Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia
ObjectiveTo observe the kinematic effects of MOTOmed intelligent training system combined with weight support gait training on extensor synergistic hemiplegic gait in stroke patients with hemiplegia.MethodsA total of 90 stroke patients with hemiplegia who were hospitalized in Cangzhou People's...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Editorial Office of Rehabilitation Medicine
2024-06-01
|
| Series: | 康复学报 |
| Subjects: | |
| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03011 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841536870638419968 |
|---|---|
| author | LI Na LIANG Xueqin PAN Fangfang DUAN Yanan ZHANG Xiangyu |
| author_facet | LI Na LIANG Xueqin PAN Fangfang DUAN Yanan ZHANG Xiangyu |
| author_sort | LI Na |
| collection | DOAJ |
| description | ObjectiveTo observe the kinematic effects of MOTOmed intelligent training system combined with weight support gait training on extensor synergistic hemiplegic gait in stroke patients with hemiplegia.MethodsA total of 90 stroke patients with hemiplegia who were hospitalized in Cangzhou People's Hospital from December 2021 to December 2022 were recruited and randomly divided into MOTOmed intelligent training group (control group) and MOTOmed intelligent training system combined with weight-support gait training group (experimental group), with 45 patients in each group. Both groups were treated with routine rehabilitation, supplemented by MOTOmed intelligent training system, including lower limb circumduction exercise training and active mode resistance training. Weight support gait training was added to the experimental group. Weight reduction started from 30% of the body weight, and was reduced to 15% of the body weight or fully weight bearing, according to the patient's physical condition, and the treadmill walking speed was set as 0.2-1.0 m/s. The patients in the two groups were evaluated before and after 4 weeks of treatment. The rehabilitation outcomes of the two groups were compared by using Barthel index, Holden walking function assessment, hemiplegic gait analysis rating scale, Fugl-Meyer assessment lower extremity (FMA-LE) and Berg balance scale (BBS).ResultsAfter 4 weeks of treatment, both groups showed improvements in Barthel Index score, Holden walking function classification, and hemiplegic gait analysis results (<italic>P</italic><0.05). Compared with the control group, after 4 weeks of treatment, the Barthel index score of the experimental group increased (<italic>P</italic><0.05), the percentage of single support period, step speed, step frequency and step length of the affected side increased, and the percentage of double support period decreased (<italic>P</italic><0.05). Compared with those in the group before treatment, the scores of Barthel index, Holden walking function classification, and hemiplegic gait analysis in the two groups improved after treatment (<italic>P</italic><0.05). The Holden walking function classification improved in the experimental group than that in the control group (<italic>P</italic><0.05).The FMA-LE and BBS scores in the experimental group after treatment were higher than those in the control group (<italic>P</italic><0.05).ConclusionMOTOmed intelligent training system combined with weight support gait training can effectively improve the gait and walking ability of hemiplegic patients with extensor synergy after stroke. |
| format | Article |
| id | doaj-art-e27aa1bd1229463698484ef9aff35856 |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-e27aa1bd1229463698484ef9aff358562025-01-14T10:08:57ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282024-06-013428829365666624Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with HemiplegiaLI NaLIANG XueqinPAN FangfangDUAN YananZHANG XiangyuObjectiveTo observe the kinematic effects of MOTOmed intelligent training system combined with weight support gait training on extensor synergistic hemiplegic gait in stroke patients with hemiplegia.MethodsA total of 90 stroke patients with hemiplegia who were hospitalized in Cangzhou People's Hospital from December 2021 to December 2022 were recruited and randomly divided into MOTOmed intelligent training group (control group) and MOTOmed intelligent training system combined with weight-support gait training group (experimental group), with 45 patients in each group. Both groups were treated with routine rehabilitation, supplemented by MOTOmed intelligent training system, including lower limb circumduction exercise training and active mode resistance training. Weight support gait training was added to the experimental group. Weight reduction started from 30% of the body weight, and was reduced to 15% of the body weight or fully weight bearing, according to the patient's physical condition, and the treadmill walking speed was set as 0.2-1.0 m/s. The patients in the two groups were evaluated before and after 4 weeks of treatment. The rehabilitation outcomes of the two groups were compared by using Barthel index, Holden walking function assessment, hemiplegic gait analysis rating scale, Fugl-Meyer assessment lower extremity (FMA-LE) and Berg balance scale (BBS).ResultsAfter 4 weeks of treatment, both groups showed improvements in Barthel Index score, Holden walking function classification, and hemiplegic gait analysis results (<italic>P</italic><0.05). Compared with the control group, after 4 weeks of treatment, the Barthel index score of the experimental group increased (<italic>P</italic><0.05), the percentage of single support period, step speed, step frequency and step length of the affected side increased, and the percentage of double support period decreased (<italic>P</italic><0.05). Compared with those in the group before treatment, the scores of Barthel index, Holden walking function classification, and hemiplegic gait analysis in the two groups improved after treatment (<italic>P</italic><0.05). The Holden walking function classification improved in the experimental group than that in the control group (<italic>P</italic><0.05).The FMA-LE and BBS scores in the experimental group after treatment were higher than those in the control group (<italic>P</italic><0.05).ConclusionMOTOmed intelligent training system combined with weight support gait training can effectively improve the gait and walking ability of hemiplegic patients with extensor synergy after stroke.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03011hemiplegiastrokeweight support gait traininglower limb functionMOTOmed intelligent training |
| spellingShingle | LI Na LIANG Xueqin PAN Fangfang DUAN Yanan ZHANG Xiangyu Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia 康复学报 hemiplegia stroke weight support gait training lower limb function MOTOmed intelligent training |
| title | Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia |
| title_full | Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia |
| title_fullStr | Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia |
| title_full_unstemmed | Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia |
| title_short | Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia |
| title_sort | clinical study of motomed intelligent training system combined with weight support gait training on improving hemiplegic gait of stroke patients with hemiplegia |
| topic | hemiplegia stroke weight support gait training lower limb function MOTOmed intelligent training |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2024.03011 |
| work_keys_str_mv | AT lina clinicalstudyofmotomedintelligenttrainingsystemcombinedwithweightsupportgaittrainingonimprovinghemiplegicgaitofstrokepatientswithhemiplegia AT liangxueqin clinicalstudyofmotomedintelligenttrainingsystemcombinedwithweightsupportgaittrainingonimprovinghemiplegicgaitofstrokepatientswithhemiplegia AT panfangfang clinicalstudyofmotomedintelligenttrainingsystemcombinedwithweightsupportgaittrainingonimprovinghemiplegicgaitofstrokepatientswithhemiplegia AT duanyanan clinicalstudyofmotomedintelligenttrainingsystemcombinedwithweightsupportgaittrainingonimprovinghemiplegicgaitofstrokepatientswithhemiplegia AT zhangxiangyu clinicalstudyofmotomedintelligenttrainingsystemcombinedwithweightsupportgaittrainingonimprovinghemiplegicgaitofstrokepatientswithhemiplegia |