Observation on the therapeutic effect of knee joint 0-30° motion control training in the treatment of hemiplegia after basal ganglia cerebral hemorrhage surgery
Ding Xiaoli
Zhu Can
Liu Xuechun
Wu Yingpeng
Zhou Bin
Abstract：Objective To investigate the clinical efficacy of knee joint 0-30° motion control training in improving functional outcomes among patients with hemiplegia following basal ganglia cerebral hemorrhage surgery.Methods A retrospective analysis was conducted on the medical records of 82 patients with hemiplegia after basal ganglia cerebral hemorrhage surgery.Among them,34 patients were assigned to the conventional group,receiving routine electroacupuncture,physical training,standing bed therapy,and ambulation,without knee joint motion control training.The remaining 48 patients received knee joint motion control training in addition to conventional treatment.Specifically,22 patients underwent knee joint 0-30°motion control training and were categorized as the treatment group,while 26 patients underwent knee joint 0-15° motion control training and were categorized as the control group.After 3 months of treatment,the Fugl-Meyer Assessment(FMA)was used to evaluate changes in lower limb balance,stride length,and gait speed,and the lower limb walking ability was assessed accordingly.At 6 months post-treatment,the modified Rankin Scale(mRS)was employed to assess long-term outcomes.Results Both the treatment and control groups demonstrated superior improvements in lower limb motor function,left-right stride length difference,and gait speed compared to the conventional group after 3 months of treatment.However,the treatment group showed more significant improvements than the control group,with statistically significant differences(P<0.05).At 6 months post-treatment,both groups had better mRS scores than the conventional group,and the treatment group outperformed the control group,with statistically significant differences(P<0.05).Conclusions Knee joint 0-30° motion control training can effectively enhance lower limb motor function and balance in patients with hemiplegia secondary to basal ganglia cerebral hemorrhage,thereby improving their daily living abilities and prognosis.This approach is worthy of clinical promotion.
Keywords：cerebral hemorrhagebasal gangliaknee motor control traininghemiplegiaFugl-Meyer limb motor function score
Publication Date：2023-12-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 127-130 )