| Purpose: The purpose of this study was to investigate the effect of liuzijue qigong on trunk posture control disorder of post-stroke.and to compare the difference of rehabilitation effect between liuzijue qigong and traditional core stability training on stroke patients with trunk posture abnormalities.It provides a new therapeutic method for improving the application of six-character formula in the field of neurologicalrehabilitation.Methods: From January 2018 to January 2019,this study has selected the outpatient and inpatient cases in the rehabilitation department of Shanghai xuhui district central hospital,and 160 subjects who met the requirements were screened by admission criteria.The diagnostic criteria refer to the diagnostic criteria of cerebral apoplexy in the 4th international conference on cerebrovascular diseases.In this study,random Numbers generated by SPSS 20.0 software were randomly divided into 80 cases in the Liuzijue intervention group and 80 cases in the Core stability intervention group.The liuzijue qigong combined with conventional rehabilitation training in the Liuzijue intervention group,and the traditional core stability training combined with conventional rehabilitation training in the Core stability intervention group.Above of the liuzijue qigong was improved on the basis of promoting the fitness qigong six-character formula by the general administration of sport of China.The specific principle of improvement was to improve the Brunnstrom function classification and balance function of patients according to their different Brunnstrom functions.It was divided into sitting position,wall standing position,independent standing position and other position.The total intervention time of the Liuzijue intervention group and the Core stability intervention group was 45 min,Above of which the time of the liuzijue qigong and traditional core stability training were 15 min,and the conventional rehabilitation training time was 30 min,5 times a week,lasting for 2 weeks.TIS was used as the main therapeutic index to observe the improvement of trunk posture control in stroke patients.Diaphragmatic thickness and mobility at the time of calm inhalation and the maximum end of breathing were used to reflect the improvement of diaphragm function in stroke patients,and other subjective and objective indicators were used to reflect the improvement of comprehensive indicators.Results 1.Main efficacy indicatorsThe effective rate was 73.8% in the Liuzijue intervention group and 41.2% in the Core stability intervention group.The results showed that the effective rate of the Liuzijue intervention group was significantly better than that of the Core stability intervention group,The difference between the two groups was significantly improved(P<0.01).2.Secondary observation index 2.1 Diaphragm thickness and mobilityAnd in the Liuzijue intervention group,the diaphragm thickness at the time of calm inhalation and at the end of forced inhalation after treatment was significantly increased.compared with that before treatment,and the difference was statistically significant(P<0.05).In the Core stability intervention group,there was no significant increase in diaphragmatic thickness during calmness and exhalation after treatment,and the difference was not statistically significant(P>0.05).The diaphragmatic mobility of the two groups was significantly increased and the difference was statistically significant(P<0.01).Comparison of TF value after treatment between the two groups and before treatment showed no significant improvement in TF value,and the difference was not statistically significant(P>0.05).The difference between the two groups showed no significant improvement in thickness and mobility,and the difference was not statistically significant(P>0.05).2.2 Motor function and Maximum Phonation TimeAfter treatment,the motor function and maximum phonation time of two groups were significantly increased and improved with significant differences(P<0.01).The difference between the two groups showed that there was no significant improvement in maximal phonation time and motor function,and the difference was not statistically significant(P>0.05).2.3 Balance ability and activity of daily lifeThe balance ability and activity of daily life of the two groups after treatment were significantly improved compared with the before treatment,and the difference was significant,both of which were statistically significant(P<0.01).The difference between the two groups showed that the effect of the six-character formula intervention group was better than that of the core stability intervention group(P<0.01).2.4 static balance abilityExcept for the Core stability intervention group,there was no significant improvement in the movement track under the open eye position and the movement area under the closed eye position after treatment compared with that before treatment(P>0.05).In the other two groups,the movement track and movement area of the center of gravity of the trunk in the standing position and sitting position after treatment were significantly reduced and the difference was significant(P<0.01,P<0.01).At the same time,the difference between the two groups showed that the movement area in the upright position was significantly reduced when the eyes were open,and the effect was better than that in the Core stability intervention group,and the difference was statistically significant(P<0.05).Conclusion1.The liuzijue can effectively improve the control ability of stroke patients' trunk posture,and the effect is better than the traditional core stability training;2.The liuzijue can effectively increase the diaphragm thickness and mobility at the balance of inspiration and maximum end of exhalation in stroke patients;3.The liuzijue can effectively improve the motor function,balance ability,longest sound duration and daily life quality of stroke patients.Compared with the traditional core stability training,the six-character formula improved the balance ability and daily life quality of stroke patients more significantly.4.The liuzijue can effectively improve the static standing and sitting balance ability of stroke patients.Compared with the traditional core stability training,the six-character formula can significantly improve the static standing balance ability of stroke patients. |
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