Isokinetic sensorimotor training can improve hand function after a stroke
10.3760/cma.j.cn421666-20240118-00062
- VernacularTitle:基于等速技术的感觉运动训练对脑卒中患者手功能影响的临床研究
- Author:
Jiang MA
1
;
Yu LIU
;
Hong LI
;
Wanying SHI
;
Xiaolin TAO
;
Bei ZUO
Author Information
1. 石家庄市人民医院康复医学科，石家庄 050030
- Publication Type:Journal Article
- Keywords:
Stroke;
Isokinetic techniques;
Isokinetic strength training;
Sensory function;
Motor function;
Hand rehabilitation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(6):499-505
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of isokinetic sensorimotor training on the hand function of stroke survivors.Methods:Forty-two stroke survivors with hand dysfunction were randomly divided into an isokinetic group of 22 and a control group of 20. Both groups were given sensorimotor training in addition to routine drug treatment and rehabilitation therapy, but the isokinetic group was additionally provided with sensorimotor training based on isokinetic techniques for 45 minutes daily, 5 days a week for 4 consecutive weeks. Before and after the intervention, both groups were evaluated using the Semmes-Weinstein monofilament examination (SWME), their two-point discrimination (2-PD) was documented, proprioception of their wrist joints was quantified, and the Fugl-Meyer upper extremity assessment (FMA-UE) and the simplified upper limb function assessment (STEF) were applied.Results:In both groups after treatment, there was a significant improvement in the SWME scores and 2-PD distance of the index finger and the thenar, and there was a significant decrease in the angle of motion perception (at 30° of flexion). The average FMA-UE and STEF scores of both groups had improved. After the treatment, the SWME scores of the index finger and the thenar, as well as well as the average FMA-UE and STEF scores of the isokinetic group were significantly higher than the control group′s averages. Angle of motion perception was also significantly superior.Conclusions:Sensorimotor training based on isokinetic techniques can significantly improve touch, motion sense, gross motor function and the fine motor ability of stroke survivors.
