| Objective: To observe the effects of multichannel functional electrical stimulation cycling training on lower limb proprioception, balance and gait in stroke patients. Methods: Totally, 44 cases of stroke were randomly divided into control group and observation group, 22 cases in each group. The control group was given routine rehabilitation training and ordinary active and passive bicycle training, and the observation group was given routine rehabilitation training and multi-channel functional electric stimulation bicycle training. Before and after 8 weeks of treatment, the proprioception of the patients was evaluated by balance instrument; Berg Balance Scale (BBS) was used to evaluate the balance function; Three dimensional gait was used to evaluate the walking function of patients. Results: After 8 weeks of treatment, the ATE and Time and step width of the two groups were lower than those before treatment (P<0.05), and those in the observation group were lower than those in the control group (P<0.05); The BBS score, step length, walking speed, the proportion of time swing on the contralateral side and the maximum movement angle of lower limb joints in the two groups were improved as compared with those before treatment (P<0.05); The ATE difference of the lower extremity on the affected side was positively correlated with the difference in step width (P<0.05), and negatively correlated with the difference in step length, the difference in step speed, the difference in the proportion of swinging time on the healthy side, and the difference in the flexion and extension angle of the hip/knee/ankle joint on the affected side (P<0.05); The time difference of patients was positively correlated with the difference in step width (P<0.05), and negatively correlated with the difference in step length, the difference in step speed, the difference in the proportion of swinging time of the healthy side, and the difference in the flexion and extension angle of the hip/ankle joint on the affected side (P<0.05). Conclusion: The use of multi-channel functional electrical stimulation bicycle training in combination with conventional rehabilitation therapy is effective in improving proprioception and further improving balance and gait in stroke patients. |
