Abd Elsabour Ahmed K, Zakaria Hoda M, Fahmy Ebtesam M, Khalil Azza Sayed Abdelrehim, Alwhaibi Reem M, Ragab Walaa M, Taha Shreen I
Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Beni-Suef University, Beni Suef 62521, Egypt.
Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo 12613, Egypt.
Medicina (Kaunas). 2025 Jan 26;61(2):223. doi: 10.3390/medicina61020223.
Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one's quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength ( < 0.05), hip abduction strength ( < 0.05), ankle dorsiflexion strength ( < 0.05), and ankle eversion strength ( < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability ( < 0.05), mediolateral stability ( < 0.05), and anteroposterior stability ( < 0.05), as measured by the Biodex Balance System (BBS). The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.
中风是全球长期残疾的主要原因之一，常常导致运动功能严重受损。这些损伤包括肌肉无力、平衡受损和协调性下降，会对患者的生活质量和独立性产生重大影响。找到一种有效的康复方案来改善这些问题，将减少中风的影响及其康复成本。本研究旨在评估下肢增强式训练对中风患者的力量、姿势控制和跌倒风险的影响。本研究纳入了40例慢性左侧中风患者，随机分为两组，每组人数相等。实验组参加了为期12周的有监督的增强式训练计划，而对照组接受传统物理治疗计划。使用手持测力计测量下肢肌肉力量，并通过Biodex平衡系统（BBS）评估平衡和跌倒风险。在干预期前后进行这些测量以评估治疗效果。本研究结果表明，与接受传统治疗的患者相比，进行增强式训练的中风患者的肌肉力量和平衡参数有显著改善。增强式训练组在膝关节伸展力量（<0.05）、髋关节外展力量（<0.05）、踝关节背屈力量（<0.05）和踝关节外翻力量（<0.05）方面有显著更大的增加。此外，通过Biodex平衡系统（BBS）测量，增强式训练组在整体稳定性（<0.05）、内外侧稳定性（<0.05）和前后稳定性（<0.05）方面有显著改善。本研究结果表明，增强式训练可能是一种有效的干预措施，可降低中风恢复期间的跌倒风险，增强肌肉力量和平衡能力。
