| Objective:Exploring the important effects of standing vibration training of both lower limbs and suspension core stability training on maintaining the balance of stroke and patients with hemiplegia and encephalopathy,it is Planned to analyze the immediate effects of vibration training and suspension core stability training methods in a two-stage comparison.The clinical selection and implementation of rehabilitation training methods Provide basis and reference.Methods: Thirty-two 30-40 year old Patients with stroke and hemiplegia provided by Shanxi Rongjun Hospital were selected as the test subjects.The test location was in the rehabilitation assessment and training hall of Shanxi Rongjun Hospital.The experiment used a two-stage cross-control design,and the patients were randomly divided into group A and group B.There was no significant difference between the two groups of patients(P> 0.05).In the first stage,group A received bilateral lower limb vibration training,and group B received suspension core stability training;after a 5-day washout period,in the second phase,group A received suspension core stability training,and group B received bilateral lower limb vibration training.Tests are performed before and after each group of treatment at each stage.The test content includes TUG test(the timed up and go test),FR test(functional upper limb extension),MWS(10m maximum walking speed test),Tetrax balance Instrument test(select two indicators of WDI NO and WDI NC).Vibration training uses standing lower limb vibration training,using domestic ring-shaped image vibration platform,first adjust the patient’s torso posture to the neutral position of the alignment,and then train for 10 min,the training frequency is 4HZ.Suspension core stability training uses domestic suspension equipment.The training method is: the patient takes a supine position,feet are suspended with non-elastic rope,the pelvis is suspended with an elastic band,and then the patient’s abdomen is pressurized to keep the patient’s pelvis stable.Ask the patient to do the supine pelvic lifting exercise and train for 10 minutes under the suspension system.Results: 1.TUG test(the timed up and go test)The results of the “the timed up and go test” group in the first stage before and after treatment in group A,before and after treatment in group B,before and after treatment in group A,and in group B before and after treatment(46.00 ± 31.58)s and(37.5 ± 25.82)s,(59.26 ± 48.58)s and(21.23 ± 16.21)s,(50.15 ± 36.13)s and(22.29 ± 14.40)s,(51.05 ± 35.07)s and(44.60 ± 32.17)s,and the difference was statistically significant(P <0.01).The results of the “timed up and go test” group after the first stage of treatment in group A and B,the second stage of group A and after treatment in group B were(37.50 ± 25.82)s and(21.23 ± 16.21)s,(22.29 ± 14.40)s and(44.60 ± 32.17)s,after statistical test,the difference was statistically significant(P <0.05).2.FR test(functional extension of upper limb)The results of the FR test in the first stage before and after treatment in group A,before and after treatment in group B,in the second stage before and after treatment in group A,before and after treatment in group B were(18.62 ± 7.47)cm and(20.40 ±.7.84)cm,(17.99 ± 5.71)cm and(26.77 ± 5.08)cm,(18.57 ± 7.03)cm and(26.10 ± 5.57)cm,(18.07 ± 7.34)cm and(20.03 ± 7.04)cm,and the difference was statistically significant(P <0.01).The results of the FR test group after the first stage of treatment in group A and B,the second stage of treatment in group A and after treatment in group B were(20.4 ± 7.84)cm and(26.77 ± 5.08)cm,(26.10 ± 5.57)cm and(20.03 ± 7.04)cm,respectively.Test,the difference was statistically significant(P <0.05).3.MWS time required(10 m maximum walking speed test)The results of the MWS test before and after treatment in group A,before and after treatment in group B,in the second stage,before and after treatment in group A,before and after treatment in group B were(42.83 ± 35.73)s.Compared with(35.54 ± 32.03)s,(66.35 ± 70.14)s and(32.79 ± 30.19)s,(49.38 ± 48.98)s and(39.58 ± 37.33)s,(55.03 ± 54.80)s and(47.74 ± 46.05)s,the difference was statistically significant(P <0.05).The results of the MWS test group after treatment in group A and group B after treatment in group A and after treatment in group A and group B were(35.54 ± 32.03)and(32.79 ± 30.19)s,(39.58 ± 37.33)s and(47.74 ± 46.05)s,respectively.After statistical test,the difference was not statistically significant(P> 0.05).4.WDI NO The results in the WDI NO test group in the first stage before and after treatment in group A,before and after treatment in group B,in the second stage before and after treatment in group A,before and after treatment in group B are(7.30 ± 4.10)Hz and(5.82 ± 3.95)Hz,(8.53 ± 3.66)Hz and(3.48 ± 1.71)Hz,(6.64 ± 3.71)Hz and(3.16 ± 1.24)Hz,(8.32 ± 3.29)Hz and(6.78 ± 3.73)Hz,the difference was statistically significant(P <0.01).The results of the WDI NO test group after treatment in group A and group B in the first stage and after treatment in group A and group B in the second stage were(5.83 ± 3.95)Hz and(3.48 ± 1.71)Hz,(3.16 ± 1.24)Hz and(6.78 ± 3.73)Hz,respectively.Statistical test,the difference was statistically significant(P <0.05).5.WDI NC The results in the WDI NC test group in the first stage before and after treatment in group A,before and after treatment in group B,in the second stage before and after treatment in group A,before and after treatment in group B were(7.26 ± 4.35)Hz and(4.95 ± 4.16)Hz,(7.88 ± 3.85)Hz and(2.46 ± 1.48)Hz,(6.68 ± 4.30)Hz and(3.01 ± 2.03)Hz,(8.14 ± 3.74)Hz and(6.19 ± 3.34)Hz,and the difference was statistically significant(P <0.01).The results of the WDI NC test group after the first stage of treatment in group A and group B,the second stage of treatment in group A and after treatment of group B were(4.96 ± 4.16)Hz and(2.46 ± 1.48)Hz,(3.01 ± 2.03)Hz and(6.19 ± 3.34)Hz,Statistical test,the difference was statistically significant(P <0.05).Conclusion:(1)Vibration training of both lower limbs has a significant positive effect on the static and dynamic balance ability of standing Position in hemiplegia Patients after stroke: the results of different subjects show significant Positive effects.(2)Suspension core stability training has a significant positive effect on the ability of static and dynamic balance of standing Position in hemiplegic patients with stroke: the results of different subjects show significant positive effects.(3)The effect of suspension core stability training on the static and dynamic balance ability of standing position of hemiplegia patients is better than that of vibration training of both legs. |
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