Effects of postural control training on plantar pressure, balance function and walking improvement in patients with cerebral stroke complicated by hemiplegia
Abstract：Objective To observe the effects of postural control training on plantar pressure,balance function and walking improvement in patients with cerebral stroke complicated by hemiplegia.Methods A total of 120 patients with cerebral stroke complicated by hemiplegia were randomly divided into observation group and control group,with 60 patients in each group.The patients in control group were treated by conventional rehabilitation therapy,however,the patients in observation group,on the basis of control group,were treated by postural control training,90min once,three times a week,a total of 20 times treament for both groups.Then the foot sole pressure,balance function and walking function were observed and compared between two groups.Results After treatment,the peak pressure of front half foot and back half foot in unaffected side in observation group was significantly lower than that in control group[front half foot:(158.52 ± 56.71) N vs (218.83 ± 73.35) N,P ＜ 0.05:back half foot:(257.36 ± 85.45) N vs (311.47 ± 97.33) N,P ＜ 0.05].The peak pressure of front half foot and back half foot in affected side in observation group was significantly lower than that in control group [front half foot:(85.35 ± 37.62) N vs (133.49 ± 66.23) N,P ＜ 0.05;back half foot:(159.84 ± 59.16) N vs (186.52 ± 74.37) N,P ＜ 0.05].Moreover the average pressure of the front half foot and back half foot in unaffected side in observation group was significantly lower than that in control group[front half foot:(54.13 ± 14.58)％ vs (73.57 ± 18.25)％,P ＜ 0.05;back half foot:(67.46 ±17.36)％ vs (88.75 ±20.87)％,P＜ 0.05].However the average pressure of the front half foot and back half foot of in affected side in observation group was significantly higher than that in control group[front half foot:(49.51 ± 16.98) ％ vs (37.72 ± 20.34) ％,P ＜ 0.05;back half foot:(53.37 ±12.38)％ vs(44.63 ±15.47)％,P＜ 0.05].In addition the PASS scores in observation group were significantly higher than those in control group[(33.9 ± 2.6) vs (31.2 ± 2.7),P ＜ 0.05],but the elliptic trajectory length in observation group was significantly shorter than that in control group[(160.5 ±65.5)mm vs(241.2 ± 71.3)mm,P ＜ 0.05],and the elliptical area in observation group was significantly less than that in control group [(169.5 ± 34.5) mm2 vs (184.3 ± 42.7) mm2,P ＜ 0.05].The ratio of elliptic trajectory length/elliptical area in observation group was significantly lower than that in control group[(0.9 ±0.2) vs(1.3 ±0.2),P ＜ 0.05].The TUGT was decreased significantly in both groups [observation group:(20.6 ± 4.5) s vs (14.7 ± 3.4) s,control group:(21.8 ± 3.7) s vs (18.3 ± 4.2) s,P ＜ 0.05],moreover,which in observation group was significantly lower than that in control group (P ＜ 0.05).Besides the 6-minute walk test scores were increased significantly in both groups [observation group:(216.98 ±99.99) mvs (291.76 ± 96.70) m,control group:(207.53 ± 114.06) m vs (241.84 ± 90.29) m,P ＜ 0.05],moreover,which in observation group were significantly higher than those in control group (P ＜ 0.05).Conclusion The postural control training can obviously improve balance function and walking function in patients with cerebral stroke complicated by hemiplegia.
Keywords：cerebral strokeposture control trainingbalance functionwalking function
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 389-392,396 )