Study On The Improvement Of Lower Extremity Function In Stroke Patients By Low Load Training Combined With Functional Electrical Stimulation

Objective: one of the main dysfunction after stroke is lower extremity motor dysfunction.Among them,the main symptoms are decreased muscle strength and so on.It is mainly due to the long-term non use of muscle to make the adaptability of muscle changed,as well as some nerve factors and other reasons.Therefore,this study is mainly based on the general rehabilitation treatment methods,using low load training combined with functional electrical stimulation to treat patients,to explore the therapeutic effect of this method on the improvement of patients' lower limb function,in order to improve or improve patients' lower limb motor function faster,so as to promote their return to society as soon as possible.Methods: In this study,20 stroke patients who received rehabilitation treatment in the adult sports treatment center of Sichuan Bayi Rehabilitation Center(Sichuan rehabilitation hospital)between March 2019 and September 2019 were selected as subjects.The effect of low load training combined with functional electrical stimulation on the improvement of lower extremity function in stroke patients was studied.The subjects were strictly selected according to the inclusion criteria of this study.All the selected patients expressed their willingness to participate in the study and signed the informed consent.Then they were randomly divided into observation group and control group,each group was 10 patients.Among them,the control group was treated with conventional rehabilitation therapy;the observation group was treated with low load training combined with FES on the basis of the control group.Before and after 4 and 8 weeks of rehabilitation treatment,the stroke patients were assessed objectively with Fugl Meyer lower extremity motor function assessment scale(FMA),Berg Balance Scale(BBS),functional walking ability scale(FAC)and 10 MWS.Results: 1.Before the rehabilitation treatment,the general materials,FMA,BBS,10 MWS and FAC scores of the two groups were statistically analyzed with independent sample t-test.It was found that the patients in the two groups had no statistical significance(P > 0.05)and had comparability before the rehabilitation treatment.2.After the 4th week of treatment,the FMA,BBS,FAC scores and 10 MWS of the patients in the observation group were significantly higher than those before treatment,with a very significant difference(P <0.01);the BBS score and 10 MWS of the control group were significantly increased(P < 0.01),and the FMA of the control group was significantly increased(P < 0.05),although the FAC score was also improved,the difference was not significant(P > 0.05).3.After 8 weeks ofrehabilitation treatment,the FMA,BBS,FAC scores and 10 MWS of the patients in the two groups increased significantly(P < 0.01),but the improvement of the observation group was more significant.Conclusion: after 8 weeks of treatment,the FMA,BBS,10 MWS and FAC scores of the two groups have been improved.However,compared with the control group,the observation group scored significantly higher in these four aspects.The results showed that low load training combined with FES could improve the motor function and ADL of patients.