Effect of exercise-walking dual-task training on walking function in patients with stroke
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Effect of exercise-walking dual-task training on walking function in patients with stroke
Journal of Chongqing Medical UniversityVol. 47, Issue 1, Pages: 21-25(2022)
作者机构:
华北理工大学护理与康复学院、唐山工人康复医院康复医学科,唐山,063210
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Published:2022,
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Wang Jinzhi, Ji Yuanhong, Song Jinping, et al. Effect of exercise-walking dual-task training on walking function in patients with stroke. [J]. Journal of Chongqing Medical University 47(1):21-25(2022)
DOI:
Wang Jinzhi, Ji Yuanhong, Song Jinping, et al. Effect of exercise-walking dual-task training on walking function in patients with stroke. [J]. Journal of Chongqing Medical University 47(1):21-25(2022)DOI:
Effect of exercise-walking dual-task training on walking function in patients with stroke
Objective:To explore the effect of exercise-walking dual-task training on walking function in patients with stroke. Methods:A total of 56 hemiplegic patients with stroke were randomized into control group(n=27) and experimental group(n=29). The control group was given routine walking training,and the experimental group was given exercise-walking dual-task training as the same time and frequency as the control group. The integrated electromyography(IEMG) of maximal isometric contraction of rectus femoris,biceps femoris,tibialis anterior muscle and gastrocnemius muscle,and the co-contraction rate(CR) of knee flexion,knee extension,ankle dorsiflexion and ankle plantarflexion were recorded before intervention and after 4 weeks of intervention. The single-task walking speed,dual-task walking speed and dual-task walking speed cost(DTC) during 10 m walking test were calculated. Results:A total of 26 cases in the control group and 27 cases in the experimental group completed the study. After 4 weeks of intervention,the IEMG,CR and walking speed of patients in both groups were significantly improved as compared with those before intervention(P<0.01). During knee extension and ankle dorsiflexion,the IEMG of rectus femoris and tibialis anterior muscle in the experimental group was higher than that in the control group(P<0.05),while CR was lower than that in the control group(P<0.05). The walking speed of the experimental group under dual-task was higher than that of the control group(P<0.001),and the DTC was lower than that of the control group(P<0.001). Conclusion:Exercise-walking dual-task training can improve the walking function of patients,and compared with routine walking training,it’s more helpful to the coordination between agonistic muscle and antagonistic muscle of hemiplegic lower limbs.
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