The Effects Of Strength Training On The Walking Ability And Blood Glucose In Patients With Stroke And Type 2 Diabetes

Objective To investigate the effects of Strength Training by Thera-band Systems on the walking ability and blood glucose in patients with stroke and type 2 diabetes. Methods 40 patients with stroke and type 2 diabetes were randomly divided into treatment group(n=20) and control group (n=20) using a random number table. All the patients in both groups were given similar conventional rehabilitation treatment, include Neuro Muscular Electrical Stimulation, Neuro-facilitation Technique, Balance training and Activities of Daily Living training. In addition, the patients in the treatment group were given Strength Training by Thera-band Systems, once a day,30 min every time, 5 days a week, lasting 12 weeks. The Fugl-Meyer Assessment(FMA), the Functional Ambulation Categories(FAC), the 10m maximum walking speed(MWS),the average step length, the percentage of time on nonparalyzed foot and paralyzed foot, the 3 minutes walking distance were measured and the fasting blood glucose(FBG),2 hours postpradial blood glucose(PBG), HbAlc, and lipid profile of TG,TC,LDL,HDL were tested before and after 12 weeks of treatment.Results Before intervention there were no significant difference in any of the average values between the two groups (P>0.05). At the end of 12 weeks treatment, all measurements in both groups had significantly improved than those before training(P<0.05). And all measurements in treatment group [FMA(24.50±3.95), FAC(3.25±0.44), MWS (46.76±6.69) m/min The average nonparalyzed step length (0.53±0.07)m, The average paralyzed step length(0.54±0.06)m, the percentage of time on nonparalyzed foot (51.05±1.60)%, the percentage of time on paralyzed foot(48.95±1.60)%, the 3 minutes walking distance(138.67±8.39)m] were significantly better than those in control group (P<0.05). The PBG(11.7±0.9)mmol/L, and lipid profile of TG(1.8±0.6)mmol/L,TC(4.8±0.9)mmol/L,LDL(2.8±1.0)mmol/L,HDL(1.6±0.4) mmol/L in treatment group were significantly better than those in control group (P<0.05).Conclusions Strength Training by Thera-band Systems can improve the walking ability and blood glucose in patients with stroke and type 2 diabetes.