Interest of isokinetic in the rehabilitation of the knee in hemiplegic.

OBJECTIVE: The isokinetic is a means of objective and reproducible assessment of muscle strength, it is widely used in rehabilitation especially joint and muscle pathology. There is little applied to the neurological disease. To report the experience of our rehabilitation field service isokinetic knee of hemiplegic through three observations.

OBSERVATIONS: Observation 1: 65 years old patient, who suffered an ischemic stroke right for 2 years, who presented a quadriceps spasticity 2, walking with a cane, he received isokinetic knee rehabilitation for a year, with exercises concentric, eccentric and proprioceptive. There was an improvement of walking and climbing and descending stairs. Observation 2: patient aged 42, suffered an ischemic stroke left for 2 years and a half, which has a quadriceps spasticity 2, slow walk unaided, after about ten therapy sessions, patients reported an improvement walking, with increase of the rate of the step, as well as ease of the ascent and descent of stairs. Observation 3: patient aged 30, suffered a stroke from left ischemic year and a half, spasticity of the quadriceps 1, slow walk unaided, after about ten therapy sessions comprising concentric and proprioceptive exercises, the patient reported improved walking and isokinetic evaluation noted improved quadriceps and hamstrings deficit of hemiplegic side.

DISCUSSION/CONCLUSION: The hemiplegic lower limb recovery after stroke is often favorable. The objective of rehabilitation of the walk is ambulatory autonomy, walking simple, and performance improvement: in security, speed, autonomy, efficiency, and aesthetics. Various rehabilitation techniques are used depending on the main problems presented by the patient. The isokinetic remains one of the least used means but has shown its efficiency objective.