Clinical Studies Of Early Stage Alternative Flexion And Extension Of Lower Limbs And Posture Management On Patients With Stroke Hemiplegic Gait

Objective To study and explore clinical effect of early stage alternative flexionand extension of lower limbs and posture management on hemiplegic gait and lowerlimbs motor function.Methods44patients were randomly divided into two groups,20cases forcontrol group and24cases for test group. All patients were vital signs stable, no seriousdisturbance of consciousness, muscle tension below3, conducted pre rehabilitationHolden walking ability grading line and Fugl-Meyer score line, use the method ofexercise rehabilitation. The test group combined supine flexion and extension of thelower limbs alternately training twice a day, around10minutes each, and applied thewhole posture management. After one month, walking measurement (step length, stepwidth, walking speed) were measued, Holden walking ability grading and Fugl-Meyerlower extremity function scores were evaluated.Results Compare the two patient groups after one month rehabilitation training,the FAC score and Fugl-Meyer score before and after treatment were statisticallysignificant different (p<0.001) and the results were also statistically significant in thesetwo groups after treatment (p <0.05,p＜0.001). In the contrast of walk indicators,because the majority of patients were unable to walk or require strict bed rest due toillness, step length, step width, walking speed were not measured before treatment,while just compared after treatment. We found that each experimental group wassignificantly better than the control group (p <0.05, P <0.05, p<0.001respectively inorder), coincidence with the visual results.Conclusions Alternating flexion and extension of lower limbs and posturemanagement in early stage of stroke is better than conventional rehabilitation inreducing hemiplegic gait and promoting motor function recovery of lower limbs.