Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2023; 11(19): 4531-4543
Published online Jul 6, 2023. doi: 10.12998/wjcc.v11.i19.4531
Application of cross-migration theory in limb rehabilitation of stroke patients with hemiplegia
Yan-Hong Lu, Yi Fu, Jin Shu, Li-Yan Yan, Hai-Jian Shen
Yan-Hong Lu, Yi Fu, Jin Shu, Geriatric Rehabilitation Department, Shanghai Jing'an District Shibei Hospital, Shanghai 200040, China
Li-Yan Yan, Hai-Jian Shen, Department of Nursing, Shanghai Jing'an District Shibei Hospital, Shanghai 200040, China
Author contributions: Lu YH and Fu Y contributed equally to this work; Shu J designed the study; Yan LY contributed to the analysis of the manuscript; Shen HJ and Lu YH were involved in the data and writing of this article; All authors have read and approved the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Department of Geriatric Rehabilitation, Shibei Hospital, Jing'an District, Shanghai Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: 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. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hai-Jian Shen, RN, Associate Chief Nurse, Department of Nursing, Shanghai Jing'an District Shibei Hospital, No. 4460 Gonghe Xin Road, Jing'an District, Shanghai 200040, China. lemondeer2001Lyh@163.com
Received: April 6, 2023
Peer-review started: April 6, 2023
First decision: April 19, 2023
Revised: May 8, 2023
Accepted: May 22, 2023
Article in press: May 22, 2023
Published online: July 6, 2023
ARTICLE HIGHLIGHTS
Research background

Stroke-induced hemiplegia has a high incidence rate and is characterized by movement disorders. Rehabilitation of limb function is an essential step for patients' recovery, and resistance training is a promising method to improve muscle strength and motor function.

Research motivation

Rehabilitation care can accelerate stroke patients' recovery time, minimize disability, and improve their quality of life. This study aims to investigate the effectiveness of unilateral strength training in improving lower limb motor function and muscle strength in hemiplegic stroke patients.

Research objectives

The objective of this study is to investigate whether ankle dorsiflexion resistance training on the healthy side can lead to cross-migration of strength, an increase in bilateral muscle strength, and an improvement in lower limb motor function in hemiplegic stroke patients.

Research methods

In this study, 120 hemiplegic stroke patients were randomly divided into two groups. The experimental group received ankle dorsiflexion resistance training on the healthy side for 6 wk, in addition to routine rehabilitation treatment. Both groups were assessed before and after the training using various measures, including EMG and FMA. Statistical analysis was conducted to compare the results between the two groups.

Research results

Ankle training improves post-stroke strength & motor function. Cross-migration phenomenon observed. New exercise method for early dysfunction.

Research conclusions

Ankle training improves strength & motor function in stroke patients.

Research perspectives

Could investigate the long-term effects and optimal duration/frequency of ankle training for stroke patients.