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| 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 |
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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.
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