GUAN Min , CHENG Shuhai , LIU Siwei , MA Hui , GAO Qiang
  • Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
GAO Qiang, Email: gaoqiang_hxkf@163.com
Stroke; Motor learning; Task-oriented circuit therapy; Walking ability
10.7507/1002-0179.202104262
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Objective To explore and verify the effectiveness of task-oriented circuit therapy (TOCT) in rehabilitation training for stroke patients’ walking ability.Methods Sixty patients with stroke were selected from the Department of Neurology and Department of Rehabilitation Medicine of West China Hospital of Sichuan University from September 2019 to December 2020. By envelope method, the patients were randomly divided into the trial group and the control group, with 30 cases in each group. Both groups received routine rehabilitation treatment. The patients in the control group received conventional one-to-one rehabilitation therapy, and the patients in the trial group received TOCT training. The training lasted for 4 weeks. The patients were followed up 3 months after the training. Motor Assessment Scale (MAS) and Functional Ambulation Category Scale (FAC) were used to evaluate the walking ability of the patients before training, at the end of 4 weeks of training (after training) and at the follow-up. SF-36 health survey short form was used to evaluate the quality of life of patients before training and during follow-up.Results Before training, there was no significant difference in gender, age, course of disease, stroke location, walking ability score or SF-36 score between the two groups (P>0.05). After training and at follow-up, the walking ability related scores of the two groups were improved. The trial group was better than the control group (MAS: Z=−3.220, P=0.001; Z=−4.703, P<0.001. FAC: Z=−2.447, P=0.014; Z=−3.249, P=0.001). SF-36 scores of the two groups were improved after 3 months of follow-up. The trial group was better than the control group (Z=−6.674, P<0.001). During the study period, there were no complications or adverse reactions related to rehabilitation training.Conclusions TOCT has a significant effect on rehabilitation training of lower limb function of stroke patients. It has more advantages than conventional rehabilitation training in improving the walking ability and the quality of life of patients.

Citation： GUAN Min, CHENG Shuhai, LIU Siwei, MA Hui, GAO Qiang. The treatment effect of task-oriented circuit therapy for the walking ability disorder in stroke patients with hemiplegia. West China Medical Journal, 2021, 36(6): 764-769. doi: 10.7507/1002-0179.202104262 Copy

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