| Effect of graded motor imagery combined with core muscle group training on lower limb movement and balance function in stroke patients |
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| DOI：10.3870/zgkf.2026.08.002 |
| EN KeyWords: graded movement imagination core muscle training stroke lower limb motor function balance function |
| Fund Project:安徽省中医药传承创新科研项目(2024CCCX138)；蚌埠医科大学自然科学重点项目(2023byzd250) |
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| EN Abstract: |
| Objective: To investigate the clinical efficacy of graded motor imagery combined with core muscle training on lower limb movement and balance function in stroke patients. Methods: A total of 70 patients with hemiplegia due to stroke were selected and randomly divided into a control group and an observation group (n=35 each) based on disease subtype and disease duration. Both groups received standard rehabilitation training. The control group additionally underwent trunk core muscle training, while the observation group received combined graded motor imagery training. The intervention lasted for 4 weeks. Therapeutic efficacy was assessed using the Fugl-Meyer lower extremity motor function scale (FMA-LE), functional ambulation classification (FAC), Berg balance scale (BBS), modified Barthel index (MBI), lower extremity Brunnstrom staging, and Tinetti gait analysis scale (TGA). Results: After 4 weeks of treatment, both groups showed significant improvements in FAC scores and lower limb Brunnstrom staging compared to baseline (P<0.01), with the observation group demonstrating superior outcomes (P<0.05, 0.01). Additionally, all FMA-LE, BBS, TGA, and MBI scores increased significantly in both groups (P<0.01), with the observation group exhibiting significantly higher values and greater improvement differences (except for MBI) than the control group (P<0.05, 0.01). Conclusion: Graded motor imagery combined with core muscle training is more effective than conventional rehabilitation training alone in improving lower limb motor and balance functions as well as enhancing daily living activities in stroke patients. |
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