Movement to Health, Montpellier-1 University EuroMov, France.
Ann Phys Rehabil Med. 2012 May;55(4):279-91. doi: 10.1016/j.rehab.2012.03.003. Epub 2012 Mar 27.
Isokinetic strengthening is a rehabilitation technique rarely used in stroke patients. However, the potential benefits of force and endurance training in this population are strongly suspected.
This literature review synthesizes the results of clinical trials on this topic. The research was conducted on PubMed, using "Stroke", "rehabilitation", "isokinetic", "upper limb" and "training" as keywords.
Seventeen studies focusing on the use of isokinetics in assessment or rehabilitation (six studies) following stroke were reviewed. For the lower limb, muscle strength and walking ability improved after isokinetic rehabilitation programs. For the upper limb, the only two studies found in the literature suggest improvement in the strength of the trained muscles, of grip force, of the Fugl-Meyer motor score and of global functional capacities. This review does not reveal any consensus on the protocols to be implemented: type of muscle contraction, velocities….
While isokinetic strengthening has not proven its efficiency in rehabilitation of the upper limb following stroke, its interest with regard to rehabilitation of the lower limbs has been recognized. Randomized controlled trials in this field are necessary to confirm its efficiency, especially concerning upper arm rehabilitation.
等速肌力训练是一种在脑卒中患者中很少应用的康复技术。然而，人们强烈怀疑这种力量和耐力训练对该人群的潜在益处。
本文献综述综合了该主题的临床试验结果。研究在 PubMed 上进行，使用“Stroke”“rehabilitation”“isokinetic”“upper limb”和“training”作为关键词。
共回顾了 17 项关于脑卒中后等速运动在评估或康复（6 项研究）中应用的研究。对于下肢，等速康复方案可改善肌肉力量和步行能力。对于上肢，文献中仅发现的两项研究表明，经过训练的肌肉力量、握力、Fugl-Meyer 运动评分和整体功能能力得到了改善。本综述并未就实施的方案达成共识：肌肉收缩的类型、速度等。
虽然等速强化训练尚未证明其在脑卒中后上肢康复中的有效性，但已认识到其对下肢康复的益处。该领域的随机对照试验对于确认其有效性是必要的，特别是对于上臂康复。
