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ObjectiveTo investigate the effect of combination of proprioceptive neuromuscular facilitation (PNF) rope training and repetitive transcranial magnetic stimulation (rTMS) on upper limb motor function of stroke patients with hemiplegia. MethodsFrom March, 2021 to February, 2022, 90 stroke inpatients with hemiplegia in the Department of Rehabilitation Medicine, the Second Affiliated Hospital of Guangxi Medical University were divided into control group (n = 30), rope group (n = 30) and combination group (n = 30) randomly. All the groups received routine rehabilitation, while the control group received routine PNF training, the rope group received PNF rope training, and the combination group received PNF rope training and rTMS, for four weeks. They were assessed with Functional Test for the Hemiplegic Upper Extremity-Hong Kong version (FTHUE-HK), Fugl-Meyer Assessment-Upper Extremities (FMA-UE) and modified Barthel Index (MBI) before and after treatment. ResultsThe scores of FTHUE-HK, FMA-UE and MBI increased in all the three groups after treatment (t > 2.167, P < 0.05), and they were more in the combination group than in the rope group (P < 0.05), and in the rope group than in the control group (P < 0.05). ConclusionThe combination of PNF rope training and rTMS is more effective on motor function of upper limbs of stroke patients with hemiplegia than PNF training alone.
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@#Objective To explore the effects of mirror therapy on walking of stroke patients. Methods From September, 2016 to May, 2017, 60 hemiplegic patients after stroke were randomly divided into control group (n=30) and treatment group (n=30). The control group received routine rehabilitation and functional electrical stimulation (FES), while the treatment group received mirror therapy in addition. They were assessed with Fugl-Meyer Assessment-lower limbs (FMA-L), Berg Balance Scale (BBS) and Holden Rating of Walking Function before and eight weeks after treatment. Results The scores of FMA-L and Berg Balance Scale, as well as the walking ability improved in both groups after treatment (t>4.557, Z>4.666, P<0.001), and improved more in the treatment group than in the control group (t>5.832, Z=-2.086, P<0.05).Conclusion Mirror therapy, based on FES, can further improve the walking in hemiplegic patients after stroke.
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@#Objective To explore the effects of mirror therapy on walking of stroke patients. Methods From September, 2016 to May, 2017, 60 hemiplegic patients after stroke were randomly divided into control group (n=30) and treatment group (n=30). The control group received routine rehabilitation and functional electrical stimulation (FES), while the treatment group received mirror therapy in addition. They were assessed with Fugl-Meyer Assessment-lower limbs (FMA-L), Berg Balance Scale (BBS) and Holden Rating of Walking Function before and eight weeks after treatment. Results The scores of FMA-L and Berg Balance Scale, as well as the walking ability improved in both groups after treatment (t>4.557, Z>4.666, P<0.001), and improved more in the treatment group than in the control group (t>5.832, Z=-2.086, P<0.05).Conclusion Mirror therapy, based on FES, can further improve the walking in hemiplegic patients after stroke.
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Objective:To research the effect of lumbar spinal nerve block combined with ultrashort wave on the pain and biomechanics of lumbar back muscle of patients biomechanics with lumbar disc.Methods:98 patients with lumbar disc herniation in our hospital from February 2014 to August 2016,according to the lottery method divided into control group and research group.The control group was treated with Lumbar spinal nerve block.The research group was based on the control group treated with ultrashort wave,clinical curative effect,changes of the visual analogue scale (VAS),60 ° /s angular velocity,120° /s average apical power (AP),peak torque (PT),lumbar dorsiflexion / dorsal flexion (F/E),serum levels of substance P (SP),β-endorphin (β-EP),interleukin-6 (IL-6),tumor necrosis factor-α (TNF-α) before and after treatment,and adverse reactions were compared between two groups.Results:The total effective rate of research group was95.91％,which was significant higher than that of the control group,the difference was statistically significant (P＜0.05).After treatment,The VAS,F/E,serum levels of SP,IL-6 and TNF-α of two groups were significantly lower than those before treatment,the above indicators of research group were significantly lower than those of the control group.The AP,PT and serum levels of β-EP between two groups were significantly higher than those before treatment,the above indicators of research group were significantly higher than those of the control group (P＜0.05).No statistical difference was found in the incidence of adverse effects between the two groups (P＞0.05).Conclusion:Umbar spinal nerve block combined with ultrashort wave was more effective than lumbar paravertebral nerve block treatment alone in the treatment of lumbar disc herniation,it could effectively relieve the pain and improve the low back muscle biological mechanics performance and reduce the inflammatory response.
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Objective To investigate the effect of rotational training on spasm after spinal cord injury. Methods From July, 2010 to July, 2015, 38 patients with spinal cord injury were randomly divided into treatment group (n=19) and control group (n=19). Both groups accept-ed routine physical therapy, and the treatment group accetpted rotation training in addition. They were assessed with modified Ashworth Scale, adductor angle, hip flexion, and modified Barthel Index before and 6 weeks after treatment. Results Both groups improved in modi-fied Ashworth Scale (Z>-2.286, P5.6121, P5.1677, P-6.7428, P<0.001) after treatment, and improved more in the treatment group than in the control group (P<0.05). Conclusion Rotation training may relieve spasm after spinal cord injury, and improve the range of motion and activities of daily living.
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@#Objective To observe the effect of mirror therapy on acute stroke dysphagia. Methods 60 patients with dysphagia were randomly divided into treatment group (n=30) and control group (n=30). The control group received routine dysphagia rehabilitation and intermittent oral gastric tube feeding, while the treatment group received mirror therapy in addition. They were assessed with Kubota water-drinking test and swallowing videofluoroscopy 4 weeks after treatment, and the incidence of aspiration were recorded. Results The oral transit time, swallowing reaction time, pharyngeal transit time, laryngeal closure duration improved in the treatment group compared with the control group in swallowing videofluoroscopy (P<0.05). The total effective rate was obviously higher in the treatment group than in the control group (P<0.05), with the lower incidence of aspiration pneumonia (P<0.05). Conclusion Mirror therapy may promote the recovery of swallowing function after acute stroke, and reduce the risk of aspiration.
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Objective To observe the effect of mirror therapy on acute stroke dysphagia. Methods 60 patients with dysphagia were ran-domly divided into treatment group (n=30) and control group (n=30). The control group received routine dysphagia rehabilitation and inter-mittent oral gastric tube feeding, while the treatment group received mirror therapy in addition. They were assessed with Kubota wa-ter-drinking test and swallowing videofluoroscopy 4 weeks after treatment, and the incidence of aspiration were recorded. Results The oral transit time, swallowing reaction time, pharyngeal transit time, laryngeal closure duration improved in the treatment group compared with the control group in swallowing videofluoroscopy (P<0.05). The total effective rate was obviously higher in the treatment group than in the control group (P<0.05), with the lower incidence of aspiration pneumonia (P<0.05). Conclusion Mirror therapy may promote the recovery of swallowing function after acute stroke, and reduce the risk of aspiration.
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@# Objective To observe the effect of crawling exercise and bilateral electrical stimulation on the upper limb motor after stroke. Methods 60 stroke patients were divided into experimental group (n=30) and control group (n=30). Both groups received routine therapy. The control group received unilateral electrical stimulation on the upper limbs, and the experimental group received electrical stimulation on bilateral upper limbs and crawling exercise. All the patients were assessed with the modified Ashworth scale (MAS), the Fugl-Meyer assessment (FMA) and the modified Barthel index (MBI) before and after treatment. Results After 8 weeks of treatment, the scores of MAS, FMA and MBI improved in both groups (P<0.05), and improved more in the experimental group than in the control group (P<0.05). Conclusion The crawling exercise and bilateral electrical stimulation can improve the motor of upper limbs and activities of daily living more effectively than the unilateral electrical stimulation after stroke.
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Objective To study the effect of core stability training on motor function in patients with hemiplegia after stroke. MethodsSixty-eight patients with hemiplegia after stroke were randomly divided into a treatment group (34 cases) and a control group (34 cases).Both groups were given regular rehabilitation training.The patients in the treatment group also were taught core stability training.The trunk control test (TCT),Berg's balance scale (BBS),the modified Barthel index (MBI),functional ambulation categories (FACs) and the Fugl-Meyer assessment scale (FMA) were used to assess motor function before and after treatment. ResultsThere were significant differences between the two groups in average TCT scores,BBS scores,FACs,M BI scores and FMA scores after treatment.The gains in the treatment group were significantly superior to those in the control group.The patients'trunk control was positively correlated with the BBS,MBI,FAC and FMA results.Conclusion Core stability training can improve the motor function of patients with hemiplegia after stroke.
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Objective To study the effect of crawling exercise with wrist-hand orthosis on the upper limb af- ter stroke.Methods Forty-two stroke patients were divided randomly into an experimental group (n=21) and a control group (n=21).Both groups received routine therapy.Meanwhile the experimental group received crawling exercise with wrist-hand orthosis on the affected upper limb for 60 min once daily,5 days a week for 8 weeks.All the subjects were assessed by using the FMA test,the Ashworth scale and the Barthel index before and after treatment. Results There was no different between the two groups in the three tests before the treatment.After 6 weeks of treat- ment,significant different was found between the two groups with regard to the results of all the tests,with the experi- mental group better than the control group.Conclusion The crawling exercise with wrist-hand orthosis on is more effective than the routine therapy for the function of the upper limb in stroke patients.