Effect of Walking Training Based on Repetitive Facilitative Exercise on Lower Limb Function Reconstruction in Stroke Patients
Objective:To observe the effect of walking training based on repetitive facilitative exercise(RFE)on lower limb function reconstruction in stroke patients.Methods:A total of 60 patients with stroke in convalescent stage were selected from the Rehabilitation Department of our hospital.They were randomly divided into control group(n=30)and observation group(n=30).Both groups received basic drug treatment and routine rehabilitation training.The observation group received RFE walking training,and the control group received routine walking training,for 4 weeks.The scores of Fugl-Meyer Assessment-Lower Extremities(FMA-LE),Functional Ambula-tion Category(FAC),Berg balance scale(BBS)and gait parameters such as stride frequency,stride,pace,propor-tion of the plantar pressure of the affected foot(PPF),envelope ellipse area(EEA)were compared between the two groups before and after treatment.Results:After treatment,the scores of FMA-LA,FAC,BBS,stride frequency,stride,pace and PPF in the two groups were improved as compared with those before treatment(P<0.05),and the scores of FMA-LA,BBS,stride frequency,stride,pace and PPF in the observation group were higher than those in the control group(P<0.05).There was no significant difference in FAC score between the two groups.After treatment,the EEA values of the two groups were significantly lower than those before treatment(P<0.01),and the decrease in the observation group was greater than that in the control group(P<0.05).Conclusion:Walking training based on RFE has a positive effect on the reconstruction of lower limb movement,balance and walking func-tion in stroke patients,and can improve gait.