The Effect Of Baduanjin In Hot Spring Water On The Cardiopulmonary Function Of Stroke Patients

Objective:Through the intervention of Baduanjin rehabilitation training in hot spring water,observe and analyze the effect of the comprehensive rehabilitation of Baduanjin in hot spring water on cardiopulmonary function,balance function and daily life activities of stroke patients,thereby reducing the reduction of physical activity after stroke leading to cardiopulmonary functional deterioration aggravates risk factors for cardiovascular disease,improves cardiopulmonary function,balance function,and daily life activities of stroke patients,and provides a basis for secondary prevention of stroke,early intervention,precise rehabilitation,and improvement of quality of life.Methods:This research adopted a randomized controlled study.Randomly selected42 inpatients with stroke in the rehabilitation center of Beijing Xiaotangshan Hospital from March 2018 to December 2019.Finally,37 cases were successfully completed in the research,and 5 cases fell off?2 cases in the Baduanjin group and Baduanjin group in the hot spring water,and 1 case in the control group?.The experiment was divided into three groups,including 13 cases in the Baduanjin group in the hot spring water,13 cases in the Baduanjin group,and 11 cases in the control group.The baselines of basic data such as general information of the three groups of subjects were roughly stable and comparable.Control group:only used conventional rehabilitation treatment,including respiratory training?once a day,15 minutes each time,5 days a week?,gait training,balance training,center of gravity transfer training,neuromuscular facilitation techniques,normal limb position,daily life activity training?once a day,90 minutes each time,5 days a week?,physical therapy of cerebral circulation function,pneumatic blood circulation drive of affected limbs,neuromuscular electrical stimulation and other physical therapy?once a day,30 minutes each time,5days a week?;Baduanjin group:used Baduanjin combined with conventional rehabilitation treatment,conducted Baduanjin training in the training hall of the rehabilitation center,and used medium or low intensity fitness Qigong Baduanjin?once a day,45 minutes each time,5 days a week?;Baduanjin group in the hot spring water:On the basis of conventional rehabilitation treatment,combined with Baduanjin training in hot spring water,and the Baduanjin training in the hot spring water was performed in the exercise therapy pool of the spa room,once a day,45 minutes each time,5 days a week,the water temperature was 36³7?,and the water depth was to the level of the navel.To protect the safety of patients,during the training,patients were required to wear a heart rate telemeter to monitor their heart rate changes,and if the patient cannot stand in the water,a special buoyancy belt must be worn while someone in the water is responsible for protection.This experiment intervened for 4weeks.Cardiopulmonary exercise test was performed before and 4 weeks after rehabilitation treatment,observed and analyzed the cardiopulmonary function of stroke patients?VO₂ peak,AT,VO₂ peak/HR,exercise load time and power,etc.?,Pulmonary function tests?VC,IC,FVC,FEV₁/FVC,MVV,etc.?;The Berg balance function score and the modified Barthel index score were evaluated to observe and analyze their balance function and daily activity ability.Results:1.The results show that in terms of pulmonary function tests,after 4 weeks of intervention,VC,IC,FVC,FEV₁,FEV₁/FVC and MVV of the Baduanjin group and the Baduanjin group in the hot spring water were improved to different degrees.Compared with the control group,there were only significant differences in VC?P=0.019?,PEF?P=0.016?and MVV?P=0.019?in Baduanjin group in hot spring water.The result showed that Baduanjin and Baduanjin in hot spring water could both improve the pulmonary function level of stroke patients,and Baduanjin in hot spring water could improve the pulmonary function of stroke patients better than Baduanjin group and control group.2.In terms of exercise cardiopulmonary function,after 4 weeks of intervention,whether the Baduanjin group in the hot spring water was compared within the group or compared with the control group,VO₂ peak,VO₂ peak/kg,AT,VO₂ peak/HR,VE peak and MET were all significantly different;there was no significant difference in VO₂ peak/HR before and after intervention in the Baduanjin group?P=0.146?,but there were significant differences in VO₂ peak,VO₂ peak/kg,AT,VE peak and MET,compared with the control group,there was a significant difference in VE peak?P=0.047?.The result showed that both Baduanjin and Baduanjin in hot spring water could improve VO₂ peak,AT and VE peak of stroke patients,but Baduanjin in hot spring water could improve the effect more.In terms of VO₂ peak/HR,Baduanjin in hot spring water was significantly improved in stroke patients.3.In terms of exercise endurance,through 4-week intervention,there were significant differences in the increasing load time?P=0.001?and maximum power?P=0.005<0.05?of the Baduanjin group in hot spring water compared with the control group.Compared with the Baduanjin group,the increasing load time of the Baduanjin group in hot spring water was significantly different?P=0.040?,and the maximum power was not significantly different?P=0.477?.Compared with the control group,the Baduanjin group had significant differences in increasing load time?P=0.005?and maximum power?P=0.028?.It showed that Baduanjin and Baduanjin in hot spring water could effectively improve the exercise endurance of stroke patients.In exercise tolerance time,Baduanjin in hot spring water could improve the exercise tolerance time of stroke patients more than Baduanjin.4.After a 4-week experimental research,the Berg Balance Scores of Baduanjin group in hot spring water,Baduanjin group and control group were improved,which were statistically significant.There was a significant difference between the BBS of the Baduanjin group in the hot spring water and the control group?P=0.001?,and the BBS in Baduanjin group was also significantly different from that in the control group?P=0.036?.There was no significant difference between the Baduanjin group and the Baduanjin group in the hot spring water?P=0.371?.It showed that both Baduanjin in hot spring water,Baduanjin and conventional rehabilitation treatment could improve the balance function of stroke patients,but Baduanjin and Baduanjin in hot spring water were better than conventional rehabilitation treatment.5.After 4 weeks of intervention,there were significant differences in the modified Barthel index scores in the Baduanjin group in the hot spring water,Baduanjin group and the control group,all of which were improved.The modified Barthel index score of Baduanjin group in hot spring water was significantly different from that of the control group?P=0.002?,and there was also a significant difference in modified Barthel index score between the Baduanjin group and the control group?P=0.005?.The modified Barthel index score of Baduanjin group in hot spring water was not significantly different from that of the Baduanjin group?P=0.742?.It showed that rehabilitation therapy could effectively improve the ADL of stroke patients,but the combination of Baduanjin or Baduanjin in hot spring water was better than conventional rehabilitation therapy.Conclusion:1.Both Baduanjin and Baduanjin in hot spring water can improve the level of cardiopulmonary function in stroke patients,but Baduanjin in hot spring water can improve the cardiopulmonary function of stroke patients more obviously than Baduanjin.2.In terms of balance function,the conventional rehabilitation training program can also improve the balance function of stroke patients;but on this basis,the balance function of Baduanjin or Baduanjin in hot spring water can be improved more obviously.3.On the basis of conventional rehabilitation treatment programs,whether it is combined with Baduanjin training or Baduanjin training in hot spring water,it can improve the ability of activities of daily living in stroke patients and improve the quality of life in stroke patients.