The effect of orbital suspension training on muscle thickness,balance,and walking ability in stroke pa-tients with hemiplegia
10.3969/j.issn.1001-1242.2025.08.008
- VernacularTitle:天轨悬吊训练对脑卒中偏瘫患者肌肉厚度、平衡和步行能力的影响
- Author:
Yanan WANG
1
;
Huilin LIU
;
Ning SUN
Author Information
1. 中国康复研究中心,北京市,100068;首都医科大学康复医学院
- Publication Type:Journal Article
- Keywords:
stroke;
orbital suspension;
muscle thickness;
balance function;
myoseletous ultrasound
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(8):1189-1195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of orbital suspension training on muscle thickness,balance and walking ability in stroke patients with hemiplegia.Method:From October 2023 to January 2025,40 stroke patients with hemiplegia,having a Holden walking function grade of ≥1 and＜3 were randomly divided into a treatment group and a control group,with 20 pa-tients in each group.Both groups received conventional physiotherapy,while the treatment group was received orbital suspension training on this basis for 4 weeks.The Berg balance scale(BBS)and Holden walking func-tion grading were used for efficacy evaluation before and after treatment.Muscle thickness of the bilateral ab-dominal muscle thickness,rectus femoral,tibialis anterior,biceps long head,and medial head thickness of gastrocnemius was measured using musculoskeletal ultrasound.Result:After treatment,the thickness of the external oblique muscles on both sides,the thickness of the rec-tus femoris muscle on the affected side,BBS score,and Holden walking function grading score improved in both groups(P＜0.05).The treatment group showed significant improvement compared to the control group in the thickness of the extemal oblique muscles on both sides,the internal oblique muscle on the affected side,the rectus femoris muscle on the affected side,the tibialis anterior muscle on the unaffected side,and the thickness of rectus femoris muscle to the long head of the biceps femoris muscle(P＜0.05).There was a mod-erate correlation between the difference in thickness of the rectus femoris muscle and the BBS score in both two groups(r:0.592,0.552).In the treatment group,the difference in thickness between the external oblique muscle and the healthy anterior tibialis muscle was related to the difference in BBS score(r:0.467,0.592).In the control group,the difference in thickness both the bilateral transverse abdominis muscles was related to the difference in BBS scores(r:0.581,0.499).Conclusion:Orbital suspension training can effectively improve balance and walking function.It also enhances the thickness of bilateral lateral oblique muscle,rectus femoris on the affected side,tibialis anterior muscle and thickness ratio of the rectus femoris to the biceps femoris on both sides.The change in thickness of rec-tus femoris muscle is related to the improvement of balance function.
