The value of Brunnstrom staged training in neurological and physical rehabilitation of elderly patients recovering from stroke
YANG Biao
LIU Xiaodong
ZHANG Run
YU Dabao
Abstract：Objective Observation of the effect of Brunnstrom staged training in neurological and physical rehabilitation of elderly patients recovering from stroke.Methods A total of 102 elderly stroke patients in the recovery phase admitted to Mengcheng County First People's Hospital from January 2021 to February 2024 were enrolled and randomly assigned to two groups using the envelope method.Both groups received conventional Western medical treatments including glycemic control,lipid regulation,anticoagulation,and neuroprotection.The conventional group underwent standard rehabilitation therapy,while the staged training group additionally received Brunnstrom-staged training intervention.Pre-and post-treatment levels of interleukin-6(IL-6),brain-derived neurotrophic factor(BDNF),interleukin-10(IL-10),IL-10),and neuron-specific enolase(NSE)levels before and after treatment.The Fugl-Meyer assessment score,the National Institutes of Health Stroke Scale(NIHSS),the modified fall efficacy scale(MFES),the Stroke-specific Quality of Life(SS-QOL),and the modified Barthel index(MBI)before and after treatment in both groups to statistically evaluate clinical efficacy.Results There were no significant differences in pre-treatment levels of IL-6,IL-10,BDNF,and NSE between the two groups(P>0.05).Post-treatment,both IL-6 and NSE levels decreased compared to pre-treatment in both groups,while BDNF and IL-10 levels increased(Conventional group:t=16.832,-18.214,-21.247,11.286;P<0.05;Staged training group:t=27.491,-25.632,-21.894,13.572;P<0.05).Post-treatment IL-6 levels in the staged training group were lower than those in the conventional group,while IL-10 levels were higher.BDNF and NSE levels showed no significant difference compared to the conventional group(P>0.05).Pre-treatment scores showed no significant differences between groups(P>0.05).Post-treatment Fugl-Meyer upper∕lower limb scores,MFES scores,MBI scores,and SS-QOL scores increased in both groups compared to pre-treatment levels(conventional group:t=-15.732,-16.284,-10.284,-20.4991,-15.732;P<0.05;phased training group t=-23.491,-20.163,-13.894,-24.163,-18.732;P<0.05).Post-treatment scores were higher in the phased training group than in the conventional group(P<0.05).NIHSS scores decreased in both groups post-treatment compared to pre-treatment(conventional group:t=16.832;P<0.05;phased training group:t=18.491;P<0.05),with the phased training group showing lower scores than the conventional group post-treatment(P<0.05).Pre-treatment three-dimensional gait spatiotemporal parameters showed no significant differences between groups(P>0.05);Post-treatment,both groups showed increased gait velocity,cadence,and stride length compared to pre-treatment,while the percentage of double-support phase and the ratio of support time between the unaffected and affected sides decreased(Conventional group:t=-18.491,-12.832,-16.284,10.491,3.894;P<0.05;Staged training group:t=-20.163,-15.732,-21.491,16.832,6.491;P<0.05).Post-treatment gait speed,cadence,and stride length were higher in the staged training group than in the conventional group,while the percentage of double-support phase and the ratio of support time between the unaffected and affected sides were lower than in the conventional group(P<0.05).The total effective rate in the phased training group[92.16％(47∕51)]showed no significant difference compared to the conventional group[80.39％(41∕51)](P>0.05).Conclusion Brunnstrom staged training reduces neurological impairment,improves limb motor function and prevents falls in elderly patients recovering from stroke.
Keywords：brunnstrom staged trainingstrokerecoveryneurological functionlimb motor function
Publication Date：2026-02-28
Online Publishing Date：2026-03-19(First online date of this platform, not the publication date of the document)
Pages：5( 137-141 )