| 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 admitted to our hospital were randomly assigned into group A (53 cases, undergoing ESWT), group B (53 cases, undergoing 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 BDNF 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 statistically significant difference in all items between the group A and group B. There was no statistically significant difference in the total incidence of adverse events among three groups. Conclusion: ESWT combined with CMT can improve motor function, balance ability, fall efficacy, walking ability, reduce NIHSS, regulate BDNF and Aβ in patients with PSH, without increasing adverse events. |
