Influence of head and neck training on balance and lower limb motor function in patients with hemiple-gia after stroke / 心血管康复医学杂志

ABSTRACT

Objective :To explore influence of head and neck training on balance and lower limb motor function in pa-tients with hemiplegia after stroke .Methods :A total of 90 patients with hemiplegia after stroke ,who were treated in our hospital from Jan 2014 to Aug 2016 ,were selected .According to random number table ,they were randomly and equally divided into routine rehabilitation training group and head and neck training group (received head and neck training based on routine rehabilitation training ) ,both groups were trained for continuous six weeks .Lower limb muscle strength score of Motricity index (MI-L) ,Berg balance scale (BBS) score and Fugal-Meyer motor as-sessment (FMA) score were observed and compared between two groups before ,three weeks and six weeks after treatment .Results : There were no significant differences in MI-L score ,BBS score and FMA score between two groups before treatment , P＞0. 05 all.Compared with before treatment ,there were significant rise in scores of MI-L ,BBS and FMA in two groups on three and six weeks after treatment ,and those of after six weeks were signifi-cantly higher than those of after three weeks ,P＝0.001 all.Compared with routine rehabilitation training group af-ter six weeks training ,there were significant rise in MI-L score [ (59.45 ± 10.12) scores vs .(72.88 ± 11.43) scores] ,BBS scores [ (36.67 ± 7.78) scores vs .(45.39 ± 8.11) scores] and FMA score [ (21.46 ± 4.85) scores vs . (24.72 ± 5.09) scores] in head and neck training group after six weeks training ,P＜0.01 all.Conclusion :Head and neck training based on routine rehabilitation training can effectively enhance lower limb muscle strength ,improve balance and lower limb motor function in patients with hemiplegia after stroke .