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| Application of the knee joint control training based on Bobath concept framework in rehabilitation of spastic hemiplegia patients |
| FAN Liubo1, JIANG Yiqing1, LIU Baohua2, HAN Wensheng1, LIU Suzhi1, WANG Lingling1, LU Zhan1. |
1.Department of Rehabilitation Medicine, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou, 317000; 2.Department of Rehabilitation Medicine, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
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FAN Liubo,JIANG Yiqing,LIU Baohua, et al. Application of the knee joint control training based on Bobath concept framework in rehabilitation of spastic hemiplegia patients[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(1): 23-28.
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Abstract Objective: To observe the effects of the knee joint control training based on Bobath concept framework intervening on motor control of spastic hemiplegia patients by analyzing the sEMG signals. Methods: Forty-six patients with spastic hemiplegia from July 2013 to December 2014 in Taizhou Hospital Affiliated to Wenzhou Medical University were randomly divided into two groups. There were 23 patients in observation group which were treated by the traditional rehabilitation training and control training of knee joint, and 23 patients in control group which were treated only by the traditional rehabilitation therapy training. Modified Ashworth scale (MAS), clinic spasticity index (CSI) and Fugl-Meyer assessment of lower extremity (FMA-LE) were used as outcome measure pre-training and post-training after 6 weeks by two appointed raters. The electromyography signals were collected by surface electrode and then processed by linear time-and frequency-domain method. Real-time shear wave ultrasound elasticity imaging of vastus lateralis, vastus medialis, rectus femoris and biceps femoris in longitudinal section was performed in therapy group and control group, then the results were compared and analyzed. Results: After treatment for 6 week. Lower FAM-LE scores in both groups were significantly increased, and the lower extremity MAS and CSI in both groups were decreased significantly as compared with those before treatment (P<0.05). More observation in observation group (P<0.05). Longitudinal Young’s modulus values of the vastus lateralis, vastus medialis, rectus femoris and biceps femoris of therapy group were lower than those of control group (P<0.01). Cocontraction ratio were decreased before treatment during knee maximum isometric voluntary contraction (P<0.05), and observation group were more apparently than control group (P<0.05). Conclusion: The knee joint control training based on Bobath concept framework can relieve the muscle tonus, effectively improve stroke patients lower limb function ,and improve the quality of life of spastic hemiplegia patients.
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Received: 15 January 2016
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