Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (3): 86-91.doi: 10.6040/j.issn.1671-7554.0.2020.1611

Previous Articles    

Application of progressive core stability training in 30 stroke patients

DAI Yong1, YIN Xinwei1, HUANG Huai2, Xin Ranran2, LI Xinya2, QIAN Qiwen2, YE Yunxia2   

  1. 1. Guangzhou University of Chinese Medicine, Guangzhoug 510405, Guangdong, China;
    2. Department of Hyperbaric Oxygen&
    Rehabilitation, General Hospital of Southern Theatre Command, Guangzhou 510010, Guangdong, China
  • Published:2021-04-06

Abstract: Objective To explore the effects of progressive core stability training(PCST)on the pulmonary rehabilitation of stroke patients. Methods The clinical data of 60 stroke patients were retrospectively analyzed. The patients were divided into the core stability training group(CST group, n=30)and PCST group(n=30). Pulmonary function data were assessed with portable lung function tester; trunk function and quality of life were assessed with Berg Balance Scale, Trunk Disorder Scale and Modified Barthel Index; incidences of adverse events such as falls, sprains and pressure sores were recorded. Results There were no significant differences in the general data, respiratory function index, BBS, TIS and MBI scores between the two groups before treatment(P>0.05). After 6 weeks of treatment, the key respiratory function index, BBS, TIS and MBI scores improved significantly in both groups(P<0.05). Intergroup comparison showed the PCST group had more significant improvement than the CST group in MIP [(68.04±8.11)vs(62.46±8.41)cmH2O], PEF [(7.48±0.44)vs(6.91±0.20)L/min], BBS [(45.44±5.65)vs(38.69±5.12)], TIS [(16.81±2.48)vs(15.35±2.07)] and MBI [(70.04±5.72)vs(62.00±8.18)](P<0.05). There were no adverse events during training in either groups. Conclusion Able to improve patients respiratory function, motor function and quality of life, PCST is more effective in promoting pulmonary rehabilitation of stroke patients, and is worth popularizing in clinical practice.

Key words: Progressive core stability training, Stroke, Pulmonary rehabilitation, Lung function, Motor function

CLC Number: 

  • R493
[1] Feigin VL, Nguyen G, Cercy K, et al. Global, regional, and country-specific lifetime risks of stroke,1990 and 2016 [J]. N Engl J Med, 2018, 379(25): 2429-2437.
[2] 中国脑卒中防治报告编写组.《中国脑卒中防治报告》概要[J]. 中国脑血管病杂志, 2020, 17(5): 272-281.
[3] Lyons OD, Ryan CM. Sleep apnea and stroke [J]. Can J Cardiol, 2015, 31(7): 918-927.
[4] Duncan F, Kutlubaev MA, Dennis MS, et al. Fatigue after stroke: a systematic review of associations with impaired physical fitness [J]. Int J Stroke, 2012, 7(2): 157-162.
[5] Report on stroke prevention and treatment in china writing group. Brief report on stroke prevention and treatment in china, 2019 [J]. Chin J Cerebrovasc Dis, 2020, 17(5): 272-281.
[6] 王晨, 王人卫, 杨坚, 等. 核心稳定性训练结合常规康复治疗对脑卒中患者躯干肌肉厚度, 活动度的分析[J]. 中国康复医学杂志, 2019, 34(9): 1065-1070.
[7] HE Nashar, AE Wishy, H Helmy, et al. Do core stability exercises improve upper limb function in chronic stroke patients [J]. J Neurol Neurosurg Psychiatry, 2019, 55(49): 1-9.
[8] Lee K, Park D, Lee G. Progressive respiratory muscle training for improving trunk stability in chronic stroke survivors: a pilot randomized controlled trial [J]. J Stroke Cerebrovasc Dis. 2019, 28(5): 1200-1211.
[9] 王新德. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[10] 国家卫生健康委员会, 国家中医药管理局. 新型冠状病毒肺炎诊疗方案试行第八版[J].中国医药, 2020, 15(10): 1494-1499. General Office of National Health Commission of the Peoples Republic of China,Office of National Administration of Traditional Chinese Medicine.Diagnosis and treatment of corona virus disease-19(8th trial edition)[J]. China Medicine, 2020, 15(10): 1494-1499.
[11] 戴勇, 黄怀. 呼吸肌训练在脑卒中患者肺康复中的应用进展[J]. 中华脑科疾病与康复杂志电子版, 2020, 10(1): 48-52. DAI Yong, HUANG Huai. Application and progress of respiratory muscle training in stroke patients with pulmonary rehabilitation [J]. Chin J Brain Dis Rehabil(Electronic Edition), 2020,10(1): 48-52.
[12] Naghavi FS, Koffman EE, Lin B, et al. Post-stroke neuronal circuits and mental illnesses [J]. Int J Physiol Pathophysiol Pharmacol, 2019,11(1): 1-11.
[13] Spruit MA, Singh SJ, Garvey C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation [J]. Am J Respir Crit Care Med, 2013, 188(8): 13-64.
[14] Alqahtani AS, Alajam R, Eickmeyer SM, et al. Feasibility and trend of pulmonary function in a pilot trial of aerobic walking exercise in non-ambulatory stroke survivors [J]. Top Stroke Rehabil, 2020, 27(3): 190-198.
[15] Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients [J]. Neurorehabil Neural Repair, 2017, 31(3): 240-249.
[16] Bergmark A. Stability of the lumbar spine. A study in mechanical engineering [J]. Acta Orthop Scand Suppl, 1988, 60(2): 1-54.
[17] Panjabi M.The stabilizing system of the spine part I. function, dysfunction, adaptation, and enhancement [J]. J Spinal Disord, 1992, 5(4): 383-389.
[18] Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb [J]. Phys Ther, 1997, 77(2): 132-144.
[19] Kibler WB, Press J, Sciascia A. The role of core stability in athletic function [J]. Sports Med, 2006, 36(3): 189-198.
[20] 刘永芳, 齐林, 张晓菁, 等. 高压氧联合核心稳定性训练治疗恢复期脑卒中患者的疗效观察[J]. 中华物理医学与康复杂志, 2020, 42(2): 143-145. LIU Yongfang, QI Lin, ZHANG Xiaojing, et al. Observation on the effect of hyperbaric oxygen combined with core stability training in the treatment of patients with stroke in recovery period [J]. Chinese Journal of Physical Medicine and Rehabilitation, 2020, 42(2): 143-145.
[21] Van Criekinge T, Truijen S, Schroder J, et al. The effectiveness of trunk training on trunk control, sitting and standing balance and mobility post-stroke: a systematic review and meta-analysis [J]. Clin Rehabil, 2019, 33(6): 992-1002.
[22] 刘婷婷, 雷梦杰, 金昌德. 核心稳定性训练对脑卒中患者康复效果的系统评价及试验序贯分析[J]. 临床与病理杂志, 2019, 39(1): 110-119. LIU Tingting, LEI Mengjie, JIN Changde. Effectiveness of core stability exercise for rehabilitation of stroke patients with hemiplegia: a systematic review with trial sequential analysis [J]. Journal of Clinical and Pathological Research, 2019, 39(1): 110-119.
[23] Bae SH, Lee HG, Kim YE, et al. Effects of trunk stabilization exercises on different support surfaces on the crosssectional area of the trunk muscles and balance ability [J]. J Phys Ther Sci, 2013, 25(6): 741-745.
[24] De Luca A, Squeri V, Barone LM, et al. Dynamic stability and trunk control improvements following robotic balance and core stability training in chronic stroke survivors: a pilot study [J]. Front Neurol, 2020, 17(11): 494.
[25] Cohen E, Mier A, Heywood P, et al. Diaphragmatic movement in hemiplegic patients measured by ultrasonography [J]. Thorax, 1994, 49(9): 890-895.
[26] Yoon HS, Cha YJ, You JSH. Effects of dynamic core-postural chain stabilization on diaphragm movement, abdominal muscle thickness, and postural control in patients with subacute stroke: A randomized control trial [J]. Neuro Rehabilitation, 2020, 46(3): 381-389.
[27] Son MS, Jung DH, You JH, et al. Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy [J]. Neuro rehabil, 2017, 41(4): 739-746.
[28] Yoon HS, Cha YJ, You JSH. The effects of dynamic core-postural chain stabilization on respiratory function, fatigue and activities of daily living in subacute stroke patients: A randomized control trial [J]. Neuro Rehabilitation, 2020, 47(4): 471-477.
[1] WANG Jichuan, LIU Ruihong, LI Dongzhi, XUE Fuzhong. Application of the geographical weighted regression model to explore the cause of stroke [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 88-94.
[2] LI Min, WANG Chunxia, XIA Bing, ZHU Qian, SUN Yuanying, WANG Shukang, XUE Fuzhong, JIA Hongying. A stroke prediction model for the health management population [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(6): 93-97.
[3] LI Fan, SHANG Wei. Clinical predictors of remote lesions for patients with acute ischemic stroke [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 61-64.
[4] QU Lixin, SHI Xinghua, DU Yifeng. Relationship between circulating platelets microparticles and endothelial microparticls and prognosis in patients with acute ischemic stroke [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(12): 32-36.
[5] CHEN Haili, GU Jiaoyang, ZHANG Wenjing, YUAN Linran, ZHENG Juan, YUAN Zhongrui. Involvement of canonical Wnt pathway in postischemic angiogenesis in a rat model of ischemic stroke [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 31-36.
[6] ZHENG Juan, LI Zheng, ZHANG Wenjing, YUAN Linran, FAN Shubo, LIU Yugang, YUAN Zhongrui. Role of Caveolin-1 in postischemic angiogenesis in a rat model of ischemic stroke [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(10): 16-20.
[7] WU Qian1, DING Qi-cui2, SONG Guo-dong1, WANG Wei1. Clinical aspects and prognostic factors of senile chronic-onset post-stroke pneumonia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(5): 75-79.
[8] CAI Yi, LONG Fa-qing, ZENG Chao-sheng, SU Qing-jie, WU Hai-rong, WU Ying-man, LI Peng-xiang, ZHOU Jing-xia,WANG De-sheng, ZHANG Yu-hui . Status and influencing factors of secondary prevention of ischemic stroke in patients with hypertension [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(3): 76-79.
[9] CHEN Jin1, QI Zhen-hua1, JIANG Hong1, ZHANG Can-can1, JIANG Ping-yin2, DANG Hong-mei2, ZHAO Peng2, ZHANG Hong-jing1. Type D personality in patients with hemiplegic stroke in the rehabilitation phase [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(2): 104-.
[10] ZHOU Xiao-ying1,2, HOU Xin-guo1,2, SONG Jun1,2, DENG Nan1,2, XIAO Fang1,2, WANG Mei-jian, LIU Ji-dong1,2, YANG Jun-peng1,2, CHEN Li1,2. The influence of stress hyperglycemia on the recovery of
daily living activity in stroke patients
[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(5): 5-.
[11] ZHANG Tong-xia1, YAN Chuan-zhu1, ZHAO Xiu-he1, CHI Ling-yi2. Clinical and neuroimaging features of patients with
middle cerebral artery stenosis
[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2012, 50(11): 75-78.
[12] JI Xiao-wei1,2, BI Jian-zhong1. Expression of fibroblast growth factor 2 in the brain of post stroke depression rats [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(9): 30-.
[13] LI Hong-hao,LIU Shu-ping,YAN Chuan-zhu,LI Wei,ZHAO Yu-ying,WU Jin-ling,LI Da-nian. Clinical features and central nerve imaging analysis in mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 998-1001.
[14] YANG Bing,ZHANG Xiu-qing,TANG Ji-you,SONG Yun,SUN Qin-jian. Effects of electric stimulation on recovery of motor function and expressions of Nogo-A and Nogo receptor after acute cerebral infarction in rats [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 931-935.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!