Effects of rhythmic auditory stimulation on balance function and walking function of hemiplegia patients with anterior cerebral circulation stroke
Objective To explore the effects of rhythmic auditory stimulation(RAS)on balance function and walking function of hemiplegia patients with anterior cerebral circulation stroke.Methods A total of 60 hemiplegia patients with anterior cerebral circulation stroke who were hospitalized in the Department of Neurorehabilitation,China Rehabilitation Research Center from September 2022 to July 2023 were selected,and were divided into experimental group and control group by the random number table method,with 30 cases in each group.The experimental group received RAS walking training on the basis of routine rehabilitation training,while the control group received verbal instruction of walking training,with 15 min/d,five days per week for four weeks.Berg balance scale(BBS),10-meter walk test(10-MWT)and GaitWatch three-dimensional gait analyzer were used to compare the balance function,walking function,pace,pace frequency and stride length of the two groups before and after training.Results Among the 60 patients,40 were males and 20 were females,aged from 30 to 59 years,with an average age of(43.7±8.1)years.After treatment,the BBS scores of both groups were higher than those before treatment,and the BBS score of the experiment group was higher than that of the control group[(43.31±3.91)points vs.(41.21±4.23)points,P<0.05].After treatment,the 10-MWT time of the two groups after treatment was shorter than that before treatment,and the 10-MWT time of experimental group was shorter than that of control group[(26.24±7.36)s vs.(32.93±8.03)s,P<0.05].After treatment,the step frequency,gait speed and stride length of both groups were improved compared with those before treatment,and compared with the control group,the step frequency of the experimental group was higher[(75.46±13.31)step/min vs.(68.34±12.41)step/min],gait speed was faster[(0.58±0.18)m/s vs.(0.51±0.19)m/s]and stride length was longer[0.64±0.21)m vs.(0.53±0.19)m],the differences were statistically significant(P<0.05).Conclusions Compared with verbal instruction of walking training,training combined with RAS can improve the balance function and walking ability in hemiplegia patients with anterior cerebral circulation stroke.
anterior cerebral circulation strokehemiplegiarhythmic auditory stimulation(RAS)balancing functionwalking function