| Objective: To investigate the effect of supervisory hip abductor trainings by family members in hemiplegic patients. Method: Fifty hemiplegic patients after stroke were randomly divided into family group (n=25) and therapist group (n=25). Both two groups received the same conventional rehabilitation therapies. The family member trained hip abductor of patients in the family group, and the physical therapist trained hip abductor of patients in the therapist group (40 min/day, 6 days/week for consecutive 6 weeks). All patients were assessed before and 6 weeks after trainings with Berg balance scale (BBS), Fugl-Meyer assessment of lower extremity (FMA-LE), manual muscle testing (MMT), Holden functional ambulation category scale (FAC) and "walk/wheelchair" of functional independence measurement (FIM). Results: After trainings for 6 weeks, both groups had significant improvement in BBS, FMA-LE, MMT, FAC and FIM (P<0.05), but there was no significant difference between two groups. Conclusion: Both supervisory hip abductor trainings of hemiplegic patients after stoke by family member and therapist can improve balance and gait. The study revealed supervisory hip abductor trainings can be involved in home rehabilitation of hemiplegic patients. |
