To investigate the effect of postural correction on the walking ability of stroke patients.

From April 2018 to October 2020, 60 patients with stroke hemiplegia who received rehabilitation treatment in the Rehabilitation Medicine Department of Baotou Central Hospital were selected and divided into the experimental group (30 cases) and the control group (30 cases) according to the random number table. The control group received conventional rehabilitation, while the experimental group received conventional rehabilitation combined with posture correction. The treatment frequency of the two groups was 40 min/time, once a day, 5 d a week, a total of 4 weeks. The 6-min walking distance (6 MWD) and 10-m walking time (10 MWT) were assessed before treatment and 4 weeks after treatment. The spatial and temporal parameters were measured with gait analyzer, and the changes of sacral tilt angle (SS), pelvic projection angle (PI), and pelvic tilt angle (PT) were compared.

After 4 weeks of treatment, the 6 MWD and 10 MWT of patients in the experimental group were significantly improved compared with those before treatment, and the differences were statistically significant (P<0.05). After 4 weeks of treatment, the spatial parameters measured by gait analyzer in the treatment group were improved more significantly than those in the control group, and the difference was statistically significant (P<0.05). After 4 weeks of treatment, the duration of double support period and the duration of contralateral support period in the two groups were lower than those before treatment, while the duration of contralateral swing period was longer than that before treatment, in addition, the duration of double support period in the experimental group was significantly shortened, and the differences were statistically significant (P<0.05). There was no significant difference in the affected side support, swing period time and the healthy side support, swing period time between the two groups (P>0.05). Four weeks after treatment, the changes of PI, SS and PT in the frontal and lateral spine as well as the frontal pelvis X-ray films were not significantly different between the two groups (P>0.05).

Routine rehabilitation therapy combined with trunk posture adjustment is superior to routine rehabilitation therapy alone in improving motor function of stroke patients with hemiplegia.