Effect Of Yijinjing On Trunk Control And Balance Function In Convalescent Stroke Patients

Objective:By observing the improvement of trunk control and balance function in convalescent stroke patients by traditional function method of Yi Jin Jing meridian,to evaluate the clinical therapeutic effect,and to provide new ideas for the treatment of trunk control and balance dysfunction in stroke,and to provide a reference for subsequent research.Methods:According to the requirements and design principles of clinical trials,40 stroke patients who met the inclusion criteria were randomly divided into two groups,routine rehabilitation training group(n=20)and Yi Jin Jing training group(n=20).The routine rehabilitation training group was given 1 to 1routine rehabilitation training by a professional rehabilitation therapist.On the basis of routine rehabilitation training,the Yi Jin Jing training group was guided by the Yi Jin Jing technique trainer to conduct Yi Jin Jing training for patients.Each group had a 3-minute warm-up before the training,followed by a 3-minute warm-up after the training.The training standard for each group was to train once a day,30 minutes each time,and train 5 times a week for a total of 4 weeks of treatment.All patients were evaluated by the same therapist before and after 4 weeks of training,the Surface electromyography(s EMG)signal system was used to collect the root mean square(RMS)of s EMG signals of rectus abdominis(RA)and erector spinae(ES);the Pro-Kin balance training instrument and the Berg Balance Scale(BBS)were used to evaluate the recovery of patients’ balance ability;the trunk control test(TCT)was used to evaluate the trunk control ability of the patients;The Modified Barthel Index(MBI)was used to assesse the patients’ abilities in activities of daily living.Furthermore,the therapeutic effect of traditional function method Yi Jin Jing meridian on trunk control and balance function in convalescent stroke patients.1.Comparison of baseline dataPrior to the study,a statistical analysis was performed based on basic data from all subjects in the two groups,including gender,age,course of disease,stroke type and affected side.The results showed that there was no statistically significant difference(p>0.05),suggesting that the overall data of the two patient groups were comparable.2.Comparison the RMS of RA and ESBefore treatment,the RMS of RA and ES on the unaffected side in both groups were higher than those on the affected side(p<0.05);compared with before treatment,the RMS of RA and ES on the affected side in 2 groups were significantly increased after treatment,with statistical significance(p<0.05).Compared with the RMS of RA and ES of the Yi Jin Jing training group and the routine rehabilitation training group after 4 weeks of treatment,the scores of the RMS of RA and ES of the Yi Jin Jing training group were higher,the difference was statistically significant(p<0.05).3.Recovery of ability of balanceCompared with before treatment,the scores of perimeter and ellipse area of the Pro-Kin balance training instrument in 2 groups were significantly decreased after treatment,with statistical significance(p<0.05).Compared the scores after 4 weeks of treatment,the perimeter and ellipse area of the Yi Jin Jing training group were more significantly in the routine rehabilitation training group and the Yi Jin Jing training group,with statistical significance(p<0.05).Compared with before treatment,the scores of total stability index of the Pro-Kin balance training instrument and BBS in 2 groups were significantly increased after treatment,with statistical significance(p<0.05).Compared with the balance function after 4 weeks of treatment,the total stability index and the BBS scores of the Yi Jin Jing training group were higher in the routine rehabilitation training group and the Yi Jin Jing training group,with statistical significance(p<0.05).Results:4.Recovery of ability of trunk controlCompared with before treatment,the scores of ability of trunk control test in 2 group were significantly increased after treatment,with statistical significance(p<0.05).Compared with the ability of trunk control of the Yi Jin Jing training group and the routine rehabilitation training group after 4weeks of treatment,the TCT scores of the Yi Jin Jing training group were higher in the routine rehabilitation training group and the Yi Jin Jing training group,the difference was statistically significant(p<0.05).5.Recovery of ability of daily living activitiesCompared with before treatment,the scores of modified Barthel index in2 groups were significantly increased after treatment,with statistical significance(p<0.05).Compared with the ability of daily living after 4 weeks of treatment between the Yi Jin Jing training group and the routine rehabilitation training group,the MBI scores of the Yi Jin Jing training group was higher,the difference was statistically significant(p<0.05).Conclusions:1.Yi Jin Jing meridian can improve the muscle strength of trunk flexors and extensors in convalescent stroke patients and promote the recovery of balance function.2.Yi Jin Jing meridian can promote the trunk control ability and the daily living ability of stroke patients at recovery stage.