预2、4周后TCT得分均高于对照组(P<0.05);干预2、4周后,两组SMI均高于干预前(P<0.05),且联合组干预2、4周后SMI均高于对照组(P<0.05);干预2、4周后,两组FAC分级均高于干预前(P<0.05),且联合组干预2、4周后FAC分级均高于对照组(P<0.05);干预2、4周后,两组Barthel量表得分均高于干预前(P<0.05),且联合组干预2、4周后Barthel量表得分均高于对照组(P<0.05)。结论:等速肌力训练联合镜像疗法可改善脑卒中偏瘫病人的平衡功能、躯干控制能力、步行能力,提高其骨骼肌指数和自理能力。
文摘目的探讨不同角度等速肌力训练对膝关节置换术(total knee arthroplasty,TKA)后膝关节活动度及本体感觉的影响。方法选择2021年1月至2022年6月在井冈山大学附属医院行TKA手术患者96例,48~74岁,平均(62.92±4.36)岁,其中男49例,女47例。在等速肌力训练中,根据不同膝关节屈曲范围分为0°~30°组、31°~60°组和61°~90°组,每组32例。对比3组患者治疗前和治疗2个月后肌力指标、临床指标及本体感觉相关指标,并分析不同角度等速肌力训练后膝关节膝关节活动度(range of motion,ROM)与本体感觉之间的相关性。结果3组患者治疗2个月后股四头肌、小腿三头肌各项肌力指标均显著高于治疗前(P<0.05),治疗2个月后31°~60°组患者股四头肌各项肌力相关指标均显著高于0°~30°组和61°~90°组,而0°~30°组小腿三头肌各项肌力相关指标均显著高于31°~60°组和61°~90°组(P<0.05)。3组患者治疗后ROM、“起立-行走”计时(time“up and go”test,TUGT)时间、视觉模拟评分法(visual analogue scale,VAS)评分、Berg平衡量表(Berg balance scale,BBS)评分及美国特种外科医院膝关节功能(hospital for special surgery,HSS)评分均有显著改善(P<0.05),0°~30°组治疗后ROM、HSS评分显著高于31°~60°组和61°~90°组,31°~60°组TUGT时间则显著低于0°~30°组和61°~90°组(P<0.05);0°~30°组和31°~60°组治疗后BBS评分均高于61°~90°组(P<0.05);3组患者治疗后VAS评分差异无统计学意义(P>0.05)。治疗后被动运动阈值测量(threshold to detection of passive movement,TDPM)和主动角度重现(active angle reproduction,AAR)得到显著改善(P<0.05);31°~60°组治疗后TDPM(30°、45°、60°)和AAR(30°、45°、60°)均显著低于0°~30°组和61°~90°组(P<0.05)。Pearson分析结果显示,等速肌力训练角度为0°~30°时,治疗后膝关节ROM与AAR 30°(r=-0.50,P=0.03)存在相关性;等速肌力训练角度为31°~60°时,治疗后膝关节ROM与TDPM 30°(r=-0.49,P=0.04)、TDPM 45°(r=-0.52,P=0.03)、AAR 45°(r=-0.62,P=0.00)及AAR 60°(r=-0.59,P=0.01)存在相关性。结论不同角度的股四头肌等速肌力训练,均有助于加速TKA术后患者的康复进程,其中训练范围为31°~60°可以更好地改善患者术后本体感觉和股四头肌肌力,0°~30°范围内的股四头肌等速训练对患者小腿三头肌肌力、ROM、HSS评分改善效果最为显著。
文摘目的为实时监测和评估对肌肉力量,设计并验证了一种基于肌肉围度变化的可穿戴肌力监测系统。方法6名非体育专业健康大学生穿戴基于肌肉围度变化的监测护具进行等速肌力测试,实时获取等速运动过程中肌肉围度变化数据。将肌肉围度随时间变化曲线分析处理后的结果——肌肉围度变化峰值(peak muscle perimeter change,PP)、肌肉围度变化速度峰值(peak velocity of muscle perimeter change,PVP)和单次运动肌肉围度变化随时间积累(accumulation of muscle perimeter change,AP)与等速肌力测试所获得峰值力矩(peak torque,PT)、单位体重的峰值力矩(PT to body weight ratio,PT/BW)、0.18 s时力矩(T0.18)和做功疲劳度(endurance ratio,ER)进行皮尔逊相关性分析,验证可穿戴系统对肌力实时监测的可靠性。其中,肌肉围度变化通过手臂和腿部可穿戴护具进行采样,肌肉围度监测位置分别对应上臂肱二头肌发力时肌肉围度变化最大处以及膝盖上方股四头肌发力时肌肉围度变化最大处。等速肌力测试采用Biodex System 4 pro设备进行肘、膝关节测试。结果动态肌肉围度变化可以用来监测人体的肌肉力量水平。当进行等速运动时,手臂肌肉围度变化与肘关节肌肉力量指标呈显著相关(P≤0.01),最大相关系数为0.91;腿部肌肉围度变化与膝关节肌肉力量指标呈显著相关(P≤0.01),最大相关系数为0.99。结论该可穿戴肌力监测系统具有较高的可靠性和可重复性,可以用于等速运动过程中肘关节和膝关节肌力的实时监测。
文摘BACKGROUND Ankle normative values are limited compared to isokinetic knee assessments.Chronic ankle instability correlates with agonist-antagonist imbalances,decreased evertor/invertor ratio,and plantar flexion deficits.Strengthening programs targeting evertor/invertor and dorsiflexor/plantar flexor balance help reduce injury recurrence.Bilateral neuromuscular deficits compromise the contralateral side,rendering healthy limbs unsuitable as recovery references.Defining normative healthy ankle parameters is crucial for establishing precise limits in nonsurgical treatments and sports return criteria.While the limb symmetry index(LSI)is used for knees with a cutoff of>90%,no such standardization exists for the ankle.AIM To comprehensively evaluate isokinetic ankle strength profiles in non-athletic individuals.METHODS This is a cross-sectional study.Two hundred ankles were evaluated using the Biodex 3 System to assess eversion,inversion,dorsiflexion,and plantar flexion.Healthy individuals with an active lifestyle and no previous injuries were evaluated.The Maximum Torque,Agonist/Antagonist Ratio,LSI,and Muscular Deficiency Index(MDI)and the correlation with demographic variables were evaluated.RESULTS The mean age(mean±SD)was 38.5±13.5 years,and the body mass index(BMI)was 25.8±4.2 in 69 men and 31 women.The mean maximum torque values by gender were(mean±SD):22.3±6.6 female(F)and 33.4±9.9 male(M)N/m for eversion;30.10±10.0(F)and 37.0±11.6 N/m(M)for inversion,37.4±10.0(F)and 53.6±13.0 N/m(M)for dorsiflexion,and 100.4±37.2(F)and 158.1±33.4(M)N/m for flexion.There was no correlation between age or BMI and maximum torque.The evertors/invertors ratio was 88.8%,and the dorsiflexors/plantar flexors ratio was 36.1%.The MDI and LSI were balanced between sides for every movement,having an average global difference of less than 10%.CONCLUSION These findings provide gender-specific normative isokinetic values for the ankle in healthy,physically active adults.These reference parameters—especially LSI and MDI above 90%—can support clinical decision-making in rehabilitation planning and return-to-sport assessment,offering objective benchmarks for functional recovery.
