Curative Effect Observation Of Sling Exercise Therapy For Hemiplegia After Acute Stroke With Genu Recuvatum

Aim:To systematic observate sling exercise therapy about the treatment’s clinical efficacy of hemiplegia after acute stroke with genu recuvatum; explore the advantage and clinical Mechanism of sling exercise therapy in the clinical treatment of hemiplegia after acute stroke with genu recuvatum and for clinical treatment of the disease to provide a systematic,simple, effective, safe and convenient treatment programs.Methods:The 48 cases of hemiplegia patients after acute stroke with genu recuvatum that meet the inclusion criteria are divided into treatment group and control group averagely and randomly.24 cases of the treatment group would accept sling exercise therapy which combines withtraditional rehabilitation training(the patients accept sling exercise therapy in the morning and accept traditional rehabilitation training in the afternoon every day),24 cases of the control group would only accept traditional rehabilitation training(the patients accept traditional rehabilitation training 1time in the morning and 1 time in the afternoon). For 4 weeks after treatment,,these patients would accept observation of the number of genu recuvatum in the 20 minters of the process of straight line, Fuglmeyer motor assessment of leg, Berg balance scale and integrated electromyography (iEMG) measurement at the beginning of the treatment,2 weeks after taking treatment,4 weeks after taking treatment,compared the differences between and intragroup and intergroup.Results:1.The number of genu recuvatum:the intragroup comparison shows that,from the aspect of reducing the number of genu recuvatum in the 20 minters of the process of straight line,the control group had no statistical significance (P>0.01) at 2 weeks after the taking treatment which compared with the beginning of the treatment,but had statistical significance(P<0.01) at 4 weeks after the taking treatment;the treatment group had statistical signficance (P<0.01)at both 2 weeks and4 weeks after the taking treatment.The intergroup comparison shows that,both of he control group and the treatment group had significant difference(P<0.05)at both 2 weeks and 4 weeks after thetaking treatment in the aspect of reducing the number of genu recuvatum.2.Berg balance scale:the intragroup comparison shows that,from the aspect of improving the function of Berg balance,the control group had no statistical significance (P>0.01) at 2 weeks after thetaking treatment which compared with the beginning of the treatment,but had statistical significance(P<0.01) at 4 weeks after the taking treatment;the treatment group had statistical signficance (P<0.01)at both 2 weeks and4 weeks after thetaking treatment.The intergroup comparison shows that,both of he treatment group and the control group had significant difference(P<0.05)at 2 weeks and4 weeks after thetaking treatment in the aspect of improving the function of Berg balance.3.Fuglmeyer motor assessment of leg:the intragroup comparison shows that,from the aspect of improving theFuglmeyer motor assessment of leg,the control group had statistical significance (P<0.01) at both 2 weeks and4 weeks after thetaking treatmentwhich compared with the beginning of the treatment, but had statistical significance(P<0.01) at 4 weeks after the treatment;the treatment group also had statistical significance(P<0.01)at both 2 weeks and4 weeks after the treatment.The intergroup comparison shows that, the treatment group and the control group had no significant difference(P>0.05)at 2 weeks,but at 4 weeks after the taking treatment,the treatment group had significant difference(P<0.05)which compared with the control group in the aspect of improving theFuglmeyer motor assessment of leg.4.electromyography (iEMG):the intragroup comparison shows that,the control group had statistical significance (P<0.01) at 2 weeksafter the taking treatment which compared with the beginning of the treatment in the aspect of improving the iEMG of musculus vastus lateralis, musculus rectus femoris, musculus vastus medialis, musculi biceps femoris and musculi gastrocnemius, but had no statistical significance (P>0.01) in the aspect of improving the iEMG of musculi hippicus; at 4 weeksafter the taking treatment,the control group had statistical significance (P<0.01) in the aspect of improving the iEMG of musculus vastus lateralis, musculus rectus femoris, musculus vastus medialis, musculi biceps femoris^ musculi gastrocnemius and musculi hippicus.the treatment group had statistical significance (P<0.01) at 2 weeksafter the taking treatment which compared with the beginning of the treatment in the aspect of improving the iEMG of musculus vastus lateralis, musculus rectus femoris,musculus vastus medialis, musculi biceps femoris and musculi gastrocnemius,but also had no statistical significance (P>0.01) in the aspect of improving the iEMG of musculi hippic us; at 4 weeksafter the taking treatment,the control group had statistical significance (P<0.01) in the aspect of improving the iEMG of musculus vastus lateralis, musculus rectus femoris, musculus vastus medialis, musculi biceps femoris、 musculi gastrocnemius and musculi hippicus.The intergroup comparison shows that, at 2 weeksafter the taking treatment,the treatment group had significant difference(P<0.05)which compared with the control group in the aspect of improving the iEMG of musculus vastus lateralis, musculusrectus femoris, musculus vastus medialis and musculi biceps femoris,but had no significant difference(P>0.05)which compared with the control group in the aspect of improving the iEMG of musculi hippicus and musculi gastrocnemius;at 4 weeksafter the taking treatment,the treatment group had significant difference(P<0.05)which compared with the control group in the aspect of improving the iEMG of musculus vastus lateralis, musculus rectus femoris, musculus vastus medialis, musculi biceps femoris and musculi gastrocnemius, but also had no significant difference(P>0.05)which compared with the control group in the aspect of improving the iEMG of musculi hippicus.Conclusion:1.The sling exercise therapy could reduce the number of genu recuvatumof hemiplegia patients after acute stroke significantly, and the early stage of effects is better.2.SET could improve the balance function and motor function of lower extremity,and could control the training process better, enhance the stability of the lower extremities.3.SET improves theiEMG of musculus vastus lateralis, musculus rectus femoris, musculus vastus medialis, musculi biceps femoris significantly,and the late effects of improving the iEMG of musculi gastrocnemius is better,but there has no significant effect for iEMG of musculihippicus.4.iEMG could measure themuscle strength of key muscle which cause genu recuvatum more effectively and more objectively.