康复学报 (Jun 2024)
Clinical Study of MOTOmed Intelligent Training System Combined with Weight Support Gait Training on Improving Hemiplegic Gait of Stroke Patients with Hemiplegia
Abstract
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 (P<0.05). Compared with the control group, after 4 weeks of treatment, the Barthel index score of the experimental group increased (P<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 (P<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 (P<0.05). The Holden walking function classification improved in the experimental group than that in the control group (P<0.05).The FMA-LE and BBS scores in the experimental group after treatment were higher than those in the control group (P<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.
