The Effect Of Yi Jinjing Training On Motor Function, Balance Ability And Emotion Of Stroke Hemiplegic Patient

Stroke is the first mutilational and the second lethal disease in our country at present.The hemiplegia is the most common symptom in the survivors, Also hemiplegia is one of the most common sequelae in the stroke patients. Because of the slow-moving recovery and the long time medical treatment, the heavy burdens of economy and spirit are being touched to the individual, family and society. It will be important to offer an advanced and convenient recovery method , so as to help the patient to come back society early and lessen the burden and stress from the disease.Traditional athletic therapy is one of the important methods to the recovery of stroke hemiplegia. Yi jinjing is one of traditional athletic therapies in our country from the ancient times. It is also one of four new-edited health-care qigongs of National health-care qigong management center. It will has the effect of sharing of body and spirit , exercising of exterior and interior from the regular exercise.Purposes and meaningsThe purpose and meaning of our study are to compare the rehabilitation efficacy with the two groups, one is adding the Yi jinjing training in general rehabilitation ,the another is only in general rehabilitation .In order to approach the effect and meaning of Yi jinjing training in the rehabilitation of patients in stroke hemiplegia.Contents and objects1. Exercise the three-month health-care qigong—Yi jinjing, evaluate the rehabilitation efficacy of patients in stroke hemiplegia before and after the training in balance function and the motor function of upper and lower limb.2. Through out the training, analyze the influence of Yi jinjing to the patients of stroke hemiplegia in psychological feeling.3. Analyze the surface electromyography which are the maximal isometric contraction of trouble-side muscles of biceps brachii ,triceps brachii , quadriceps fexoris and biceps femoris in the two group patients before and after the training. Compare the changes between the surface integrated electromyographic(IEMG) and cocontraction ratio(CR). Objects and methodsWe choose 34 stroke hemiplegic patients from the rehabilitation center in Hebei People's Hospital. These patients are divided into two groups in random. One is experiment group,18 patients .The other is control group,16 patients.The experiment group is handled in Yi jinjing therapy for 3 months,30 minutes per time,1 time per day, 5 days per week. All the patients are received the same general rehabilitation through the whole course. The patients in two groups are received the measurement in Berg Balance Scale(BBS), Balance subscale of the Fugl-Meyer test(FM-B), Fugl-Meyer motor assessment(FMA) and the scale of depression and anxiety of Zung in the beginning and the end of the experiment.At the same time, we test the surface electromyographic with the machine of surface electromyography in 16 paths of the company called BIOVISION from Germany. The conditions which are the maximal isometric contraction include the changes of musculus biceps brachii and musculus triceps brachii in flexion and extension of elbow joint,and the changes of musculus quadriceps fexoris and musculus biceps femoris in flexion and extension of knee jointResults1. Balance function: the improvements of BBS and FM-B in experiment group surpass the control group obviously (P<0.05) .2. The motor function of upper and lower limb: the improvements of FMA of upper and lower limb in experiment group surpass the control group obviously (P<0.05) .3. The feeling of depression and anxiety: The index number of the scale of depression and anxiety of Zung in experiment group surpass the control group obviously (P<0.05) .4. The IEMG and CR in muscles of upper and lower limb(1)muscle of upper limb:In the flexion condition of elbow joint, the IEMG of musculus biceps brachiib in experiment group increase obviously compared with the control group (P<0.05),the changes of IEMG of musculus triceps brachii have no significant differences(P>0.05),The dim of CR have significant differences (P<0.05).In extension condition of elbow joint, the IEMG of musculus biceps brachiib in experiment group decrease obviously compared with the control group (P<0.05), the IEMG of musculus triceps brachii increase obviously(P<0.05), The dim of CR have significant differences(P<0.05).(2)muscle of lower limb:In the flexion condition of knee joint, the IEMG of musculus quadriceps fexoris in experiment group decrease obviously compared with the control group (P<0.05), the IEMG of musculus biceps femoris increase obviously(P<0.05), The dim of CR have significant differences(P<0.05).In the extension condition of knee joint, the IEMG of musculus quadriceps fexoris in experiment group increase obviously compared with the control group (P<0.05), the changes of IEMG of musculus biceps femoris have no significant differences(P>0.05), The dim of CR have no significant differences(P>0.05). ConclusionsThe conclusion is that through out Yi jinjing therapy for 3 months, the method which with general rehabilitation and Yi jinjing therapy will promote the rehabilitation of the stroke hemiplegic patients. The appearances are as follows:(1)Promote the improvement of upper and lower limb in motor function of the stroke hemiplegic patients.(2)Promote the improvement in balance function of the stroke hemiplegic patients.(3)Have a positive and improved effect to the feeling of depression and anxiety of the stroke hemiplegic patients.(4)The test of SEMG to patients acquire that the contractile function of agonistic muscle is strengthened, and the control ability of the coordinational construction in antagonistic muscle is improved obviously.