Disturbance Training For Improving Balance Dysfunction In Patients With Subacute Stroke Hemiplegia

Objective: Staying active in stroke patients is essential for recovery,maintaining quality of life,and reducing the risk of secondary stroke.However,impaired postural control is associated with a high incidence of falls,a reduced willingness to walk independently,and a decrease in overall activity.Through perturbation training for patients,it is observed whether the training method can improve the balance ability of patients,increase the reactive balance response of patients,and effectively reduce the fall rate of patients.Methods: Using a randomized double-blind control experiment,50 inpatients who met the inclusion criteria were selected and divided into 24 experimental groups(age 62.54±9.704)and26 control groups(age 60.73±9.890).The two groups of subjects were trained in accordance with the research protocol for 12 weeks,6 days a week,once a day,60 minutes each time,and the Berg Balance Scale(BBS)and resting stability of the two groups of subjects were tested respectively.The pre-experiment and post-experiment data of performance assessment,maximum stability assessment,Tinetti balance and gait assessment scale(Tinetti performance oriented mobility assessmen,Tinetti POMA)were compared and analyzed using SPSS21.0.Data comparison between groups was analyzed by independent-sample t-test,and the comparison and analysis of paired-sample t-test before and after the experiment were carried out within the group.The data were expressed as mean±standard deviation(M±SD).Results: After 12 weeks of training,there was a significant difference in BBS score between the experimental group and the control group(P=0.029).There were significant differences between the groups before and after POMA training(P=0.013).(Eyes open and closed),movement length(eyes closed)have significant differences,respectively(p=0.029),(p=0.048),(p=0.036),movement length(eyes open)is very significant difference(p=0.006).After disturbance training,the experimental group had more statistical significance than the control group.Conclusion:(1)Disturbance training can significantly improve the balance dysfunction of patients with subacute stroke hemiplegia,and increase the patient’s ability to resist interference and dynamic stability;(2)Patients with subacute stroke and hemiplegia after perturbation training are better than patients with traditional rehabilitation training in terms of exercise ellipse area,exercise length and maximum stability limit,which is of significance for preventing patients from falling;(3)The balance ability of subacute stroke hemiplegia patients after disturbance training is better than that of the control group,and the proprioception of the experimental group is better;(4)Compared with BBS,Tinetti Balance and Gait Assessment Scale and Pro-Kin252 balance test training system can better reflect the actual balance function of patients with subacute stroke hemiplegia.