Clinical Efficacy Of Precise Posture Control Training On Postural Disorders After Stroke

Background:Stroke is the first cause of adult disability in China.Most patients often suffer from a combination of various functional impairments due to brain cell damage,mostly in the form of motor dysfunction of one limb,postural control and balance dysfunction,among which postural control is the main factor affecting the prognosis of stroke patients.Postural control disorder is the main factor affecting the prognosis of stroke patients.The presence of postural impairment will lead to decreased mobility and impairment of activities of daily living in patients,and will also increase the risk of falls in stroke patients.The recovery level of stroke patients determines the recovery level of walking ability and activities of daily living in stroke patients to a certain extent.The regulation of postural control is a dynamic and complex process,and there is a close correlation between postural imbalance and trunk impairment in walking and standing balance in stroke patients.The physical therapy and occupational therapy rehabilitation training methods currently used in clinical practice can restore most of the motor functions of patients,but most of them focus on the rehabilitation of limb motor functions,ignoring the training of trunk functions,resulting in abnormal postures of some patients.Corrected,affecting the patient’s ability to participate in society and mental health.Therefore,how to quickly and effectively improve the postural disorder of stroke patients and improve the postural control function is a difficult point for stroke patients to restore their social participation ability and life independence as soon as possible.It has been shown that strengthening trunk control using physiotherapy can significantly improve postural control and balance in patients with stroke,therefore,this study uses the digital running table to analyze the range of motion and gait parameters of the trunk,hip,knee joints and other joints from the real-time data feedback during the movement of stroke patients,to precisely control the swing of the trunk during the movement by analyzing the patient’s postural compensation,to achieve precise postural control in order to improve the postural control function,balance function,walking function and daily living activities of patients,and to provide more references for the rehabilitation of stroke patients.Objective:This study investigates the clinical efficacy of precise postural control training on postural disorders after stroke,and provides a reference basis for the rehabilitation of postural disorders and balance function in stroke patients.Methods:In this study,in strict accordance with the inclusion and exclusion criteria of the experimental design,a total of 60 patients with hemiplegia caused by stroke who were treated in the Department of Rehabilitation Medicine of o Henan Provincial People’s Hospital from January 2022 to October 2022 were collected,and random number table method was used.The 60 patients were divided into the experimental group and the control group,30 in each group,and the general information of the patients was collected,including gender,age,course of disease,hemiplegic side and type of stroke(cerebral infarction or cerebral hemorrhage).The experimental group adopted precise postural control training combine conventional rehabilitation training method,and the control group only adopted conventional rehabilitation training method.The postural assessment scale for stroke patients(Postural Assessment Scale for Stroke Patients,PASS),Berg Balance scale(Berg Balance Scale,BBS),Fugl-Meyer lower extremity motor function(The Fugl-Meyer assessment of lower extremity,FMA-LE),digital treadmill "gait assessment",modified Barthel index(Barthel index,BI),the postural control function,balance function,motor function,walking function and activities of daily living were evaluated for the two groups of patients,and all the collected data were statistically analyzed using SPSS26.0 software.Results:(1)There was no significant difference in gender,age,course of disease,side of hemiplegia,and type of stroke(cerebral infarction or cerebral hemorrhage)between the two groups(P>0.05).(2)Before the intervention,there was no statistically significant difference between the PASS scores of patients in the two groups(P>0.05);after the intervention,the PASS scores of patients in both groups improved compared with those before the intervention,and the difference was statistically significant(P<0.001);the PASS scores of patients in the experimental group improved more significantly than those in the control group,and the difference was statistically significant(P<0.001).(3)Before the intervention,there was no statistically significant difference between the BBS scores of patients in the two groups(P>0.05);after the intervention,the BBS scores of patients in both groups improved compared with those before the intervention,and the difference was statistically significant(P<0.001);the BBS scores of patients in the experimental group improved more significantly than those in the control group,and the difference was statistically significant(P<0.05).(4)Before the intervention,there were no statistically significant differences in FMA-LE scores,weightbearing symmetry and affected-side stride length between the two groups(P>0.05).After the intervention,the FMA-LE scores and affected-side stride length of patients in both groups improved compared with those before the intervention,and the differences were statistically significant(P<0.001);after the intervention,the weight-bearing symmetry of patients in both groups decreased compared with those before the intervention,and the differences were not statistically significant(P>0.05).The FMA-LE score and affected-side stride length of the patients in the experimental group improved more significantly than those in the control group,and the difference was statistically significant(P<0.001);the weight-bearing symmetry of the patients in the experimental group was not statistically significant compared with the control group(P>0.05).(5)Before the intervention,there was no statistically significant difference in ADL scores between the two groups(P>0.05);after the intervention,the ADL scores of patients in both groups improved,and the difference was statistically significant(P<0.001);the ADL scores in the experimental group improved more significantly than those of the control group,and the difference was statistically significant(P<0.05).Conclusion:The use of precise postural control training on the basis of conventional rehabilitation training can significantly improve the postural disorders of post-stroke patients and improve their balance function,walking function and activities of daily living,and the effect is significantly better than that of conventional rehabilitation training.