PriMera Scientific Medicine and Public Health (ISSN: 2833-5627)

Case Study

Volume 4 Issue 1

Innovative Thinking of Inducing Passive Resistance Training and Demonstration of Abnormal Muscle Strength Techniques for Stroke Intervention

Han Feng, Zuo Guanchao, Cong Bei, Han Bingxue, Liu Jing, Shao Ming and Yan Zhi*

December 26, 2023

DOI : 10.56831/PSMPH-04-110

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Abstract

Background and Purpose: Usually resistance training can only be done in the active state. The difficulty of upper limb rehabilitation of stroke patients lies in the inability to complete resistance training on the antagonistic muscle groups with high muscle tension. The vast majority of stroke patients experience upper limb or arm extensor muscle weakness, and many lose the strength of their antagonistic muscle groups, preventing them from performing progressive resistance training, resulting in a large number of stroke patients with long-term upper limb disability. We took the lead in proposing induced passive resistance training to form passive resistance thinking and mode that activated antagonistic muscle groups in the upper limb of stroke, and selected stroke patients who were more than one year old and still had obvious flexion spasm in the upper limb as demonstration objects to observe the intervention effect of this method on abnormal muscle strength.

Methods: Functional acupuncture and passive resistance of upper extremity extensor group induced by Professor Yan Zhi were the main intervention methods. Implementation requirements are as follows: a) Selection of therapeutic positions. b) Selection of intervention site. c) Selection of strength and waveform. d) Real-time evaluation of intervention effects after intervention. e) Multi-task intervention training of upper limb extensor muscle group after treatment.

Results: After 20 minutes of intervention, flexor tension of upper limb, elbow joint, wrist joint and finger joint was improved obviously, extensor function of elbow and wrist joint was recovered obviously, elbow extension resistance function of left upper limb was recovered obviously. After one month of the above intervention treatment, the abnormal muscle tone of the left upper limb of the patient was significantly reduced, the elbow extensor strength score was increased from 0 to 5, and the flexion spasm of the upper limb was significantly improved in multiple scenarios.

Conclusion: The demonstration of this method highlights the significance of three aspects: A) Patients with upper limb flexion spasm more than 1 year after stroke with this method showed obvious intervention effect immediately. b) To confirm that functional acupuncture and medium-frequency induced passive resistance training are the most effective methods for the intervention of abnormal muscle tone in the upper extremity. c) The control of intervention dose and the repetition of precise rehabilitation training have a positive effect on the improvement and continuation of the therapeutic effect.

Keywords: Passive resistance training; Abnormal muscle tone; Stroke

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