| Objective: To investigate the effects of rope belt therapy combined with mCIMT on lower limb motor function, balance and activities of daily living in stroke patients.
Methods: Forty-five stroke patients who were hospitalized in the Department of Rehabilitation Medicine of Dalian Seaport Hospital were selected and randomly divided into the control group (n=15 ), the mCIMT group (n=15 ), and the combined group (n=15). The control group only carried out conventional rehabilitation training; on the basis of conventional rehabilitation training, the mCIMT group carried out mCIMT training, and the combined group carried out both rope belt therapy and mCIMT training . All three groups had routine rehabilitation training 60 min/times, 5 times/week; mCIMT training , mCIMT training combined with rope belt therapy intervent on were 30 min/times, 3 times/week (training every 48 h).The intervention period was 6 weeks in all three groups, and the patients were assessed for FMA-LE , foot deviation angle , BBS , MBI before the rehabilitation intervention, and at the second, fourth, and sixth weeks (i.e., T0, T2, T4, and T6) after the intervention, respectively.
Results: After 6 weeks of intervention, the FMA-LE, BBS, and MBI scores of patients in both the combined and mCIMT groups were significantly higher than those before treatment (all P<0.01).After 6 weeks of intervention, the FMA-LE, BBS, and MBI scores improved significantly better in the combined and mCIMT groups than in the control group ( P < 0.05, P < 0.01).After 6 weeks of intervention, FMA-LE and MBI score were significantly higher in the combined group than mCIMT group ( P < 0.05), but there was no significant difference in BBS scores ( P>0.05). There was no interaction between the main effect of foot deviation angle between groups and the main effect of time, and only the main effect of time was statistically significant (F time = 12.914, P < 0.01; F grouping = 0.718, P > 0.05; F interaction = 2.097, P > 0.05).
Conclusions: Based on routine rehabilitation therapy, both mCIMT training and rope belt therapy combined with mCIMT training can effectively improve the lower limb function, balance ability, and activities of daily living (ADL) of stroke patients, but the improvement in foot inversion angle is limited. Rope belt therapy combined mCIMT training has an advantage over mCIMT training in accelerating the recovery of balance ability in stroke patients, and the combined treatment was significantly better than mCIMT training alone in lower limb motor function and ADL; However, after 6 weeks of intervention, the two methods show similar effects on balance ability improvement. |