The Efficacy Of Suspension Combined With Vibration Training To Improve Balance And Walking Function In Stroke Patients

Objective: To explore the effects of suspension combined with vibration training on balance and walking ability of stroke patients through the treatment of the suspension system with vibration,and to provide more ideas for the rehabilitation of stroke patients.Methods: We selected stroke patients who were admitted to the Rongjun Hospital of Shanxi Province from March 2022 to September 2022 as the research subjects.Under the condition of voluntary informed consent,33 stroke patients were recruited according to the inclusion criteria,of which 26 cases completed the experiment and 7 cases fell off,and were divided into experimental group(suspension combined with vibration training group,13 cases completed and 4 cases fell off)and control group(suspension training group,13 cases completed and 3 case fell off)according to the randomization principle,The experimental group and the control group received five days of intervention every week,each intervention time was 60 minutes,respectively received 30 minutes of routine rehabilitation training,then the experimental group in the process of suspension training increased vibration training for30 minutes,the control group took suspension training for 30 minutes.The two groups of patients were evaluated before the intervention and 6 weeks after the intervention.The Fugl-Meyer(lower extremity)was used to assess lower extremity motor function,the Berg scale and the Tetrax balance test to assess balance function,and the TUG test("stand-up-walk" timing test)and gait parameters(stride length,stride width,stride frequency)were used to assess walking function.SSPS26.0 statistical software was used for unified processing of experimental data.Statistical methods for measurement data included in-group paired t test,inter-group independent sample t test,and rank sum test for rank data.Results:1.Lower limb motor function: Before intervention,there was no significant difference in Fugl-Meyer score of lower limb motor function between the two groups(P>0.05).After 6weeks of intervention,Fugl-Meyer score of lower limb motor function of the experimental group was(16.31±1.98),which was significantly higher than that before intervention(12.62±2.26),(P<0.05).Fugl-Meyer score of lower limb motor function in experimental group was significantly higher than that in control group(13.77±3.68),(P<0.05).2.Balancing function: There was no significant difference in Berg balance test score between the two groups before intervention(P>0.05).After 6 weeks of intervention,Berg balance test score of the experimental group(47.77±3.24)was significantly higher than that before intervention(43.31±4.40),(P<0.05).Berg balance test score of the experimental group was significantly higher than that of the control group(43.77±4.80),(P<0.05);There was no significant difference in the balance fall index between the two groups before intervention(P>0.05).After 6 weeks of intervention,the balance fall index of the experimental group(78.62±8.69)was significantly decreased compared with that before intervention(92.31±7.20),(P<0.05),and the balance fall index of the experimental group was lower than that of the control group(92.08±9.36),(P<0.05).3.Gait parameters: Gait parameters of the two groups before intervention: There were no significant differences in step length,step frequency and step width(P>0.05).After 6weeks of intervention,the step length of the experimental group(28.00±6.95 cm)was significantly increased compared with that before intervention(22.62±7.17 cm),(P<0.05),and the step length of the experimental group was higher than that of the control group(22.38±6.13 cm),(P<0.05).After 6 weeks of intervention,the step frequency of the experimental group(53.31±13.26 steps /min)was significantly higher than that before intervention(36.54±9.33 steps /min),(P<0.05),and the step frequency of the experimental group was higher than that of the control group(39.00±11.38 steps /min),(P<0.05).After 6weeks intervention,the step width of the experimental group was(16.77±4.62 cm),which was significantly decreased compared with that before intervention(22.15±6.34 cm)(P<0.05),and the step width of the experimental group was smaller than that of the control group(21.54±5.81 cm),(P<0.05).4.Walking ability: There was no significant difference in the TUG test time between the experimental group and the control group before intervention(P>0.05).After 6 weeks of intervention,the TUG test time of the experimental group was(40.31±7.36 s),which was significantly decreased compared with that before intervention(48.85±9.90 s),(P<0.05).The TUG test time of the experimental group was less than that of the control group(47.54±10.15s),(P<0.05).Conclusion:1.Both suspension combined with vibration training and suspension training can improve lower limb motor function and balance function in stroke patients,and combined with suspension training,suspension combined with vibration training has a more obvious improvement effect;2.Both suspension combined with vibration training and suspension training improved walking ability and gait parameters in stroke patients,and combined with suspension training,suspension combined with vibration training has a more obvious improvement effect.