ZHANG Chaoyan, LI Yan, NING Mengmeng, GAO Meng

( Luoyang Central Hospital Affiliated to Zhengzhou University, Luoyang 471000, China )

AbstractObjective 'To explore the impaet of isokinetic musele strength training intervention timing basedon neural remodeling theory on patients with stroke hemiplegia during recovery. Methods 1 10 patients withstroke hemiplegia were selected and randomly divided into the control group( n = 55)and observationgroup (n= 55 ) using a random number table method. The contrl group were received isokinetic musclestrength training based on neural remodeling theory one month after the intervention of routine walkingrehabilitation training, while the observation group were received early and full isokinetic muscle strength training basedon neural remodeling theory on the basis of routine walking rehabilitation training. Themuscle strength , balance function, and lower limb motor function of the two groups were observed. ResultsAfter l month and 2 months of intervention, the peak torque ( P')ofthe extensor and flexor muscles.balance scale ( BBS) score , and simplified Fugl Meyer motor function scale ( FM) score of the observationgroup were higher than those of the control group, with a statistically significant difference ( P<0.05 )After 2 months of intervention, the PT levels, BBS scores, and FM scores of the knee extensor and flexormuscle groups in both groups were significantly higher than those of the intervention for 1 month ( P<0.05).Conclusion Early and complete isokinetic muscle strength training based on neural remodelingtheory can elfectively improve muscle strength levels , balance function, and lower limb motor function in

patients with hemiplegia during recovery from stroke.Keywords: neural remodeling; isokinetic musele strength training; stroke recovery period; hemiplegia;lower limb motor funetion

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