Stroke
Conditions
Interventions
Experimental group:Summative Visual Feedback Taiji Cloud Hand Training
Control Group:Summative Visual Feedback Standing Balance Training
Sponsors
Shanghai Baoshan district Renhe hospital
Eligibility
Sex/Gender
All
Age
40 Years to 70 Years
Inclusion criteria
Inclusion criteria: Scheme 1: 1. Male or female, 40-70 years old, right-handed; 2. that four action of static standing, semi-squatting static Stan, semi-squatting trunk rotation and Taiji cloud hand can be completed according to instructions; 3. Subjects were willing to participate, and signed the informed consent. Scheme 2: 1. Participate voluntarily. The subject can fully understand and cooperate with this examination and is willing to sign the consent form. If the subject is unable to sign because of hemiplegia on the dominant hand side, the informed consent form can be signed by the authorized client after obtaining the consent of the subject; 2. First stroke or previous lacunar infarction without sequelae; 3. According to the diagnostic criteria of stroke revised by the 6th National Academic Conference on Cerebrovascular Disease, and confirmed by brain CT or MRI examination; 4. The course of disease was from 1 week to 6 months, with stable vital signs and no recurrent stroke; 5. The hemiplegic side recovered its motor function in Brunnstrom stage III - V, with standing balance grade 2 and tolerance to standing for 30 min; 6. After education and brief training, the subjects be able to complete static standing, half squat standing, half squat trunk rotation, Taiji cloud hand four movements, and to complete the test and training procedures on the balance instrument. Scheme 3: select the appropriate conditions of early subacute (course of 1 week to 3 months) subjects, the rest of the reference Scheme 2.
Exclusion criteria
Exclusion criteria: Scheme 1: 1. The investigator could not complete the study because of serious underlying diseases; 2. test activity can not be tolerated; 3. Subjects have or have other diseases or injuries (such as joint surgery, pain), which affect limb and trunk activities or sensory, visual and balance functions; 4. The skin was allergic to the electrode patch and could not tolerate the EMG examination; 5. those who are participating in other clinical trials. Scheme 2: 1. Patients with balance dysfunction caused by other intracranial lesions, such as brain tumors, brain trauma, brain parasitic diseases, etc. 2. Vestibular dysfunction, Push syndrome, severe sensory disturbance; 3. Patients with the following diseases: severe lower limb joint disease, arthritis and joint injury, cervical spondylotic myelopathy, lumbosacral spinal canal stenosis, lower limb neuropathy; 4. serious visual and hearing impairment affects the trainees; 5. sensory aphasia (unable to understand the instruction); 6. Severe complications of stroke, such as limb pain, severe pulmonary infection, shoulder-hand syndrome, lower extremity venous embolism, etc; 7. Serious internal diseases, such as heart, liver and kidney failure, malignant tumor and gastrointestinal bleeding; 8. The patients with cognitive impairment, unable to cooperate with the training and examination, and the score of MMSE was lower than 24; 9. The skin was allergic to the electrode patch and could not tolerate the EMG examination; 10. Participants in other clinical trials. Scheme 3: select the appropriate conditions of early subacute (course of 1 week to 3 months) subjects, the rest of the reference Scheme 2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Berg balance function index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Timed Up-and-go Test,TUG;10m Walk Speed Test;motricity index;Modified Barthel Index Scale;Posture map parameter evaluation;Evaluation of EMG parameters in time domain;Core Muscle Strength;Bilateral knee extensor strength;Incidence of falls within 1 year of enrollment; | — |
Countries
China
Contacts
Public ContactPei Song
Shanghai Baoshan district Renhe hospital
Outcome results
None listed