| Objective: To explore the curative effect of instrument supporting core muscles training combined with situational interaction for the recovery of walking function of hemiplegic patients. Methods: Forty-five stroke patients with hemiplegia were selected and randomly divided into control group (group A), instrument supporting core muscles training group (group B) and instrument supporting core muscles training combined with situational interaction group (group C). All patients were given routine drug therapy. Patients in group A were subjected to routine physical therapy (including part of core muscles training), those in the group B were given instrument supporting core muscles training based on the routine physical therapy, and those in group C accepted instrument supporting core muscles training combined with situational interaction based on the routine physical therapy, 45 min/day, 6 sessions per week for 4 weeks. The walking function of patients before and 4 weeks after the treatment were evaluated by lower limbs Fugl-Meyer assessment (FMA), 10-meter maximum walking test (10 MWT) and functional ambulation category scale (FAC). Results: Before treatment, there was no significant difference in the lower limbs FMA, 10 MWT and FAC scores among three groups. After treatment for 4 week, the lower limbs FMA, 10 MWT and FAC scores were significantly increased in three groups as compared with those before treatment, those in groups B and C were significantly higher than in group A (P<0.05), and those in group C were significantly higher than those in group B (P<0.05). Conclusion: The clinical efficacy of instrument supporting core muscles training combined with situational interaction based on the routine physical therapy mode could more effectively improve the walking function than the instrument supporting core muscles training based on the routine physical therapy or the routine physical therapy alone in post-stroke hemiplegic patients, which is worthy of clinical application. |
