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@#Objective To study the influence of center of gravity excursion in standing on function outcome of stroke patients.Methods46 stroke patients were assessed with static posturography in standing,Fugl-Meyer Balance Scale,Barthel Index and the time in hospital.The patients were divided into 2 groups according to posturography results:center of gravity was inclined to the normal side (normal group),center of gravity was inclined to the hemiplegia side (hemiplegia group).ResultsThe ability of balance,walking and activity of daily living(ADL)of the normal group patients were better than that of the hemiplegia group patients,and the in-hospital time was shorter (P<0.001).ConclusionThe center of gravity excursion in standing is highly correlated with functional outcome of stroke patients.
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@#ObjectiveTo explore the normal limits and influential factors of the static balance function of normal adults.Methods445 healthy volunteers (16～74 years old, 205 of male and 240 of female) were detected by static posturography while they were respectively in seat, double feet standing with eyes opened and closed, and single foot standing only with eyes opened. The normal reference value of all indicatrix were calculated.ResultsThe normal reference value of static balance function of normal adults, male, female and all age groups were calculated.ConclusionThe detection of static posturography can evaluate human balance function objectively, quantitatively and exactly. The determination of the normal limits of balance function will conduce to evaluate balance disturbance and diagnose correlated diseases.
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@#ObjectiveTo study the effect of partial body-weight support and treadmill training in subacute stroke patients.Methods40 stroke patients were randomly arranged into 3 groups: group A (n=14) accepted 8 weeks of routine physical therapy, group B (n=13) accepted additional 6 weeks partial body-weight support and treadmill training at the 3rd week, group C (n=13) accepted additional 3 weeks partial body-weight support and treadmill training at the 6th week. The patients were evaluated with Fugl-Meyer Assessment of Physical Performance(FMA), Barthel Idex(BI) and the Berg Balance Scale(BBS). ResultsThe functional outcome of the initial evaluation with FMA, BI and BBS were no-significantly different, 8 weeks later, that of group B were better than that of group A and group C (P<0.05～0.01), and that of group C were better than that of group A (P<0.05).ConclusionEarly treatment of partial body-weight support and treadmill training can help to improve the lower extremities function.
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@#ObjectiveTo study the correlations between Berg balance scale (BBS) and balance subscale of Fugl-Meyer test (FM-B), and evaluate their practicability for assessing balance function of patients after stroke.Methods68 stroke inpatients were assessed with BBS, FM-B and BPM before training. After training they were re-assessed by the same researcher. The parameters of BPM were sway index, sway tract length and area. The patients were assessed twice with eye opened and eye closed respectively.ResultsThere was no significant difference in the score of FM-B between the first assessment and after training (P>0.05), while that of BBS and BPM after training were better than before the training (P<0.001). There was moderate correlation between FM-B and BBS (r=0.517,P<0.001), but there was no correlation between FM-B and BPM (r=-0.074～-0.247,P>0.05). There was moderate negative correlation between BMP and BBS (r=-0.410～-0.587,P<0.01).ConclusionBBS and BPM are good tools for assessing balance function of stroke patients; FM-B shows low sensitivity and is not suitable for assessing stroke patients.
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Objective To compare the effect of the McKenzie method and traditional manipulation in the treatment of patient with cervical spondylotic radiculopathy. Methods Seventy-two patients (42 women and 30 men with an average age of 42.60?13.73 years ) were randomly divided into 2 groups: an observation group and a control group. Both groups were given cervical traction, medium frequency electrotherapy and ultrasound therapy. In addition, the observation group was also treated with the McKenzie techniques, while the control group was treated by traditional manipulation. All the subjects were evaluated in terms of the clinical effect, VAS(Visual analog scale), McKenzie′s movement loss. The 1-year follow-up results were obtained. Results Both groups got a good therapeutic effect( the cure rate was 69% and 55.5%, respectively) and significant pain relief (P0.05). Range of motion of the cervical spine of the observation group was significantly improved after the treatment(P