Effect of core muscle training on improving motor function and walking function of the lower extremity in patients with apoplexy hemiparalysis
Objective To analyze the effect of core muscle training on patients with apoplexy hemiparalysis(AH).Methods A total of 116 AH patients treated in our hospital were randomly selected.Using the randomly numbered envelops,patients were divided into group A(n=59)and group B(n=60).Routine rehabilitation training was applied to all recruited patients,and those in group B were additionally managed by the core muscle training.The balance function before and after training was assessed using the Berg Balance Scale(BBS).Walking function was assessed by the number of walkers and the 10-m Maximum Walking Speed(MWS).Motor function of the lower extremity was assessed using the simplified Fugl-Meyer Assessment scale(FMA).Activities of daily living was assessed using the Modified Barthel Index(MBI).The quality of life was assessed using the 36-Item Short Form Survey(SF-36).The above indices were compared and analyzed.Results After training,patients in group B presented significantly better BBS scores(including the scores of the sitting to standing,standing unsupported,sitting unsupported,standing to sitting,and transfers),case number of walkers,MWS,FMA scores(including the scores of the motor functioning in the upper extremity at sitting,movement of the wrist,movement of the hand,motor functioning in the lower extremity in the supine position and motor functioning in the lower extremity at sitting),MBI scores(including the scores of the independency in feeding,dressing,bathing,grooming,going up and down stairs,walking on a level surface,and moving from wheelchair to bed and return)and SF-36 scores(including the scores of the physical activities,social activities,physical health,psychological health and mental health)than those of group A(all P<0.05).Conclusion Core muscle training combined with routine rehabilitation training can significantly improve the motor function of the lower extremity,activities of daily living and quality of life of AH patients,which is conducive to improving the walking and balance abilities.
strokehemiparalysiscore muscle traininglower limb motor functionwalking function
万方数据
维普
