| Objective: To observe the effect of walking training based on repetitive facilitative exercise (RFE) on lower limb function reconstruction in stroke patients. Methods: A total of 60 patients with stroke in convalescent stage were selected from the Rehabilitation Department of our hospital. They were randomly divided into control group (n=30) and observation group (n=30). Both groups received basic drug treatment and routine rehabilitation training. The observation group received RFE walking training, and the control group received routine walking training, for 4 weeks. The scores of Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Functional Ambulation Category (FAC), Berg balance scale (BBS) and gait parameters such as stride frequency, stride, pace, proportion of the plantar pressure of the affected foot (PPF), envelope ellipse area (EEA) were compared between the two groups before and after treatment. Results: After treatment, the scores of FMA-LA, FAC, BBS, stride frequency, stride, pace and PPF in the two groups were improved as compared with those before treatment (P<0.05), and the scores of FMA-LA, BBS, stride frequency, stride, pace and PPF in the observation group were higher than those in the control group (P<0.05). There was no significant difference in FAC score between the two groups. After treatment, the EEA values of the two groups were significantly lower than those before treatment (P<0.01), and the decrease in the observation group was greater than that in the control group (P<0.05). Conclusion: Walking training based on RFE has a positive effect on the reconstruction of lower limb movement, balance and walking function in stroke patients, and can improve gait. |
