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Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia
BACKGROUND: Stroke is a common cause of neurological dysfunction, often resulting in hemiplegia. Thus, rehabilitation of limb function in stroke patients is an important step towards accelerating recovery and improving quality of life. AIM: To investigate whether unilateral strength training in hemi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353507/ https://www.ncbi.nlm.nih.gov/pubmed/37469730 http://dx.doi.org/10.12998/wjcc.v11.i19.4531 |
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author | Lu, Yan-Hong Fu, Yi Shu, Jin Yan, Li-Yan Shen, Hai-Jian |
author_facet | Lu, Yan-Hong Fu, Yi Shu, Jin Yan, Li-Yan Shen, Hai-Jian |
author_sort | Lu, Yan-Hong |
collection | PubMed |
description | BACKGROUND: Stroke is a common cause of neurological dysfunction, often resulting in hemiplegia. Thus, rehabilitation of limb function in stroke patients is an important step towards accelerating recovery and improving quality of life. AIM: To investigate whether unilateral strength training in hemiplegic stroke patients could lead to cross-migration, an increase in bilateral muscle strength, and an improvement in lower limb motor function. METHODS: We randomly divided 120 patients with hemiplegic stroke into two groups: Eexperimental and control groups, with 60 patients in each group. Both groups received routine rehabilitation treatment, while the experimental group additionally received ankle dorsiflexion resistance training on the healthy side for 6 wk. We measured the maximum voluntary contract (MVC), changes in surface electromyography (EMG), and the lower limb motor function using the simplified Fugl Meyer Motor Function Assessment Scale (FMA) before and within 1 wk after training. RESULTS: The FMA score in the experimental group improved significantly compared to both their pre-training score and the control group's post-training score (P < 0.05). The integrated EMG of the anterior tibialis muscle and pulmonary intestine muscle in the experimental group were significantly different after training than before (P < 0.05). Furthermore, the MVC of the anterior tibialis muscle on both the healthy and affected sides and the MVC of the pulmonary intestine muscle on both sides showed significant improvement compared with before training and the control group (P < 0.05). CONCLUSION: Our findings suggest that ankle dorsiflexion resistance training on the healthy side in hemiplegic stroke patients can increase strength in the opposite tibialis anterior muscle and antagonist's muscle, indicating a cross-migration phenomenon of strength training. Furthermore, this type of training can also improve lower limb motor function, providing a new exercise method for improving early ankle dorsiflexion dysfunction. |
format | Online Article Text |
id | pubmed-10353507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-103535072023-07-19 Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia Lu, Yan-Hong Fu, Yi Shu, Jin Yan, Li-Yan Shen, Hai-Jian World J Clin Cases Retrospective Study BACKGROUND: Stroke is a common cause of neurological dysfunction, often resulting in hemiplegia. Thus, rehabilitation of limb function in stroke patients is an important step towards accelerating recovery and improving quality of life. AIM: To investigate whether unilateral strength training in hemiplegic stroke patients could lead to cross-migration, an increase in bilateral muscle strength, and an improvement in lower limb motor function. METHODS: We randomly divided 120 patients with hemiplegic stroke into two groups: Eexperimental and control groups, with 60 patients in each group. Both groups received routine rehabilitation treatment, while the experimental group additionally received ankle dorsiflexion resistance training on the healthy side for 6 wk. We measured the maximum voluntary contract (MVC), changes in surface electromyography (EMG), and the lower limb motor function using the simplified Fugl Meyer Motor Function Assessment Scale (FMA) before and within 1 wk after training. RESULTS: The FMA score in the experimental group improved significantly compared to both their pre-training score and the control group's post-training score (P < 0.05). The integrated EMG of the anterior tibialis muscle and pulmonary intestine muscle in the experimental group were significantly different after training than before (P < 0.05). Furthermore, the MVC of the anterior tibialis muscle on both the healthy and affected sides and the MVC of the pulmonary intestine muscle on both sides showed significant improvement compared with before training and the control group (P < 0.05). CONCLUSION: Our findings suggest that ankle dorsiflexion resistance training on the healthy side in hemiplegic stroke patients can increase strength in the opposite tibialis anterior muscle and antagonist's muscle, indicating a cross-migration phenomenon of strength training. Furthermore, this type of training can also improve lower limb motor function, providing a new exercise method for improving early ankle dorsiflexion dysfunction. Baishideng Publishing Group Inc 2023-07-06 2023-07-06 /pmc/articles/PMC10353507/ /pubmed/37469730 http://dx.doi.org/10.12998/wjcc.v11.i19.4531 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Retrospective Study Lu, Yan-Hong Fu, Yi Shu, Jin Yan, Li-Yan Shen, Hai-Jian Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title | Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title_full | Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title_fullStr | Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title_full_unstemmed | Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title_short | Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
title_sort | application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia |
topic | Retrospective Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353507/ https://www.ncbi.nlm.nih.gov/pubmed/37469730 http://dx.doi.org/10.12998/wjcc.v11.i19.4531 |
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