Comparison of the impact of a single session of isokinetic or isotonic muscle stretch on gait in patients with spastic hemiparesis
Comparison of the impact of a single session of isokinetic or isotonic muscle stretch on gait in patients with spastic hemiparesis
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DOI：
10.1191/0269215505cr853oa
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发表时间：
2005-03-01
影响因子：
3
通讯作者：
Shaw, S
中科院分区：
文献类型：
--
作者：
Maynard, V;Bakheit, AMO;Shaw, S
目的：确定踝跖屈肌等速和等张肌肉拉伸（有或无负重）是否能改善偏瘫患者的步态。进一步的目的是比较这些治疗方法的有效性。设计：随机，平行组前瞻性研究。设置：中风康复单位。受试者：轻度至中度严重下肢肌张力亢进的活动性偏瘫中风患者和一组健康对照受试者。干预：受试者被随机分配接受一次20分钟的等速肌肉拉伸或等张肌肉拉伸，有或没有负重。选定的运动学，动力学和时空步态参数进行了测量，在基线，肌肉拉伸后立即和24 h later.Results：66例患者和21名健康对照组被招募并完成了研究。患者组和健康受试者之间的大多数步态参数的研究有统计学意义的差异。然而，患者组之间或三个测量之间的差异，随着时间的推移，每种类型的肌肉stretche.Conclusions：一个单一的会议等速或等张肌肉拉伸（有或没有负重）的踝跖屈肌偏瘫中风患者的步态没有临床观察到的影响。
Objective: To establish if isokinetic and isotonic muscle stretch (with or without weight-bearing) of the ankle plantar flexors improves gait in hemiplegic patients. A further aim was to compare the effectiveness of these treatment methods.Design: A randomized, parallel group prospective study.Setting: A stroke rehabilitation unit.Subjects: Ambulatory hemiparetic stroke patients with mild to moderately severe muscle hypertonia of the lower limb and a group of healthy control subjects.Intervention: Subjects were randomized to receive a single 20-min session of isokinetic muscle stretch or isotonic muscle stretch with or without weight-bearing.Outcome measures: Selected kinematic, kinetic and spatio-temporal gait parameters were measured at baseline, immediately after the muscle stretch and 24 h later.Results: Sixty-six patients and 21 healthy control subjects were recruited and completed the study. There were statistically significant differences between the patient groups and the healthy subjects on most of the gait parameters studied. However, the differences between the patient groups or between the three measurements over time for each type of muscle stretch did not reach statistical significance.Conclusions: A single session of isokinetic or isotonic muscle stretch (with or without weight-bearing) of the ankle plantar flexors has no clinically observable effect on the gait of hemiplegic stroke patients.