Effects Of Deep Muscle Stimulation Combined With Proprioception Training On Lower Limb Proprioception And Motor Function In Stroke Patients With Hemiplegia Thrombolysis

Objective:To observe the rehabilitation effect of deep muscle stimulation combined proprioception training on lower limb proprioception and motor function in stroke patients with hemiplegia.Methods:Collect 80 stroke patients who meet the inclusion and exclusion criteria in The Second Affiliated Hospital of Nanchang University,participants were divided into a combination group(n=26),a deep muscle stimulation(DMS)group(n=27)and a proprioceptive training group(n=27)according to the training method.The DMS group received DMS treatment;the proprioception group received proprioception training;the combined group received proprioception training after DMS treatment,and all participants received conventional rehabilitation.Before treatment,the gender,age,course of disease,BI index,stroke type and hemiplegic side of the three groups of patients were statistically analyzed.Before treatment and after 4 weeks of treatment,lower limb proprioceptive and motor functions were evaluated using FuglMeyer score(FMA),Berg Balance Scale(BBS),modified Ashworth scale(MAS),and angle reproduction test.Results:There was no statistical difference in baseline among the three groups(P>0.05),which was comparable.There were no significant differences in FMA lower limb proprioceptive and motor scores,BBS,MAS,and angle reproduction test results among the three groups before treatment(P>0.05).After treatment,the FMA lower limb movement score,FMA lower limb proprioception score,BBS,MAS,and angle reproduction test results of the participants in the three groups were significantly improved compared with those before treatment(P<0.05);The results of the reproduction experiment were significantly better than those of the other two groups(P<0.05).Conclusions:Deep muscle stimulation combined with proprioception training can significantly improve the proprioception and motor function of lower limbs in stroke patients,which is worthy of further clinical application.