Effect Of Core Muscles Training Combined With Situational Interaction On The Improvement Of Walking Function In Hemiplegic Patients

Objective: To observe the effect of instrument supporting core muscles training combined by situational interaction in the recovery of walking function of hemiplegic patients and to explore its related mechanism,in order to provide further theoretical support for the training of walking function of hemiplegic patients after stroke,and provide a new and more effective method for the rehabilitation of motor function of hemiplegic patients in clinical aspect.Methods: In this study,forty-five patients with stroke hemiplegia who had received rehabilitation treatment in a top-three hospital in Jining from January 2019 to August2019 were selected and randomly divided into control group(group A),instrument supporting core muscles training group(group B)and instrument supporting core muscles training combined with situational interaction group(group C),with 15 cases in each group.All patients were given with routine drug therapy.Patients in group A were given with routine physical therapy(including part of core muscles training),while patients in the group B were given with instrument supporting core muscles training based on the routine physical therapy and patients in group C were given with instrument supporting core muscles training combined by situational interaction based on the routine physical therapy,45min/d,6 sessions per week,4 weeks.The walking function of patients before and 4 weeks after the treatment were evaluated by lower limbs Fugl-Meyer assessment(FMA),10-meter maximum walking test(10 MWT)and functional ambulation category scale(FAC).Results:1.There was no significant difference in profile of all the patients before treatment(P?0.05);There was no significant difference in the lower limbs FMA,10 MWT score and FAC of all the patients before treatment(P?0.05).2.The lower limbs FMA,10 MWT score and FAC of all the patients after four weeks,treatment were significantly better than before(P<0.05);The lower limbs FMA,10 MWT score and FAC of the group B and C after four weeks,treatment were significantly higher than those of the group A(P<0.05);The lower limb FMA,10 MWT score and FAC of the group C after four weeks,treatment were significantly higher than those of the group B(P<0.05).Conclusion:1.The effect of routine exercise therapy combined with instrument supporting core muscles training on improving walking function of hemiplegic patients after stroke is better than that of routine exercise therapy.2.The clinical efficacy of instrument supporting core muscles training combined bysituational interaction based on the routine physical therapy mode is better than that of the instrument supporting core muscles training based on the routine physical therapy or the routine physical therapy alone,which is worthy of clinical application.