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

Author: Tian Haolin1, Yang Yuanbin1, Zhang Hu2, Zhao Wenjing1, Zhou Jing1, Tian Jingfeng1, H E Long1, L I Xuechao1, Shen Qinxuan1, Shuai Mei3
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.
Conference/Journal: J Tradit Chin Med
Date published: 2024 Jun 1
Other: Volume ID: 44 , Issue ID: 3 , Pages: 530-536 , Special Notes: doi: 10.19852/j.cnki.jtcm.20240322.002. , Word Count: 257

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.

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).

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).

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.

Keywords: Daoyin; lower limb robot; randomized controlled trial; rehabilitation; stroke.

PMID: 38767637 DOI: 10.19852/j.cnki.jtcm.20240322.002