| Objective: To investigate the effect of ankle-foot orthosis assisted proprioceptive training on motor function and surface electromyography Stroke Patients with hemiplegia. Methods: 116 cases of hemiplegic stroke treated in our hospital from January 2016 to February 2018 were selected and divided into two groups by the random number table method, each with 58 cases. The control group received the dynamic ankle-foot orthosis, and the study group received the dynamic ankle-foot orthosis assisted proprioceptive training. The motor function, balance function, surface electromyography, time and phase parameters of three-dimensional gait were compared between the two groups. Results: The scores of simplified Fugl-Meyer assessment (FMA) and Berg balance scale (BBS) in both groups were higher than those before treatment, and higher in the study group than those in the control group (P<0.05). The integrated electromyograph (iEMG) score of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle was significantly increased in both groups after treatment, and significantly higher in the study group than in the control group (P<0.05). The root mean square amplitude (RMS) of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle was decreased in both groups after treatment, and lower in the study group than in the control group (P<0.05). The leg speed, stride frequency, stride length ratio (affected limb/healthy limbs) in both groups after treatment were increased, more significant in the study group than in the control group (P<0.05). Conclusion: The application of ankle-foot orthosis assisted proprioceptive training can significantly ameliorate the motor function and balance function, and promote the recovery of quadriceps femoris, tibialis anterior muscle and gastrocnemius muscle for patients with hemiplegic stroke. |
