Effect Analysis Of Walking Ability In Stroke Patients With Hemiplegia By Moving Cupping Combined Postures Control Training

Objective:In this study,the walking ability of stroke patients with hemiplegia was treated by using the theory and practical experience of traditional Chinese medicine.After treatment,muscle tension,balance ability and gait parameters of the patients were taken as the observation indexes.According to the principle of random parallel control,the clinical effect of walking with cupping combined with posture control training on walking ability of stroke patients with hemiplegia was observed,and was popularized and applied.Methods:80 cases of stroke patients hospitalized in our hospital from March 1,2018 to August 31,2018 were collected in this study.The subjects were divided into two groups,the treatment group and the control group,with 40 cases in each group.The control group received conventional rehabilitation treatment,including:arthrodesis,soft tissue drafting training,standing bed training,walking training,neuromuscular electrical stimulation,barometric therapy,acupuncture and combined Chinese and western medicine treatment.On the basis of the treatment in the control group,the treatment group added treatment of the bladder channel of Foot-Taiyang by cupping,and used manipulation to promote ventilation and multi-sensory input to train the patients' sitting,standing and walking posture control ability.Ashworth,Berg and FAC were used to evaluate and score the walking function of the patients within 24 hours after admission and at the end of the treatment,and adverse events during the rehabilitation were recorded.All data were statistically analyzed using SPSS22.0 software.X2 test was used for the comparison between groups,and the exact probability method of the four-grid table was used.P<0.05 was considered statistically significant.Results:There was no significant difference in Ashworth between the treatment group and the control group before treatment,2 weeks after treatment and 4 weeks after treatment(P>0.05).There was a statistically significant difference in Ashworth between the two groups after 6 weeks of treatment(P<0.05).There was a linear change trend between the grade and time of Ashworth lower limb spasm score in the two groups(<0.05),indicating that the Ashworth lower limb spasm score in the two groups changed significantly over time.Before treatment,the Berg balance score of the treatment group was 39.3±2.34,and the Berg balance score of the control group was 38.67±2.34.There was no significant difference between the two groups(P>0.05).After treatment,the Berg balance score of the two groups was obtained.All of them were significantly improved.After 6 weeks of intervention,the Berg balance score of the treatment group was 50.7±1.01,and the Berg balance score of the control group was 48.7±1.01,which was statistically significant(P<0.05).The Berg balance scores of the two groups did not show statistical difference after 2 weeks and 4 weeks of treatment(P>0.05).In the group,the two groups did not appear after 2 weeks of intervention and 4 weeks later compared with the previous stage.Statistical difference(P>0.05).Before treatment,there was no significant difference in FAC functional grading between the treatment group and the control group(P>0.05).After 2 weeks of treatment,there was no significant difference in FAC functional grading between the treatment group and the control group(P>0.05).After 4 weeks of treatment,there was no significant difference in FAC functional grading between the treatment group and the control group(P>0.05).After 6 weeks of treatment,the difference in FAC functional grading between the treatment group and the control group was statistically significant(P<0.05),and the FAC functional grading and time variation of the two groups presented a linear trend(P<0.05),indicating that the FAC functional scores of the two groups changed significantly with time.The 10-meter walking speed test showed that there was no significant difference between the pre-treatment group and the control group in the 10-meter walk test before treatment(P>0.05).After 6 weeks of intervention,the walking speed of the test group was 19.16±2.69(s)was significantly better than the control group of 34.31±4.33(s),the difference was statistically significant(P<0.05).There was no statistical difference in the treatment group from the pre-treatment to the 4th week after intervention(P>0.05),but there was statistical difference in the group after 6 weeks of intervention(P<0.05).The control group was from pre-treatment to 6 weeks.There was no statistical difference before and after the intervention(P>0.05).The results of the 6-minute walking ability test showed that there was no significant difference in the 6-minute walking ability test between the treatment group and the control group before treatment(P>0.05).After 6 weeks of intervention,the 6-minute walking ability of the treatment group was 290.78±60.45(m)compared with the control group of 256.90±47.65(m),the difference was statistically significant(P<0.05).There was no statistical difference in the treatment group from the pre-treatment to the 4th week after intervention(P>0.05),but there was statistical difference in the group after 6 weeks of intervention(P<0.05).The control group was from pre-treatment to 6 weeks.There was no statistical difference before and after internal intervention(P>0.05).Conclusion:The walking pot combined posture control training can accelerate the recovery of patients' balance ability and function,more effectively promote the improvement of lower limb motor function,improve patients' walking ability,and has a high safety,which is worthy of our application in daily work.