| Objective:To explore the effect of core training under the musculoskeletal ultrasonic visual feedback on affected-side transverse abdominal muscle thickness and motor function in stroke patients in comparison with traditional core training.Methods: A total of 48 stroke hemiplegia patients were randomly assigned to the treatment group (n=24) and the control group (n=24). The treatment group received core training under ultrasonic visual feedback and conventional rehabilitation training, and the control group was given core training and conventional rehabilitation training only. The thickness of the transverse abdominal muscle on the affected side and the transverse abdominal muscle thickness of the patients with deep sensory disturbance were measured. Brunel Balance Assessment (BBA) score, Hauser walking index and Postural Assessment Scale for Stroke Patients (PASS) score were measured respectively before and 4 weeks after the treatment.Results: After 4 weeks of treatment, transverse abdominal muscle thickness on the affected side was increased in both groups (both P<0.01). The abdominal transverse muscle thickness of the patients accompanied by deep sensory disturbance in the treatment group was significantly greater than that before treatment and in the control group (both P<0.01). BBA and PASS scores were significantly increased and Hauser scores were significantly decreased after treatment in both groups as compared with those before treatment (all P<0.01), and the BBA scores in the treatment group were significantly higher than those in the control group (P<0.05). There was no significant difference in the transverse abdominal muscle thickness on the affected side, Hauser scores and PASS scores between the two groups before and after treatment.Conclusion: The core training under the ultrasonic visual feedback can not only improve the thickness of the transverse abdominis muscle on the affected side, especially for patients with deep sensory impairment, but also enhance the balance function and promote the recovery of motor function in patients with hemiplegia. |
