Li Yongxiang, Liu Yali, Xiong Jiangrong
Department of Rehabilitation Medicine, Center for Rehabilitation Medicine, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Department of Infectious Diseases, Center for Infectious Diseases, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Brain Behav. 2025 Jul;15(7):e70683. doi: 10.1002/brb3.70683.
To examine how limitations in blood circulation impact the training of stroke individuals.
Between March 2022 and March 2023, a total of 34 individuals receiving treatment at the Fourth Affiliated Hospital of the School of Medicine, Zhejiang University, specifically within the Department of Rehabilitation Medicine, were chosen as participants. They were then assigned to experimental groups using a random number approach, with 17 individuals in each group, while also including a control group. The test group received BFR combined with cycle ergometers, while the control group performed a cycle ergometers regularly. Ultrasonography was employed to assess the size and thickness (RFT) of the rectus femoris (RFSTA) in patients both prior to and following training, as well as to evaluate the angle of the gastrocnemius pinna. Additionally, each patient completed a 30-s sit-to-stand test, received results from a stretch test, and underwent the Fugl-Meyer assessment for the lower extremities.
The muscles of RFT, RFTSA, and gastrocnemius pinna angle did not change significantly before and after in the control group. However, these values increased markedly in the experimental group. In addition, the FMA value recorded in the test group notably surpassed that of the control group. After all, walking speed, frequency, length and overall mobility will increase after training, but you will find it more important.
BFR can promote rehabilitation functional, relieve stress, ensure safety, improve training effects and have high value clinical uses.
探讨血液循环受限如何影响中风患者的训练。
2022年3月至2023年3月期间，选取浙江大学医学院附属第四医院康复医学科正在接受治疗的34名患者作为研究对象。采用随机数字法将其分为实验组，每组17人，另设对照组。实验组采用血流限制（BFR）结合自行车测力计进行训练，对照组进行常规自行车测力计训练。采用超声检查评估患者训练前后股直肌的大小和厚度（RFT）以及腓肠肌耳廓角度。此外，每位患者完成30秒坐立试验，接受拉伸试验结果，并进行下肢Fugl-Meyer评估。
对照组RFT、RFTSA和腓肠肌耳廓角度的肌肉在训练前后无明显变化。然而，实验组这些值显著增加。此外，实验组记录的FMA值明显超过对照组。毕竟，训练后步行速度、频率、步长和整体活动能力都会提高，但你会发现这更重要。
BFR可促进康复功能，缓解压力，确保安全，提高训练效果，具有较高的临床应用价值。
