The influence of neural stem stimulation combined with task-oriented training for lower extremity motor function in stroke patients with hemiplegia and three-dimensional gait
ZHENG Su1 PENG Li2
1.Department of Medical, Shiyan Taihe Hospital Affiliated Taihe Hospital of Hubei University of Medicine, Hubei Province, Shiyan 442000, China;
2.Hospital Affairs Office, Shiyan Traditional Chinese Medicine Hospital, Hubei Province, Shiyan 442000, China
Abstract:Objective To explore the effect of neural stem stimulation combined with task-oriented training on lower limb motor function in patients with stroke. Methods A total of 80 patients who met the inclusion criteria from January 2016 to December 2018 in the Rehabilitation Center of Shiyan Taihe Hospital were selected. They were divided into 4 groups according to the admission order, with 20 cases in each group. Group A was given conventional drug treatment for stroke in department of neurology, group B was treated with nerve stem stimulation on the basis of group A, group C was given task-oriented training treatment on the basis of group A, group D was treated with nerve stem stimulation combined with task-oriented training on the basis of group A. Fugl-meyer assessment (FMA), berg balance scale (BBS), modified barthel index (MBI) and three-dimensional gait assessment were performed in each group before and after 3 courses of treatment. Results Before the treatment, the three-dimensional gait parameters, FMA, BBS and MBI of the four groups were compared, and there was no statistically significant difference (P > 0.05). Compared with before treatment, there were no statistically significant differences in three-dimensional gait parameters, FMA, BBS and MBI in group A (P > 0.05), while there were statistically significant differences in three-dimensional gait parameters, FMA, BBS and MBI in group B, group C and group D (all P < 0.05). After treatment, the three-dimensional gait parameters, FMA, BBS and MBI of group B, group C and group D were significantly higher than that of group A, with statistically significant differences (all P < 0.05), and group D was higher than group B and group C, with statistically significant differences (all P < 0.05). Conclusion Neural stem stimulation combined with task-oriented training can improve the FMA, BBS, and MBI scores of the lower limbs of hemiplegia after stroke, improve the three-dimensional gait parameters, enhance the lower limb movement ability, balance coordination ability and living ability of patients, and improve the rehabilitation effect of patients.
郑苏1 彭力2. 神经干刺激联合任务导向训练对脑卒中偏瘫患者下肢运动功能及三维步态的影响[J]. 中国医药导报, 2020, 17(14): 73-77.
ZHENG Su1 PENG Li2. The influence of neural stem stimulation combined with task-oriented training for lower extremity motor function in stroke patients with hemiplegia and three-dimensional gait. 中国医药导报, 2020, 17(14): 73-77.