The Effect Of Intensive Training Of Tai Ji Gait On Walking Ability And Gait Parameter Of Stroke Patients With Hemiplegia

Objective:To discover effective strategies on walking ability recovery, by observing the effect of intensive training of Tai Chi gait combined with acupuncture and conventional therapy on motor function balance ability and functional walking of lower limbs of patients with hemiplegia. Through observe the change of gait parameters(pace around step, affected side step length, step width, and step length difference),discuss the rehabilitation mechanism of Tai-ji gait on walking ability of stroke patients with hemiplegia so as to improve activity of daily living.Method:68patients met the criteria were randomly divided into routine group and intensive group. Acupuncture and conventional therapies were adopted in both groups, patients in intensive group however received intensive training of Tai Chi gait additionally. FMA lower part(FMA-LE), berg balance scale(BBS), gait parameters (pace around step, affected side step length, step width, and step length difference),, unctional walking scale(FCA) and modified Barthel index were evaluated at baseline.3weeks and6weeks after treatment.Result:1. After3weeks’ and6weeks’ treatment, both groups revealed significant difference (P<0.05) on FMA lower part(FMA-LE),Berg balance scale(BBS) compared with itself before, which means both of groups therapies can improve the lower extremity motor function and the balanced capacity. So did the inter-group comparison.3weeks and6weeks treatment, the differences between both groups have statistical significance (P<0.05), which means3weeks after treatment, the intensive group has got obvious advantage than the routine group in improving the lower extremity motor function and the balanced capacity.2. After3weeks’ and6weeks’ treatment, the gait parameters, such as the walking speed, the step size of the affected side, walk-width and the step length difference were significantly improved compared with being treated before. The difference had statistical significance(P<0.05). Inter-group comparison:3weeks and6weeks after treatment, the gait parameters(except the same step length) were significantly improved and the difference had statistical significance(P<0.05). However, in terms of step size, the intense group didn’t reveal the significant advantage after3weeks’treatment and the difference didn’t have statistical significance(P>0.05). But after6-week treatment, compared with the routine group,the intense group got obvious advantage and the difference had statistical significance(P<0.05), which means the Tai Chi gait didn’t have obvious improvement in step size within3weeks, only after6weeks did it show the obvious improvement.3. After3-week and6-week treatment, the walking ability classification and modified Barthel index score values of both groups has got significant improvement than being treated before and the difference had statistical significance(P<0.05). Inter-group comparison:both routine group and intense group has got statistical significance (P<0.05), which means after3weeks’treatment, the Tai Chi gait intense group reveals obvious advantage in improving the walking ability classification and ability of daily living of stroke patients with hemiplegia.Conclusion:1. Intensive training of Tai Chi gait combined with acupuncture and conventional therapy can significantly increase walking speed and affect side step length, reduce the step width and step length difference.2. Tai Chi gait training can focus on gait characteristic of stroke patients with hemiplegia, which can be effective program to improve walking ability and activity of daily living.3. Both of the groups therapies can significantly improve motor function, balance ability and functional walking ability of lower limbs on stroke patients with hemiplegia.