Abstract
Effects of lower limb weight-loading vibration combined with sling training on post-stroke Pusher syndrome
  
DOI:
EN KeyWords: stroke  Pusher syndrome  vibration training  sling training  balance function
Fund Project:山东省医药卫生科技发展计划项目(202020011003);山东省中医药高层次人才培养项目(2022-148)
作者单位
刘宝祥 山东省立第三医院康复医学中心济南 250031 
刘敏 山东省立第三医院康复医学中心济南 250031 
王欣 山东省立第三医院康复医学中心济南 250031 
胡川 山东省立第三医院康复医学中心济南 250031 
潘同亮 山东省立第三医院康复医学中心济南 250031 
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EN Abstract:
  Objective: To observe the effects of lower limb weight-loading vibration combined with sling training on post-stroke Pusher syndrome.Methods: A total of 42 patients with post-stroke Pusher syndrome were randomly divided into treatment group and control group, with 21 cases in each group. Both groups received routine rehabilitation training (40 min/d) and lower limb and trunk training under sling (20 min/d). In addition, the treatment group received the combination of lower limb weight-loading vibration and sling training. The lower limb weight-loading vibration training lasted for 5min, and the rest between groups was 1 min, for a total of 20 min.The control group only received closed chain movement training of the affected lower limb in sling treatment system. The above training was performed 5 days a week for 6 weeks.They were assessed with Trunk control test (TCT), Berg Balance Scale (BBS), Lower Extremity portion of the Fugl-Meyer Motor Assessment (FMA-LE), Scale for Contraversive Pushing (SCP), Modified Barthel Index (MBI) before and after treatment. Results: There were no significant differences in TCT, BBS, FMA-LE, SCP and MBI scores between the two groups before treatment. After 6 weeks of treatment, the TCT, BBS, FMA-LE and MBI scores in the two groups were significantly higher than those before treatment, and the SCP score was lower than that before treatment, and the differences were statistically significant (P<0.05).The scores of TCT, BBS, FMA-LE, SCP and MBI were significantly higher in treatment group than those in control group, the SCP score was lower than in the control group, and the differences were statistically significant (P<0.05). Conclusion: Lower limb weight-loading vibration combined with sling training can improve the tilt degree of Pusher syndrome after stroke, enhance the stability of trunk core, improve balance and improve the ability of daily living.
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