Abstract
Effects of galvanic vestibular stimulation combined with closed-chain functional training on lower limb movement and balance functions in stroke patients
  
DOI:
EN KeyWords: galvanic vestibular stimulation  closed-chain functional training  stroke  balance function  walking ability
Fund Project:辽宁省教育厅基本科研项目(LJKMZ20221292)
作者单位
代永利 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王利凯 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王亚娟 空军军医大学第二附属医院唐都医院康复医学科西安710038 
王战 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
王立童 大连医科大学附属第二医院康复医学科辽宁 大连 116027 
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EN Abstract:
  Objective: To observe the effect of vestibular electrical stimulation combined with closed-chain functional training on lower limb movement and balance functions in stroke patients. Methods: A total of 50 patients with hemiplegia in the recovery stage of stroke were selected and divided into a control group (n=25) and an observation group (n=25) according to the random comparison table method. Patients in the control group underwent lower limb functional training, mainly closed-chain rehabilitation training, while the observation group received vestibular electrical stimulation simultaneously during closed-chain functional training. Before treatment and after 2 weeks of treatment, the Fugl-Meyer Motor Function Scale of the Lower Limbs (FMA-LE), Berg Balance Scale (BBS) and Modified Barthel Index (MBI) were used to evaluate the patient’s lower limb motor ability, balance function and daily life ability. The gait analysis system was used to measure the patient’s gait cycle, support phase, swing phase, support phase ratio and walking speed. Results: After 2 weeks of treatment, the scale scores in the two groups were significantly improved as compared with those before treatment (P<0.05). After treatment, the gait cycle and support phase in the control group were significantly improved as compared with those before treatment (P<0.05). The changes in gait cycle, support phase and walking speed in the observation group were statistically significant as compared with those before treatment (P<0.05). The FMA-LE, BBS, and MBI scores in the observation group were better than those in the control group (P<0.05). The observation group was better than the con-trol group in gait cycle, stance phase time and pace change (P<0.05), among which the intra-group and inter-group comparisons of swing phase time changes had no statistical significance. Conclusion: Vestibular function training combined with lower limb closed-chain training improves the balance function and walking ability of stroke patients and is worthy of clinical promo-tion.
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