Effects Of Core Stability Training On Upper Limb Motor Function And Activities Of Daily Living In Stroke Patients With Hemiplegia

Objective: To study the effect of core stability training on the motor function of upper limbs in stroke patients with hemiplegia,in order to provide patients with more effective rehabilitation methods.Methods:The research method of randomized controlled trial was adopted in this study.A total of 86 patients with hemiplegia after stroke who were hospitalized in the Rehabilitation Medicine Department of the Affiliated Hospital of Yan’an University and were diagnosed as post-stroke hemiplegia were selected as the research subjects,ranging in age from 30 to 75 years old..The clinical baseline data of subjects including age,disease course(days),gender,hemiplegia side,lesion location,lesion nature,and history of hypertension were collected at admission.Subjects were assigned to two groups(control and experimental group)by random number table.The control group received conventional rehabilitation programs(occupational therapy,exercise therapy,exercise relearning therapy,rehabilitation education,etc.),while the experimental group received an additional 30 minutes of core stability training every day in addition to the conventional rehabilitation program equivalent to the control group.The rehabilitation training cycle of the two groups of subjects was the same,with a total of three cycles of training.Before intervention and after 3 cycles of intervention,FMA-UE(upper extremity,shoulder and elbow,wrist and hand)score,upper extremity MAS rating,upper extremity(shoulder,elbow,wrist)active ROM,upper extremity shoulder,arm and hand Brunnstrom were used respectively.Stage,FMB score,MBI score and other related efficacy evaluation indicators were evaluated at the beginning and end to evaluate the functional recovery of the upper extremity on the affected side.The collected evaluation data of all subjects were statistically analyzed by SPSS version 25.0.Results: 1.Age,course of disease(days),gender,hemiplegia side(left and right),lesion nature(cerebral infarction,cerebral hemorrhage),lesion location(basal ganglia area,lateral ventricle,thalamus,other parts)of the two groups of subjects),history of hypertension and other clinical general data were balanced and comparable(P>0.05).Before intervention,the upper limb FMA-UE(total score,shoulder and elbow score,wrist and hand score),FMB,Brunnstrom stage of upper limb shoulder,arm and hand,shoulder joint(flexion,horizontal abduction and adduction)ROM before intervention treatment,(elbow flexion,wrist dorsal extension)ROM,upper limb MAS,and MBI balance were comparable(P>0.05).2.After intervention in the two groups of subjects,FMA-UE(upper extremity,shoulder,elbow,wrist and hand)score,upper extremity(shoulder,elbow,wrist)active ROM,upper extremity shoulder-arm and hand Brunnstrom stage,FMB The differences of,MBI were statistically significant,indicating that the curative effects of the two groups were improved(P<0.05).3.The comparison of FMA-UE(upper extremity,shoulder and elbow),upper extremity(shoulder,elbow)active ROM,Brunnstrom stage of upper extremity shoulder and arm,FMB,and MBI in the experimental group after intervention treatment with those in the control group showed that the experimental group was significantly better than the control group.Higher than the control group,there was a statistical difference(P<0.05).Conclusion:1.Core stability training is an effective rehabilitation intervention.It is applied to stroke patients with hemiplegia and has a certain role in promoting the recovery of upper limb motor function.2.Compared with the conventional rehabilitation treatment program,the core stability training program formulated in this study can significantly improve the rehabilitation effect of upper limb motor function in stroke patients with hemiplegia,especially the motor function recovery of upper limb shoulder and elbow joints.