Effects of dual-task training mode combined with Bobath technique on upper limb function and spinal motor neuron excitability in patients with hemiplegia after stroke
Objective To analyze the effects of dual-task training mode combined with Bobath technique on upper limb function and spinal motor neuron excitability in patients with hemiplegia after stroke.Methods A total of 90 patients with hemiplegia after stroke admitted in our hospital from November 2020 to November 2022 were selected as study objects and randomly divided into control group and observation group,with 45 cases in each group.The control group was given with routine rehabilitation training,and the observation group was given with dual-task training mode combined with Bobath technique on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the Modified Ashworth scale(MAS)score of the observation group was lower than that of the control group,and the simplified Fugl-Meyer Assessment(FMA)and Trunk Control Test(TCT)scores were significantly higher than those of the control group(P<0.05).After intervention,the maximum amplitude of H wave(Hmax),the maximum amplitude of M wave(Mmax)and Hmax/Mmax of hemiplegic lower limbs in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of the WHO Quality of Life Brief Scale(WHOQOL-BREF)in the observation group were higher than those in the control group(P<0.05).Conclusion The dual-task training mode combined with Bobath technique can accelerate the recovery of upper limb function in hemiplegic patients after stroke,reduce the excitability of spinal motor neurons,improve clinical symptoms and enhance the quality of life.
dual-task training modeBobath techniquehemiplegia after strokeupper limb functionspinal motor neuron excitabilityquality of life
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