Research On The Effect Of Exercise Simulation Walking Trainer Combined With Conventional Rehabilitation Treatment On Walking Ability Of Stroke Patients

Purpose of this Research:Directing against abnormal gait of patients with stroke,this paper attempts to apply the motion simulated walking trainer to the treatment process of the clinical rehabilitation.And through the three-dimensional gait-analyzing system,which can analyze some changes on the space-time parameters of the gait,quantify the rating scales related to the walking abilities.By observing the improvement on the gait of patients with hemiplegic paralysis to study the clinical effects of the motion simulated walking trainer have on improving the walking abilities of stroke patients so as to provide better guidance on the treatment of the clinical rehabilitation.Methods Used in this Research:Thirty stroke patients(5 cases of exfoliation and 25 cases of completing the experiment)meeting the inclusion criteria were randomly divided into the experimental group(2 cases of exfoliation and 13 cases of completing the experiment)and the control group(3 cases of exfoliation and 12 cases of completing the experiment).The patients in the control group were trained with the conventional rehabilitation and 30-minute walking,while the patients in the experimental group were trained with the conventional rehabilitation and 30 minutes of using the motion simulated walking trainer.The experiment period of two groups were both 4 weeks.Before and after the treatment,the two groups of patients were assessed by scale and analyzed by three-dimensional gait-analyzing systems.The scales include: Berg Balance Scale(BBS),Modified Barthel Index(MBI),Clinical Spasticity Index(CSI),Functional Ambulation Category,Manual Muscle Testing(MMT),Modified Ashworth Scale(MAS),Fugl-Meyer Balance(FM-B)and Fugl-Meyer Lower Extremity functions(FM-L).Results:(1)Conventional scalesAfter 4 weeks of treatment,the scores on the muscular strength of flexor hip muscle group,extensor hip muscle group,extensor knee muscle group,tibialis anterior muscle group,BBS,FM-B,FM-L,MBI and Functional Ambulation Category in the two groups are statistically significant compared with those before treatment(P < 0.05).The inter-blocks on the scores of the hipextension muscle groups,anterior tibia muscle groups,BBS,FM-B,FM-L and MBI are statistically significant(P < 0.05),while in the hip-extension muscle groups,knee-extension muscle groups and Functional Ambulation Category,there are no statistical significance in the inter-blocks(P > 0.05).After 4 weeks of treatment,the patients in the two groups,there are no statistical significance between the intra-groups of CSI and that before treatment(P > 0.05).And there are no statistical significance of the inter-blocks between the two groups either(P > 0.05).After 4 weeks of treatment,compared with the intra-groups of MAS scoring(intra-groups),there are no statistical significance in the control group(P > 0.05),while there are statistical significance in the experimental group(P < 0.05).The differences between the inter-blocks of the two groups are not statistically significant(P > 0.05).After 4 weeks of treatment,compared with the intra-groups on the muscular strength of the triceps surae,there are no statistical significance in the control group(P > 0.05),while there are statistical significance in the experimental group(P < 0.05).The differences between the two groups are not statistically significant(P > 0.05).(2)Basic parameters of gaitsAfter 4 weeks of treatment,the length,speed and frequency of the steps of the patients in the two groups are significantly increased than before(P < 0.05).The improvement of the experimental group is more obvious and the comparisons between the groups are statistically significant(P < 0.05).The angles of dorsiflexion for the ankle joints in the affected side are increased compared with those before treatment.And the comparisons within the group are statistically significant(P < 0.05).The increase of the experimental group is more obvious,but there are no statistical significance between the two groups(P > 0.05).The swing amplitudes on the center of gravity are decreased.The comparisons on the intra-groups are statistically significant(P < 0.05)and the comparisons on the inter-blocks are statistically significant(P < 0.05).Conclusions of the Research:(1)Conventional rehabilitation therapy and the motion simulated walking trainer combined with conventional rehabilitation therapy are effective in improving lower extremity function and walking abilities of stroke patients.The application of the motion simulated walking trainer can strengthen the range of motions,and enhance the walking speed.It also can improve the motor coordination abilities,walking abilities and boost the ankle dorsiflexion functions.The motion simulated walking trainer has great significance in the treatment of rehabilitation for patients with hemiplegic paralysis.The motion simulated walking trainer has a fine therapeutic effect on improving the lower extremity functions and walking abilities of patients with hemiplegic paralysis.In contrast,the effects on the combination of the motion simulated walking trainer and conventional rehabilitation therapy are more significant.(2)The three-dimensional gait-analyzing system can evaluate the walking abilities of patients with stroke both quantitatively and qualitatively.Measuring gait parameters to objectively evaluate the gait situation of stroke patients can formulate targeted treatment plans and improve rehabilitation efficacy;and the evaluation scale related to walking ability is consistent with its evaluation results,so the three-dimensional gait-analyzing system has a positive influence on the quantification of the evaluation scale related to walking ability.