ABSTRACT
Objective:To observe any effect of Yun shou tai chi training with visual feedback on the balance of persons who have survived a stroke.Methods:Fifty-six stroke survivors were randomly divided into an observation group and a control group, each of 28. Both groups were given routine balance function training, while the observation group was additionally given Yun shou tai chi training with visual feedback. Before and after the four weeks of training, the subjects′ balance and posture were evaluated using a Nomex visual feedback balance system. Lower limb strength was evaluated with a microFET2 portable muscle strength tester. The Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), 10-metre walk times (10MWTs) and the modified Barthel Index (MBI) were also applied.Results:After the training the average BBS, TUGT, 10MWT and MBI results of the observation group had improved significantly. Among the control group only TUGT times and MBI scores had improved significantly, but even then the average MBI score of the observation group was significantly higher. The training improved the strength of the trainees′ quadriceps femoris (QUA), tibialis anterior (TA) and gastrocnemius (GAS) on the hemiplegic side. Their hamstrings and GAS on the non-hemiplegic side were also significantly stronger, on average. The improvement in the QUA of the hemiplegic side in the observation group was significantly better than the control group′s average improvement. The path length (PL) and the covered area (CA) in the observation group had decreased significantly after the training, while among the controls only the CA had decreased significantly. The average PL in the observation group was therefore significantly shorter than in the control group.Conclusion:Yun shou tai chi training with visual feedback can promote the recovery of balance function after a stroke. Such training is worthy of clinical promotion and application.
ABSTRACT
Objective To discuss how to use the core elements of international classification of functioning,disability and health(ICF) as a guide in stroke operation treatment to develop targeted,effective therapy plan and rehabilitation goals,establish individualized treatment of rehabilitation,and to observe the effect of limb movement function in stroke patients. Methods Sixty cases patients with stroke and aged from 40 to 65 years old were selected. The body function and structure of all stroke patients were marked by comprehensive evaluation scores of The National Institutes of Health Stroke Scale ( NIHSS ) and Fugl?Meyer assessment. And then they were randomly divided into two groups,30 cases in each group. The observation group used the Chinese version of brief ICF Core Sets for evaluation, and set individualized treatment according to the results of the assessment;The control group, according to the conventional rehabilitation process, involved in training routine physical therapy. Again 8 weeks after treatment for patients with evaluation,the assessment results was compared with the results of the first assessment. Results Before treatment, the NIHSS, Fugl?Meyer assessment and Chinese version of brief ICF core elements scale scores for the observation group were 7. 95±2. 37,34. 5±4. 0 and 82. 15±17. 96,for the control group were 7. 58±2. 25,34. 8±4. 0 and 81. 55±18. 78. After treatment,the above three rating scale scores, for the observation group were improved to 4. 78 ± 1. 63, 56. 3 ± 4. 2, 60. 45 ±11. 04,for the control group were improved to 5. 13±1. 75,48. 1±3. 8,73. 56±16. 89. The two groups were significantly improved ( observation group:t=4. 94, 15. 51, 18. 59, P ±3. 8 and 73. 56±16. 89),the observation group(4. 78±1. 63,56. 3±4. 2 and 60. 45±11. 04) improved more apparently(t=3. 15,14. 54,15. 45,P<0. 05) . Conclusion Guided by the idea of ICF and scale,with the demand of the patients as the center,to develop personalized physical therapy,can achieve more productive and more targeted rehabilitation goals.