The Effective Study Of Resistance Training And Stretching Exercise On Improving Muscle Strength In Stroke Patients

Purpose1.To construct an exercise prescription to promote the muscle strength of patients with stroke.2.To explore the effects of resistance training and resistance training combined with stretching exercise on the motor function of stroke patients.Methods1.We reviewed the literature researches to provide evidence for constructing exercise prescription and made preliminary experiment to ensure the safety and feasibility.2.Doing Randomized Control Trial research.Totally 42 clients with stroke were enrolled.After requiring the general data,the subjects were randomly divided into three groups,and the patients in each group are finally 12 due to 6 patients dropped out.One group received resistance training,one group received stretching training,and the third group received a combination of resistance and stretching training intervention for both four weeks.The walking ability,balance function and muscle strength of the clients were assessed before and after the intervention,including Functional Independence Measurement(FIM),Modified Barthel Index(MBI),Berg Balance Scale(BBS)and grip strength.Results1.The exercise prescription is safe and feasible,with no adverse events occurring.2.After 4 weeks training,the resistance training group and combined group clients had significant changes in MBI,BBS,and grip strength after exercise intervention(P <0.05).The stretching training group had significant changes in BBS(P <0.05).The combined training group had higher increase in grip strength and FIM than the resistance training group(P<0.05).Conclusions1.Exercise prescription is safe,the muscle strength in stroke patients have significantly improved.We should promote to use the exercise prescription in patients with stroke.2.Both resistance training and combined training can effectively improve the muscle strength,balance function and walking ability of stroke patients,but the combined training has better effect in improving muscle strength and FIM than the resistance training.It is worthy for the clients to do the combined training to achieve better improvement.