Dissertation > Medicine, health > Neurology and psychiatry > Neurology > Cerebrovascular disease > Acute cerebrovascular disease ( stroke)

Therapy Effect of Two Training Methods in Patients with Hemiplegia on Gait Training

Author XuZhiQiang
Tutor WangXiaoYang
School Shanxi University
Course Human Movement Science
Keywords Patients with hemiplegia Gait training Method Treatment effect Research
CLC R743.3
Type Master's thesis
Year 2009
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Objective: To study weight loss activities Tablet gait training and traditional gait training two training methods after 8 weeks of training on balance function of stroke patients with hemiplegia and walking ability, to explore gait training in stroke patients with hemiplegia impact factors. Methods: The study group comparison test methods. The 20 cases with 10 m walking ability of hemiplegic stroke patients were randomly divided into weight loss treadmill gait training group and traditional gait training group. Using the image analysis method and instrument detection method, the study two groups of patients with hemiplegia receive training and be trained 8 Zhou Houli bit eye opening balance data, standing position with eyes closed balance data as well as step length, gait cycle data changes. Results: (1) before and after weight loss the treadmill group of patients with hemiplegia gait training for 8 weeks: ipsilateral step long distance no difference (p> 0.05). The contralateral step long-distance becomes longer (p <0.05); the ipsilateral double support period of time, the period of time of contralateral double support, the contralateral single support period time, walk cycle time was significantly shorter (p <0.01); ipsilateral single support variable length period of time was significantly (p <0.01); center of gravity trajectory percentage The A zone proportion of increases in the upright position with eyes closed (p <0.05), a significant increase (p <0.01) in the upright position open eyes; units the area trace length, significantly increased (p <0.01) in an upright position with eyes closed, eyes open in an upright position no difference (p> 0.05). (2) traditional gait training group hemiplegic patients before and after 8 weeks of training: the the ipsilateral double support period of time, contralateral double support period time, walk, cycle time significantly (p <0.01); contralateral single-support phase time ( p <0.05); the ipsilateral Single support phase time becomes longer (p <0.05); the ipsilateral Step long distance becomes longer (p <0.05); the contralateral step long distance significantly longer (p <0.01); percentage of gravity trajectory, Zone A proportion significantly increased (p <0.01) in the upright position with eyes closed and eyes open; locus length per unit area, no significant difference (p> 0.05) in the upright position with eyes closed and eyes open. (3) two sets of gait training methods after 8 weeks of training: contralateral difference before and after the single support period of time, weight loss gait training group than traditional gait training group (p <0.05); the rest walk indicator parameters, two groups between no significant difference (p> 0.05); percentage of the center of gravity trajectory A district's share of the proportion in the upright position with eyes closed and eyes open, no difference between the two groups (p> 0.05); locus length per unit area in the upright position wide open The eye was no difference between the two groups (p> 0.05); eyes closed in an upright position, weight loss gait training group increased the value is greater than the traditional gait training group (p <0.05). (4) after eight weeks of training, the knee ipsilateral single support phase time stretching hemiplegia hemiplegic patients (p <0.01) was significantly greater than the knee flexion; the other walk indicator parameters, there were no differences (p> 0.05); before and after training the contralateral step and a step change in the ipsilateral knee stretch of patients with knee flexion in patients with each of its regularity. Conclusion: For the 10 meters walking ability of stroke patients with hemiplegia gait rehabilitation training, the focus is not to select what kind of training methods, but rather targeted rehabilitation physicians according to specific movement patterns and the impact of the patient's gait factors develop gait training prescription. The authors believe that the main factors affecting the rehabilitation effect, associated with the patient's specific abnormal movement patterns, so the gait training for these patients is based primarily on the individual patient with hemiplegia after specific abnormal movement patterns, rather than the preferred gait training methods.

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