Khan Fayaz, Anjamparuthikal Haris, Chevidikunnan Mohamed Faisal
Department of Physical Therapy, Faculty of Medical Rehabilitation Science, King Abdulaziz University, Jeddah, Saudi Arabia.
J Neurosci Rural Pract. 2019 Oct;10(4):683-689. doi: 10.1055/s-0039-1700612. Epub 2019 Oct 24.
The aim of this study is to compare the isokinetic knee muscles peak torque measurements and proprioception between the affected and intact limbs of patients with stroke, in addition to finding the correlation between knee muscles strength and lower limb function. Twelve patients with stroke (mean age 64.33 ± 6.140 years), with 3 to 7 months poststroke who can walk 25 feet independently without using or using assistive devices and full passive range of motion were included in the study. Biodex isokinetic dynamometer was used for measuring isokinetic strength at 90°/s, 120°/s, and 150°/s and isometric strength at 60°/s in both flexors and extensors of the knee, whereas proprioception was measured at 45°/s knee flexion, all for affected and intact limbs. Functional measurements were assessed using the Fugl-Meyer Assessment for Lower Limb scale and Barthel Index (BI). The differences shown were found to be statistically significant between affected and intact limbs in isokinetic 90°/s flexion ( = 0.005), extension ( = 0.0013), and isometric at 60°/s flexion ( < 0.0001) knee muscle strengths and also the proprioception ( = 0.05). Significant positive correlation was found between isokinetic affected side knee flexion at 90°/s ( = 0.903) with BI ( = 0.704). There is a significant difference in peak torque measurements between affected and normal lower limbs of poststroke patients, as well as a significant correlation between the knee strength and lower limb functions. Furthermore, it can also be concluded that the differences in knee proprioception between the affected and intact limbs were shown to be significant.
本研究的目的是比较中风患者患侧和健侧肢体等速膝关节肌肉峰值扭矩测量值和本体感觉,此外还要找出膝关节肌肉力量与下肢功能之间的相关性。本研究纳入了12名中风患者(平均年龄64.33±6.140岁),这些患者中风后3至7个月,能够独立行走25英尺,无需使用或仅使用辅助设备,且被动活动范围正常。使用Biodex等速测力计测量膝关节屈伸肌在90°/秒、120°/秒和150°/秒时的等速力量以及在60°/秒时的等长力量,而在膝关节屈曲45°/秒时测量患侧和健侧肢体的本体感觉。使用下肢Fugl-Meyer评估量表和Barthel指数(BI)评估功能测量。结果显示,患侧和健侧肢体在90°/秒屈曲(P = 0.005)、伸展(P = 0.0013)以及60°/秒屈曲等长(P < 0.0001)膝关节肌肉力量和本体感觉(P = 0.05)方面存在统计学显著差异。在患侧膝关节90°/秒屈曲(P = 0.903)与BI(P = 0.704)之间发现显著正相关。中风患者患侧和正常下肢的峰值扭矩测量值存在显著差异,膝关节力量与下肢功能之间也存在显著相关性。此外,还可以得出结论,患侧和健侧肢体在膝关节本体感觉方面的差异也很显著。