Volume 21 Issue 6
Jun.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 1034-1038
YIN Qiyong, XU Qingqin, CHEN Desheng, WANG Min, CHEN Hemu. Rehabilitation efficacy analysis of the body weight supported treadmill training combined with knee joint controlling on knee hyperextension in patients after stroke[J]. Chinese Journal of General Practice, 2023, 21(6): 1034-1038. doi: 10.16766/j.cnki.issn.1674-4152.003043
Citation: YIN Qiyong, XU Qingqin, CHEN Desheng, WANG Min, CHEN Hemu. Rehabilitation efficacy analysis of the body weight supported treadmill training combined with knee joint controlling on knee hyperextension in patients after stroke[J]. Chinese Journal of General Practice, 2023, 21(6): 1034-1038. doi: 10.16766/j.cnki.issn.1674-4152.003043
shu

Rehabilitation efficacy analysis of the body weight supported treadmill training combined with knee joint controlling on knee hyperextension in patients after stroke

doi: 10.16766/j.cnki.issn.1674-4152.003043
  • 1.

    Department of Rehabilitation Medicine, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China

Funds:

 KJ2020ZD18

 2020SJJXSFK1370

  • Received Date: 2022-11-08
    Available Online: 2023-08-26
    Abstract
  •   Objective  To explore the rehabilitation efficacy of body weight supported treadmill training (BWSTT) combined with knee joint controlling (KJC) on lower limb motor function in patients with knee hyperextension (KH) after stroke, so as to improve the motor function of lower limbs and enhance walking stability and safety.  Methods  Thirty stroke patients admitted to Department of Rehabilitation Medicine of the First Affiliated Hospital of Anhui Medical University from June 2021 to June 2022 were selected. They were divided into a control group and an experimental group by using the random number table method, with 15 cases in each group. In order to collect plantar pressure data, 15 aging and gender-matched healthy subjects were recruited as the normal controls. The control group was treated with conventional rehabilitation therapy, while the experimental group received BWSTT and KJC on the basis therapy. The Berg balance scale (BBS), Fugl-Meyer assessment of lower extremity (FMA-LE), 10-meter walking test (10MWT), KH measurements and plantar pressure analysis [bilateral plantar pressure percentage, symmetry index (SI) and center of pressure (COP)] were compared between the two groups before and after 4 weeks of treatment.  Results  The BBS, FMA-LE, 10MWT and KH measurements improved in both groups after 4 weeks of treatment (P < 0.05), and the experimental group had better results than the control group except for 10MWT [BBS score: (22.87±1.96) points vs. (20.93±2.23) points; FMA-LE: (22.07±2.64) points vs. (19.67±2.61) points; 10MWT: (27.13±8.20) seconds vs. (30.73±10.95) seconds; KH measurements: (14.00±2.95) times vs. (17.40±3.91) times, all P < 0.05]. The SI and COP improved in both groups compared to pre-admission and were better in the experimental group than those in the control group (P < 0.05), but had difference with normal subjects (P < 0.001).  Conclusion  BWSTT combined with KJC can effectively improve walking and balance in stroke patients with KH.

     

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