Abstract
Application of intelligent stretching in improving ankle spasticity and walking function in stroke patients with hemiplegia
  
DOI:
EN KeyWords: intelligent stretching  ankle  stroke  spasticity  walking function
Fund Project:浙江省下肢功能障碍人群康复训练的研究项目(zkzxky201501);吴阶平医学基金会中国康复医疗机构联盟基金资助项目面上课题B类(20160208)
作者单位
邵梦鸣 1.浙江中医药大学附属康复医院杭州 3100532.浙江康复医疗中心杭州 310053 
舒馨馨 浙江康复医疗中心杭州 310053 
钱志勇 浙江康复医疗中心杭州 310053 
徐彬 浙江康复医疗中心杭州 310053 
刘文兵 浙江中医药大学附属第三医院杭州 310053 
徐聪琴 浙江特殊教育职业学院杭州 310023 
邱纪方 浙江康复医疗中心杭州 310053 
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EN Abstract:
  Objective: To investigate the effect of robotic-aid intelligent stretching on ankle spasticity and walking function in stroke patients with hemiplegia. Methods: A total of 40 stroke patients with ankle spasticity who met the inclusion criteria were randomly divided into intelligent stretching group and control group (20 cases in each group). Both groups received routine neurological treatment and rehabilitation training. The patients in the intelligent stretch ing group received robotic-aid intelligent passive stretching and active training, and the control group received manual static passive stretching and resistance training by physical therapists. Each stretch training lasted 30 min, 5 times a week, for a total of 6 weeks. The following evaluations were performed before and after treatment: ankle active dorsoflexion angle, active plantar flexion angle, passive dorsoflexion angle and passive plantar flexion angle, modified Ashworth Scale (MAS), timed up & go test (TUGT), 6-minute walk test (6MWT), modified Barthel Index (MBI). Results: After 6 weeks, the active and passive plantar flexion angle, passive dorsiflexion angle and 6MWT increased in both groups (P<0.05). The changes of active dorsoflexion angle, plantar flexion angle, MAS, TUGT and 6MWT in intelligent stretching group were better than those in the control group (P<0.05). Conclusion: Robotic-aid intelligent stretching, a new method of stretching, can improve the ankle spasticity and walking function. It has significant advantages over the traditional method of rehabilitation stretching.
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