Original articles

Efficacy of Daoyin combined with lower limb robot as a comprehensive rehabilitation intervention for stroke patients: a randomized controlled trial

  • Haolin TIAN ,
  • Yuanbin YANG ,
  • Hu ZHANG ,
  • Wenjing ZHAO ,
  • Jing ZHOU ,
  • Jingfeng TIAN ,
  • Long HE ,
  • Xuechao LI ,
  • Qinxuan SHEN ,
  • Mei SHUAI
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  • 1 Department of First Rehabilitation, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China
    2 Department of Rehabilitation, Shunyi Hospital, Beijing Traditional Chinese Medicine Hospital, Beijing 101300, China
    3 School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China

Received date: 2023-06-12

  Accepted date: 2023-11-22

  Online published: 2024-03-22

Supported by

Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences: Study on the Scheme of Combining Brain Regulation and Training Techniques with Traditional Chinese Medicine Acupuncture Treatment for Hand Dysfunction After Stroke(CI2021A03010);The 13th Five-Year Project of China Academy of Chinese Medical Sciences: Studying on the Innovative Treatment of Limb Dysfunction after Stroke-Traditional Chinese Medicine Daoyin Combined with Lower Limb Robot Technology(ZZ10-015)

Abstract

OBJECTIVE: To assess the effectiveness of a comprehensive rehabilitation approach combining Traditional Chinese Medicine Daoyin with lower limb robotics during the recovery phase of stroke patients.

METHODS: Stroke patients meeting the specified criteria were randomly assigned to one of four groups using a random number table: Control group, Daoyin group, lower limb robot group (LLR group), and Daoyin and lower limb robot group (DLLR group). Each group received distinct treatments based on conventional rehabilitation training. The treatment duration spanned two weeks with two days of rest per week. Pre- and post-intervention assessments included various scales: Fugl-Meyer Assessment (FMA), Berg balance scale (BBS), Barthel index (BI), Fatigue Scale-14 (FS-14), Pittsburgh sleep quality index (PSQI), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD).

RESULTS: Statistically significant differences were observed in the lower limb function measured by FAM between the Control group (15 ± 5) and the DLLR group (18 ± 5) (P = 0.049). In the Barthel index, a statistically significant difference was noted between the Control group (54 ± 18) and the DLLR group (64 ± 11) (P = 0.041). Additionally, significant differences were found in the Berg balance scale between the Control group (21 ± 10) and the DLLR group (27 ± 8) (P = 0.024), as well as between the Control group (21 ± 10) and the LLR group (26 ± 10) (P = 0.048).

CONCLUSION: The findings of this study suggest that the combined use of Daoyin and robotics not only enhances motor function in stroke patients but also has a positive impact on fatigue, sleep quality, and mood. This approach may offer a more effective rehabilitation strategy for stroke patients.

Cite this article

Haolin TIAN , Yuanbin YANG , Hu ZHANG , Wenjing ZHAO , Jing ZHOU , Jingfeng TIAN , Long HE , Xuechao LI , Qinxuan SHEN , Mei SHUAI . Efficacy of Daoyin combined with lower limb robot as a comprehensive rehabilitation intervention for stroke patients: a randomized controlled trial[J]. Journal of Traditional Chinese Medicine, 2024 , 44(3) : 530 -536 . DOI: 10.19852/j.cnki.jtcm.20240322.002

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