Clinical Efficacy Of Proprioceptive Neuromuscular Facilitation Techniques Combined With The Electrical Stimulation To Treat Stroke Foot Drop

Objective:1.Observation proprioceptive neuromuscular facilitation techniques combined with surface electromyography biofeedback treatment effect after stroke foot drop; 2.Exploration Surface EMG iEMG value, RMS value and EMGmax objective evaluation of rehabilitation after stroke efficacy foot drop.Methods:Screening 30 cases met the inclusion criteria foot drop stroke patients were randomly divided into PNF, sEMG-BFB, Combine three groups, each group 10 cases, three groups of patients were given conventional rehabilitation therapy outside, group PNF of patients with increased neurodevelopmental treatment: PNF techniques; group sEMG-BFB patients increased surface electromyography biofeedback techniques; group Combine patients increased surface electromyography biofeedback technique combined PNF techniques. Before treatment and after 6 weeks of treatment were collected ankle dorsiflexion range of motion,manual muscle tibialis anterior, tibialis anterior integrated EMG value(iEMG), root mean square amplitude(RMS), the maximum EMG(EMGmax), simplify Fugl-Meyer(FMA)assessment scales as efficacy evaluation.Results:Three groups of patients after rehabilitation treatment six weeks, drop foot symptoms were significantly improved rehabilitation before and after treatment in each group the patient's own comparison, PNF group were treated with AROM improvement effect is not obvious, there are no significant difference, the other indexes and the treatment compared to before the emergence of significant difference(P <0.05); sEMG BFB intervention group after treatment indicators appear significant difference(P<0.05) and combined treatment group indicators out now very significant difference(P <0.01)..Group Combine and group sEMG-BFB, group PNF comparison there was significant difference(P <0.05), with statistical significance, which improve ankle dorsiflexion activity: the group Combine active ankle dorsiflexion activity was significant difference compared with group PNF(P <0.05),group Combine and group sEMG-BFB ankle dorsiflexion passive activity, with significant differences than in group PNF(P <0.05); iEMG value and EMGmax values: group Combine had significant difference compared with group sEMG-BFB and group PNF(P <0.05); RMSvalue index: group Combine than in group PNF significant difference(P <0.05); tibialis anterior muscle strength: there was a significant difference(P <0.05) in group sEMG-BFB and Combine than in group PNF; FMA: group Combine and sEMG-BFB there was a significant difference than in group PNF(P <0.01).Conclusion:1.Simple application of proprioceptive neuromuscular facilitation techniques to stroke foot drop lower limb muscle strength, mobility and function improving poor.2.Simple application of surface electromyography biofeedback therapy can effectively improve stroke patients with foot drop tibialis anterior sEMG signal.3.Proprioceptive neuromuscular facilitation techniques combined with surface electromyography biofeedback therapy can more effectively improve the tibialis anterior muscle strength and EMG, restore ankle range of motion and active motion function,effectively improve the clinical symptoms of post-stroke foot drop improve the quality of daily life of patients.