Effects Of Additional Sit-to-stand Training On Balance And Walking In Patients With Hemiplegia After Stroke

Background and ObjectiveWith the continuous progress of modern medicine in recent years, the diagnosis and treatment of stroke have significantly improved. The mortality also has decreased significantly, but its prevalence rate remain at a high level. Due to structural damage of nerve tissue and the lack of contact, patients tend to have balance and walking dysfunction. It directly affect motor function recovery and the ability of daily life in hemiplegic stroke patients. Not only the patients themselves bear on the mental and physical suffering, but also tend to be a heavy burden to the family and eventually to the society. In clinical work, for the recovery of balance function and walking ability of hemiplegic stroke patients the rehabilitation training based on the Bobath technology and the Brunnstrom method is still in use. The movement from sit to stand is the most common functional activity. This activity is closely related with balance and walking ability. Domestic and foreign scholars found that after a period of sit-to-stand transfer training, stroke patients with hemiplegia had less swing of the center of gravity, and sit-to-stand transfer time of patients had significantly shortened. This study combined the conventional rehabilitation training with the sit-to-stand training to observe its impact on balance and walking ability of stroke patients. MethodsSixty hemiplegic stroke patients were randomly divided into the observation group and the control group with30in each. Both groups were treated with routine rehabilitation. The observation group also undertook additional sit-to-stand training. The training lasted for15min/d,6d/week for4weeks. All patients were assessed with the weight distribution, Berg Balance Scale (BBS), timed"up&go" test (TUGT) and footprint analysis pretreatment and4weeks post treatment.ResultsAfter4weeks of treatment, the weight distribution, BBS, TUGT and footprint analysis improved significantly in both groups. BBS, TUGT and footprint analysis results were better in observation group than those in the control group. There was no significant difference between the2groups in the weight distribution.ConclusionsAdditional sit-to-stand training combined with routine rehabilitation training can distinctly improve balance and walking of stroke patients, speed up the process of recovery of stroke patients.