| Objective:To investigate the effect of core stability training (CST) combined with motor relearning programne (MRP) in the treatment of limb dysfunction after stroke.Methods:Eighty stroke patients were randomly divided into the control group (n=40) and the observation group (n=40),receiving routine neurological treatments including drug and MRP,and CST before MRP,respectively,twice every day and 40 min every time for 6 weeks.Simple Fugl Meyer motor function scale (Fugl Meyer assessment,FMA) was used to evaluate hindlimb motor function (total score:34 points),body control test (TCT) to assess trunk control ability,and modified Barthel index (MBI) to assess activities of daily living (ADL).The patients were assessed before and after treatment including hindlimb motor function and ADL.Walking ability was evaluated after six weeks.Results:After treatment for 6 weeks,FMA,MBI and TCT scores of the lower limbs were significantly increased as compared with those before treatment (ttest,P<0.01),more significantly in the observation group than in the control group (P<0.01);Walking ability in the observation group was significantly improved as compared with the control group (P<0.01).Multi factor analysis revealed that body control ability was positively correlated with hindlimb motor function,MBI ability,and step and walking speed (P<0.01).Conclusion:CST in combination with MRP can significantly improve hindlimb motor function in patients with stroke. |
