The Effect Of Baduanjin Combined With Action Observation Therapy On The Rehabilitation Of Upper Limb Function In Patients With Ischemic Stroke

Objective To observe the effects of Baduanjin combined with action observation therapy on patients with ischemic stroke of their upper limb motor function,muscle strength,muscle tension and activities of daily living,and provide early intervention,simple and easy exercise training methods for clinical ischemic stroke patients provide evidence.Methods In this study,90 patients with ischemic stroke were randomly divided into three groups by SPSS 25.0 software according to the inclusion and exclusion criteria,namely,routine group,Baduanjin group and Baduanjin+action observation group,with 30 cases in each group.Routine treatment and nursing plan were adopted in routine group,Baduanjin group received Baduanjin training on the basis of routine group,and Baduanjin+action observation group received joint action observation on the basis of Baduanjin training.And try their best to imitate the training.Baduanjin group and Baduanjin+action observation group were trained for 6 days a week for 4 weeks.Fugl-Meyer Assessment of Upper Extremity(FMA-UE),Muscle Manual Test(MMT),Modified Ashworth Scale(MAS)and Modified Barthel Index(MBI)were used to evaluate upper limb motor function,muscle strength,muscle tension and activities of daily living.All data were collected and analyzed statistically.Results With one case dropped out from routine group and two cases from Baduanjin group,the final cases that finished the study were 29 in routine group,28 in Baduanjin group and 30 in Baduanjin+action observation group.Results of statistical analysis are as following: 1.Baseline comparison Subjects were not statistically significant in terms of their age,sex,education,course of disease,hemiplegic side,Brunnstrom staging of upper limb and Baduanjin upper limb movement score when they were recruited,so there was compatibility(P>0.05).Score comparisons of FMA-UE,MMT,MAS and MBI in subjects of three groups before trial were not statistically significant and were comparable(P>0.05).2.Changes in motor function(1)Comparison within the group: motor function in three groups after 4 weeks of intervention was improved when compared with that before intervention.The difference is statistically significant(P<0.01).(2)Comparison between groups: There were significant differences in FMA-UE scores among the three groups(F=3.254,P=0.044).Difference between routine group and Baduanjin group after 4 weeks of intervention was not significant,which was not statistically significant(P>0.05).Baduanjin+action observation group was improved more significant than that in routine group(P<0.05)and Baduanjin group(P<0.05),showing statistical significance.3.Changes in muscle strength(1)Comparison within the group: Comparison between the three groups before and 4 weeks after intervention showed that muscle strength was improved,and the differences were statistically significant(P<0.01).(2)Comparison between groups: KW inspection method was applied in pairwise comparison among three groups.4 weeks after intervention,difference of muscle strength between routine group and Baduanjin group was not significant,which was not statistically significant(P>0.05).Muscle strength improvement after 4 weeks of intervention in Baduanjin+action observation group was significantly higher than that in routine group(P<0.05)and Baduanjin group(P<0.05),showing statistical significance.4 Changes in muscle tension KW test was used in the three groups,and the results showed that there was no significant difference(P>0.05).5 Changes in activities of daily living(1)Comparison within the group: After 4 weeks of intervention,the activities of daily living of patients in the three groups was improved,with statistically significant differences compared with that before intervention(P<0.05).(2)Comparison between groups: Pairwise comparison was carried out in three groups(F=3.327,P=0.041).Difference between routine group and Baduanjin group after 4 weeks of intervention was not significant,which was not statistically significant(P>0.05).MBI index of Baduanjin+action observation group after 4 weeks of intervention was significantly higher than that in routine group(P<0.05)and Baduanjin group(P<0.05),showing statistical significance.Conclusion Baduanjin Combined with Action Observation Therapy can improve motor function of upper limb,muscle strength and activities of daily living,but was no effect on the change of muscle tension.