体外冲击波疗法联合核心肌群训练对脑卒中后偏瘫患者康复效果的影响OA

Objective:To observe the rehabilitation effect of extracorporeal shock wave therapy(ESWT)combined with core muscle training(CMT)on post-stroke hemiplegia(PSH)patients.Methods:All 159 PSH patients admit-ted to our hospital were randomly assigned into group A(53 cases,undergoing ESWT),group B(53 cases,under-going CMT),and group C(53 cases,undergoing ESWT combined with CMT)via a random number table.The motor function,balance ability and fall efficacy,walking ability,national institutes of health stroke scale(NIHSS),brain-derived neurotrophic factor(BDNF),amyloid beta(Aβ),and adverse events were compared.Results:After therapy,the scores of Fugl-Meyer assessment-upper limb(FMA-UE),FMA-lower limb(FMA-LE),Berg balance scale(BBS),modified fall efficacy scale(MFES),affected foot landing angle,step frequency,step speed,and BD-NF in group C were increased as compared with those in group A and group B(all P<0.05),and the NIHSS and Aβ levels in the group C were lower than those in the group A and group B(all P<0.05).There was no statistical-ly significant difference in all items between the group A and group B.There was no statistically significant differ-ence in the total incidence of adverse events among three groups.Conclusion:ESWT combined with CMT can im-prove motor function,balance ability,fall efficacy,walking ability,reduce NIHSS,regulate BDNF and Aβ in pa-tients with PSH,without increasing adverse events.