The Effect Of MCIMT On Ankle Motor Control Disorders In Patients Of Stroke

Object：To investigate the effect of mCIMTabout ankle motor control disorders of strokepatients in Three-dimensional motion capture system.Methods：Selecting22stroke patients from huashan hospital rehabilitation department whoconform to the standard,and dividing to two groups:mCIMT group and control grouprandomly.The intervention time is2h/d，5d/w，four weeks totally.Control group do rehabilitation routine exercise therapy for45minutes every day,andbe educated for rehabilitation.Completed by family in remain time,same as mCIMTgroup.Before and after the intervention,researchers acquisite and process thebiological mechanics index with Three-dimensional motion capture system.Results：1.Temporal spatial parameters of stroke patients is improvement by mCIMT.2.The damaged ankle plantar flexion angles decrease from24.14±6.32°to19.80±4.47°（P=0.043，P<0.05）in toeoff phase,from31.11±7.50°to24.69±6.04（°P=0.01，P<0.05）in heel strike phase by mCIMT,has significant difference compared with the controlgroup，can help patients to complete the toe clearance and reduce the strike in heelstrike phase.3. There is significantly different on percent of tibialis anterior muscle’RMS in MVCwas increced from28.61±15.60to46.61±10.49（P=0.014，P<0.05）and control groupwhich is35.04±11.11（P=0.021，P<0.05）in initial contact.There is significantlydifferent on percent of tibialis anterior muscle’RMS in MVC was increced from30.07±11.75to41.28±7.55（P=0.004，P<0.01and control group which is27.90±9.77（P=0.002，P<0.01）in pre-swing.The percent of medial head of the gastrocnemius’RMS was increased from28.82±13.55to42.87±16.95（P=0.036，P<0.05）. Both hassignificant difference，improve the activity level of tibialis anterior muscle andgastrocnemius muscleConclusions：mCIMT can effectively improve ankle motion control disorders for stroke patients.