Analysis on Prognostic Factors on the Walking Ability of Lower Limb Function in Patients with Left Hemiplegia

Objective To explore the associated factors that influence the walking ability of lower limb in patients with hemiplegia and to provide a basis of prognosis for walking ability of lower limb function.Methods Sixty-four stroke patients with left side hemiplegia were received comprehensive rehabilitation regularly for 1 month.The assessment procedure for cognitive function were performed by MMSE(mini-mental status examination) ,LOTCA(Loewenstein Occupational Therapy Cognitive Assessment) ,MI(Motor Impersistence) ,Schenkenberg line bisection test before treatment.Brunnstrom stage,Modifi ed Barthel Index,Berg balance assessment scale(sitting and standing balance) ,Ueda,Bin hemiplegic fi nger function assessment scale,Holden walking function classification were graded for the lower limb function and the walking ability before and after training.The multivariant logistic regression analysis was used to analyze the relationship between those factors and the lower limb function and the walking ability.Results The results showed that the extent of resumption of walking ability of the lower limb was positively correlated with the score of operational thinking ability in LOTCA before treatment and also the standing balance ability in Berg balance scale(P0.01) before training.However,it was negatively correlated with the score of the Motor impersistence and the extent of the attention(P0.01) .Conclusion The ability of operational thinking in LOTCA,the standing balance ability in Berg balance scale,attention ability and the scores of MI before training were helpful in prognosis for the walking ability of the lower limb function in patients with left side hemiplegia.