缺血性脑卒中患者早期非偏瘫侧渐进式抗阻运动方案的构建及效果研究

doi:10.3761/j.issn.2096-7446.2025.07.001

Abstract

Abstract:

Objective To construct the early progressive resistance exercise program for the non-hemiplegic side in ischemic stroke patients and evaluate its effects. Methods Through literature research and expert consultation，the progressive resistance exercise program of non-hemiplegic side in the early stage of ischemic stroke patients was constructed. A total of 70 patients with ischemic stroke hemiplegia who were hospitalized in two wards of the Department of Neurology from December 2023 to August 2024 in a Grade-III first-class hospital in Hunan Province were selected. There were 35 cases in each group according to the coin toss method. The control group received routine rehabilitation training，and the experimental group received early progressive resistance exercise intervention on the non-hemiplegic side on the basis of interventions in the control group. Balance ability，self-care ability，walking function，bilateral grip strength，lower limb muscle strength，muscle index and bone density were compared between the two groups.Results After intervention，the balance ability score of experimental group was higher than that of control group（Z=-3.060，P=0.002）. Self-care ability，walking function，bilateral grip strength，muscle index and bone density were higher than those of control group（P<0.05），and the time of 5 sit-stand tests was shorter than that of control group（P<0.05）. Conclusion The early progressive resistance exercise for the non-hemiplegic side is beneficial to improve balance，mobility，muscle strength，muscle index and bone density in hemiplegic patients with ischemic stroke.

Key words: Stroke, Resistance Exercise, Balance Capacity, Mobility, Muscle Strength, Rehabilitation Nursing

XING Chaoqun, YAN Yan, WANG Jie, GAO E, ZHANG Mingyue, GAO Chuanying. Construction and effect research of early progressive resistance exercise program for the non-hemiplegic side in ischemic stroke patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 773-779.

Figures/Tables 6

Table 1

Table 2

Table 3

Table 4

Table 5

Table 6

References 19

[1]	Collaborators G2SRF. Global,regional,and national burden of stroke and its risk factors,1990-2021:a systematic analysis for the Global Burden of Disease Study 2021[J]. Lancet Neurol, 2024, 23(10):973-1003.
[2]	Abdu H, Tadese F, Seyoum G. Clinical profiles,comorbidities,and treatment outcomes of stroke in the medical ward of Dessie comprehensive specialized hospital,Northeast Ethiopia;a retrospective study[J]. BMC Neurol, 2022, 22(1):399.
[3]	Hendrey G, Holland AE, Mentiplay BF, et al. Do trials of resistance training to improve mobility after stroke adhere to the American college of sports medicine guidelines? A systematic review[J]. Arch Phys Med Rehabil, 2018, 99(3):584-597.e13.
[4]	Turner GM, McMullan C, Atkins L, et al. TIA and minor stroke:a qualitative study of long-term impact and experiences of follow-up care[J]. BMC Fam Pract, 2019, 20(1):176. doi: 10.1186/s12875-019-1057-x pmid: 31847828
[5]	Hendy AM, Lamon S. The cross-education phenomenon:brain and beyond[J]. Front Physiol, 2017, 8:297.
[6]	Shao CL, Wang YZ, Gou H, et al. Strength training of the nonhemiplegic side promotes motor function recovery in patients with stroke:a randomized controlled trial[J]. Arch Phys Med Rehabil, 2023, 104(2):188-194.
[7]	Lu YH, Fu Y, Shu J, et al. Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia[J]. World J Clin Cases, 2023, 11(19):4531-4543.
[8]	Bernhardt J, Hayward KS, Kwakkel G, et al. Agreed definitions and a shared vision for new standards in stroke recovery research:The Stroke Recovery and Rehabilitation Roundtable taskforce[J]. Int J Stroke, 2017, 12(5):444-450. doi: 10.1177/1747493017711816 pmid: 28697708
[9]	Wei XF, Sun ST, Zhang MY, et al. A systematic review and meta-analysis of clinical efficacy of early and late rehabilitation interventions for ischemic stroke[J]. BMC Neurol, 2024, 24(1):91. doi: 10.1186/s12883-024-03565-8 pmid: 38459477
[10]	美国运动医学学会. ACSM运动测试与运动处方指南[M]. 王正珍,译. 北京: 北京体育大学出版社, 2019.
	American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription[M]. Wang ZZ,trans. Beijing: Beijing Sport University Press, 2019.
[11]	中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性卒中诊治指南2023[J]. 中华神经科杂志, 2024, 57(6):523-559.
	Neurology Branch of Chinese Medical Association,Cardiovascular Disease Group of Neurology Branch of Chinese Medical Association. Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2023[J]. Chin J Neurol, 2024, 57(6):523-559.
[12]	兰美娟, 曾妃, 梁江淑渊. 双肺移植患者肺康复方案的构建及应用[J]. 中华护理杂志, 2022, 57(6):659-665. doi: 10.3761/j.issn.0254-1769.2022.06.003
	Lan MJ, Zeng F, Liang JSY. Construction and application of a pulmonary rehabilitation program in patients with double lung transplantation[J]. Chin J Nurs, 2022, 57(6):659-665. doi: 10.3761/j.issn.0254-1769.2022.06.003
[13]	瓮长水, 王军, 王刚, 等. Berg平衡量表在脑卒中患者中的内在信度和同时效度[J]. 中国康复医学杂志, 2007, 22(8):688-690,717.
	Weng CS, Wang J, Wang G, et al. Assessments of internal reliability and concurrent validity of Berg Balance Scale in stroke patients[J]. Chin J Rehabil Med, 2007, 22(8):688-690,717.
[14]	侯东哲, 张颖, 巫嘉陵, 等. 中文版Barthel指数的信度与效度研究[J]. 临床荟萃, 2012, 27(3):219-221.
	Hou DZ, Zhang Y, Wu JL, et al. Study on reliability and validity of Chinese version of barthel index[J]. Clin Focus, 2012, 27(3):219-221.
[15]	Moore JL, Nordvik JE, Erichsen A, et al. Implementation of high-intensity stepping training during inpatient stroke rehabilitation improves functional outcomes[J]. Stroke, 2020, 51(2):563-570. doi: 10.1161/STROKEAHA.119.027450 pmid: 31884902
[16]	Herda AA, Nabavizadeh O. Short-term resistance training in older adults improves muscle quality:a randomized control trial[J]. Exp Gerontol, 2021, 145:111195.
[17]	薛新宏, 王晓光, 陶徉聿, 等. 营养联合运动干预对脑卒中伴肌少症患者的效果[J]. 中国康复理论与实践, 2023, 29(5):595-600. doi: 10.3969/j.issn.1006-9771.2023.05.016
	Xue XH, Wang XG, Tao YY, et al. Effect of nutrition combined with exercise on stroke patients with sarcopenia[J]. Chin J Rehabil Theory Pract, 2023, 29(5):595-600.
[18]	Ioannidou P, Dóró Z, Schalla J, et al. Analysis of combinatory effects of free weight resistance training and a high-protein diet on body composition and strength capacity in postmenopausal women-A 12-week randomized controlled trial[J]. J Nutr Health Aging, 2024, 28(10):100349.
[19]	O’Bryan SJ, Giuliano C, Woessner MN, et al. Progressive resistance training for concomitant increases in muscle strength and bone mineral density in older adults:a systematic review and meta-analysis[J]. Phys Med, 2022, 52(8):1939-1960.

Construction and effect research of early progressive resistance exercise program for the non-hemiplegic side in ischemic stroke patients

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 6

References 19

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	ZHANG Xiaping, LUO Songna. A scoping review of kinesiophobia research in stroke patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 624-630.
[2]	WANG Yawei, GAN Siyun, CHEN Weihua, XU Bicui, WU Bimei, QIU Yunhong, LI Linzhi, ZHANG Xiulin, WEN Weilian, WU Yanchun, ZHU Guanjie, XU Qiping. Establishing and practice of pre-hospital emergency nurses in 5G mobile stroke unit [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 323-328.
[3]	HUANG Yufeng, DONG Lixia, ZHANG Lei, WANG Hui. Improvement of the nursing process for thrombolysis patients with acute ischemic stroke in Inner Mongolia and effect evaluation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 345-350.
[4]	ZHU Xiaojuan, YU Yang, WANG Cong, YIN Junlian, ZHEN Yushan, WANG Desheng, BAI Huihua. Summary of best evidence for management of blood pressure after mechanical embolectomy in patients with acute ischemic stroke [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 365-371.
[5]	LI Yang, XIANG Yujun, GAO Tingting, LI Jiahuan. First aid and nursing of a child with influenza A combined with recurrent episodes of A-S syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(3): 238-240.
[6]	XIN Chen, GAI Yubiao, GUO Xiaojing, ZHANG Meng, ZHANG Yuchen, WEI Lili. Research progress of early rehabilitation intervention in patients with venovenous extracorporeal membrane oxygenation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(9): 855-859.
[7]	PENG Qiaoqiao, YANG Xiangying, ZENG Xiaokang. Design and application of antiskid counting grip dynamometer for ICU mechanically ventilated patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(8): 700-703.
[8]	BIAN Hong, YU Ping, SUN Qin, HE Ping. Application of progressive rehabilitation exercise in patients with mechanical ventilation in ICU [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(8): 689-694.
[9]	WANG Danhua, CHEN Jin, LIU Haiying, HUANG Dongxue, LI Xuguang, GAO Yan, YUAN Zhifang, LIN Mei, SHEN Yuehao. Evidence summary of ICU early rehabilitation in bed for patients after cardiac valve replacement [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(8): 704-710.
[10]	WEI Hui, YANG Hongyan, YANG Ting, LIU Miaomiao, WU Minhao, GAO Yangqin. A systematic review of risk prediction models for post-stroke cognitive impairment [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(8): 747-752.
[11]	ZHOU Liping, YE Huan, LOU Jiexiang, CHU Huilin, ZHU Chenping. Research progress of acute stroke screening scale [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(7): 664-669.
[12]	GUO Zhiting, JIN Jingfen, LIU Yuanfei, FU Yujia, WANG Xuyang, GUO Erling, ZHANG Yuping. The effect of prehospital process optimization on treatment delay in patients with ischemic stroke：a Meta- analysis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(7): 644-652.
[13]	YE Danjuan, CHEN Lixia. Emergency nursing of a child with severe heat stroke caused by trapped in a closed compartment [J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(7): 610-612.
[14]	YANG Hongyan , CHEN Yuanyuan, WEI Hui, CHEN Yanqin. Clustering analysis on hotspots of return to work after stroke [J]. Chinese Journal of Emergency and Critical Care Nursing, 2021, 2(4): 351-354.
[15]	LI Yuanyuan, DING Yun, FAN Xiaoming, CUI Yue, WEI Xiumei, ZHANG Jinglin. Homogenous training of pre-hospital stroke first aid for nurses in southern Xinjiang medical alliance andeffect evaluation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2021, 2(4): 304-307.