Underwater weight loss gait rehabilitation training method for cerebral apoplexy hemiplegic patient

Abstract

The invention relates to the technical field of rehabilitation medicine and neural motion control, and discloses an underwater weight loss gait rehabilitation training method for a cerebral apoplexy hemiplegic patient, which comprises the following steps: step 1, comprehensively evaluating the condition of the patient before treatment; step 2, preparation work before training; step 3, performing first-stage basic water walking training; step 4, second-stage dynamic balance improvement training; 5, performing third-stage walking speed and coordination control training; step 6, real-time monitoring and emergency processing in training; 7, finishing and recovering after training; according to the steps, on the basis of conventional rehabilitation training, a three-stage in-water weight loss gait training scheme combined with traditional Chinese medicine is supplemented, the gait quality, the balance capacity and the lower limb movement function of the stroke hemiplegia patient can be safely, effectively and comprehensively improved, the physical characteristics of water are fully utilized, and the rehabilitation effect of the stroke hemiplegia patient is improved. And a training environment integrating support, resistance and rich sensory input is provided for the patient.

Description

Technical Field

[0001] This invention relates to the fields of rehabilitation medicine and neuromotor control technology, specifically to a water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients. Background Technology

[0002] Hemiplegia following stroke is a major cause of gait dysfunction in patients. Early, scientific, and effective gait training is crucial for restoring walking ability and improving quality of life. Currently, land-based weight-bearing gait training is a commonly used rehabilitation method, but it has certain limitations: for patients with severe lower limb muscle weakness and poor balance, early weight-bearing may still reinforce abnormal gait patterns, and patients' compliance is poor due to fear of falling; in addition, land-based training has limited effectiveness in reducing muscle tone and providing rich proprioceptive input. Aquatic exercise therapy utilizes the physical properties of water, such as buoyancy, viscosity, and hydrostatic pressure, to provide a unique weight-bearing environment and multi-sensory stimulation, making it a highly promising supplementary rehabilitation method. However, existing aquatic rehabilitation training often focuses on simple walking or joint movements, lacking a structured, systematic training program with clearly defined intensity and difficulty gradients for gait recovery in stroke-induced hemiplegia. It also lacks a standardized process that integrates real-time gait monitoring, safety assurance, and efficacy assessment, thus limiting the accuracy and maximizing the effectiveness of its clinical application. Summary of the Invention (a) Technical problems to be solved

[0003] To address the shortcomings of existing technologies, this invention provides a water-based weight-loss gait rehabilitation training method for stroke patients with hemiplegia. This method has the advantages of a systematic rehabilitation process, a closed-loop safety guarantee, and precise efficacy control. It solves the problems of fragmented processes, insufficient safety control, and inability to make dynamic and personalized adjustments based on quantitative assessments in existing training methods.

[0004] (II) Technical Solution To achieve the above objectives, the present invention provides the following technical solution: a water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients, comprising the following steps: Step 1: Comprehensive assessment of the patient's pre-treatment condition: Collect the patient's pre-treatment information and determine whether the patient meets the training criteria through multi-dimensional assessment; Step 2: Pre-training preparation: Complete the preparation of the environment, equipment and patients, and develop a personalized training plan, setting training goals and intensity gradients in stages; Step 3, Phase 1 Basic Water Walking Training: With the goal of establishing a basic walking pattern, low-intensity water walking helps patients adapt to the water weight loss environment and initially improves walking coordination. Step 4, Second Stage Dynamic Balance Improvement Training: Based on basic walking training, turbine bath stimulation is added to enhance the patient's dynamic balance control ability and further correct abnormal gait; Step 5, Phase 3: Walking speed and coordination control training: By increasing walking speed, incorporating backward walking training, and combining turbine bath stimulation, the patient's walking speed and limb coordination ability are improved. Step Six: Real-time Monitoring and Emergency Handling During Training: Through a multi-dimensional approach combining physiological indicator monitoring, functional parameter collection, visual observation, and subjective feeling inquiry, the patient's physical reaction and training status are monitored throughout the training process, and sudden discomfort is dealt with in a timely manner. Step 7: Post-training cool-down and recovery: Complete post-training physical recovery, condition assessment and recording; Step 8: Follow-up and re-evaluation of treatment effects: Follow-up and comprehensive evaluation are conducted according to the course of treatment, and the training program is adjusted based on the evaluation results.

[0005] Preferably, the comprehensive pre-treatment assessment process in step one is as follows: S1.1 Basic Information and Diagnostic Confirmation: Verify the patient's gender, age, disease course, hemiplegic side, and stroke type. Exclude transient ischemic attack, subarachnoid hemorrhage, and other stroke types that do not meet training criteria. Based on the "Diagnostic and Efficacy Evaluation Criteria for Stroke," conduct a Traditional Chinese Medicine (TCM) syndrome diagnosis, identifying the following six common syndrome types: wind-phlegm obstruction, liver yang hyperactivity, phlegm-heat accumulation in the intestines, qi deficiency and blood stasis, yin deficiency with wind stirring, and yin-yang deficiency. Based on the syndrome differentiation results, administer individualized TCM decoction treatment. S1.2 Functional index assessment: The assessment is carried out from four dimensions: gait parameters, balance ability, lower limb function and walking dependence. At the same time, the traditional Chinese medicine diagnostic methods of observation, auscultation, inquiry and palpation are combined to focus on assessing the tongue quality, tongue coating, pulse and meridian pressure response of the affected limb. S1.3 Contraindications and Risk Screening: Check the patient's vital signs to ensure that the patient's trunk control ability meets the conditions for early weight loss walking training and water exercise training, and exclude patients with significant acute symptoms such as yin deficiency and yang hyperactivity, wind stirring, phlegm-heat accumulation in the intestines, etc., based on traditional Chinese medicine theory.

[0006] Preferably, the pre-training preparation work in step two includes: (1) Environmental preparation: Control the temperature of the water weight loss training room at 24-26℃ and adjust the water temperature to 28-32℃; clean the training area, remove irrelevant obstacles, lay anti-slip mats around the pool, and set up an emergency call button; (2) Equipment preparation: Debug the FM-X underwater weight loss gait training system, check the running status of the treadmill, the turbine bath function, and the water level control system; calibrate the Gait Trainer3 gait testing system; prepare orthotics, functional electrical stimulation equipment and first aid equipment, and at the same time prepare traditional Chinese medicine external treatment aids; (3) Patient preparation: Instruct the patient to change into a special swimsuit and remove jewelry and glasses; assist the patient to urinate and defecate; provide psychological counseling to the patient and explain the principles, procedures and safety of water training; 5 to 10 minutes before training, let the patient warm up at the poolside and move the lower limb joints, and have the rehabilitation therapist perform meridian massage on the main meridians of the Yangming and Shaoyang meridians of the patient's lower limbs.

[0007] Preferably, the first stage of the basic water walking training process in step three is as follows: S2.1 Weight Loss Adjustment: Assist the patient into the training pool, activate the FM-X system's weight loss function, adjust the buoyancy according to the patient's weight, and add a suitable Chinese herbal bath pack to the pool water before the patient enters the water; S2.2 Implementation of gait training: Turn on the treadmill and set the initial speed to 0.45-0.5 km / h. Instruct the patient to stand on the treadmill, hold the handrails of the pool with both hands, keep the trunk upright, and actively exert force with the affected lower limb to walk forward in accordance with the rhythm of the treadmill. The therapist stands in front of or to the side of the patient and guides the patient to correct abnormal gait through verbal instructions.

[0008] S2.3 Training duration and conclusion: Maintain training at the target speed for 8 to 10 minutes, then gradually decelerate to a stop at a rate of 0.08 to 0.1 km / h.

[0009] Preferably, the second stage of the dynamic equilibrium improvement training process in step four is as follows: S3.1 Basic walking transition: Continuing the training mode of the first stage, turn on the treadmill and set the speed to 0.8-1.0km / h, and let the patient walk in the water for 4-5 minutes. During this stage, guide the patient to concentrate their mind on the Yongquan acupoint on the sole of the foot. S3.2 Turbine Bath Stimulation Training: Activate the turbine bath function, adjust the water flow intensity to medium, and let the water flow act on the patient's lower limbs. Guide the patient to maintain a walking state under the stimulation of water flow, and at the same time conduct dynamic balance training. The therapist assists the patient to adjust the body force line through hand assistance. The turbine bath stimulation lasts for 1.8 to 2 minutes. S3.3 Training Consolidation: After turning off the turbine bath, have the patient continue walking at a speed of 0.8-1.0 km / h for 4-5 minutes. The therapist should monitor the patient's stride stability and optimize gait parameters through verbal prompts.

[0010] Preferably, the third stage of the walking speed and coordination control training process in step five is as follows: S4.1 Speed ​​Improvement Training: Turn on the treadmill and set the initial speed to 0.4-0.5 km / h. Guide the patient to walk forward, increasing the speed by 0.08-0.1 km / h every 25-30 seconds until reaching 1.2-1.5 km / h. Maintain walking at the target speed for 4-5 minutes. The therapist assesses coordination ability by observing the symmetry of the patient's stride frequency and stride length. For patients with excessively fast or slow stride frequencies, a metronome is used to assist in adjusting the rhythm to coordinate the upper and lower limbs. S4.2 Turbine bath combined with backward walking training: After walking at a speed of 1.2-1.5 km / h for 4-5 minutes, start the turbine bath and continue stimulating for 1.8-2 minutes. Then reduce the treadmill speed to 0.3-0.5 km / h and guide the patient to turn around and perform backward walking training. During backward walking, the therapist stands in front of the patient, protects the patient's shoulders with both hands, and reminds the patient to land on their heels first and push off with their toes. The backward walking training lasts for 4-5 minutes. When the affected lower limb has difficulty exerting force, the speed should be reduced in time. S4.3 Building Confidence: Before the end of the training, have the patient walk forward at a speed of 0.5-0.8 km / h for 2.5-3 minutes to feel the improvement in walking ability, and the therapist will give the patient encouraging feedback.

[0011] Preferably, the real-time monitoring and emergency response process during training in step six includes: S6.1 Real-time monitoring indicators: Record the patient's target heart rate and blood pressure in the water in a regular manner, observe the patient's facial expressions and limb movements, and ask the patient about their subjective feelings; collect gait parameters in real time, compare the changes in gait speed and stride length before and after training, evaluate the training effect, and determine whether there is a risk of overtraining. S6.2 Emergency Treatment Measures: When the patient complains of fatigue, chest tightness, dizziness and lower limb cramps, immediately stop the treadmill and turbine bath, assist the patient to stand by the pool or sit on the rest chair in the pool, and monitor vital signs; if the symptoms do not improve, start the emergency procedure; if the patient reports feeling fatigued on the second day after training, adjust the training plan for the next day. S6.3 Recording and Feedback: During each training session, detailed records of monitoring data, patient responses, and emergency response procedures should be kept to form a training log, providing a basis for subsequent adjustments to the protocol.

[0012] Preferably, step seven, post-training cleanup and recovery, includes: S7.1 Body preparation: Assist the patient to slowly walk out of the training pool, rinse the body with warm water, dry the skin and change into dry clothes in time, pay attention to keeping warm, and guide the patient to do relaxation training at the poolside for 4 to 5 minutes. S7.2 Status Assessment and Feedback: Ask the patient about their physical feelings after training, assess their balance, record their immediate gait performance after training, communicate with the patient about the advantages and disadvantages of this training, and jointly set small goals for the next training. S7.3, Life Guidance and Recording: Inform the patient to avoid strenuous activity within 1 hour after training, replenish fluids, and maintain a diet high in protein and fiber; enter the detailed data of this training into the electronic medical record system, update the patient's rehabilitation file simultaneously, compare with the baseline data before treatment, and conduct a preliminary assessment of the training effect.

[0013] Preferably, the treatment course follow-up and effect re-evaluation in step eight: S8.1 Follow-up arrangements: Inquire about the patient's physical condition during training breaks, remind the patient to take routine internal medicine medications as prescribed, and compare the results with the pre-treatment assessment; S8.2 Comprehensive Effect Evaluation: After the entire treatment cycle is completed, the same standardized evaluation tools and methods as before treatment are used to systematically evaluate the overall improvement of the patient's limb motor function. S8.3, Program Adjustment and Summary: Organize the training data of the treatment cycle, form a patient rehabilitation report, summarize the effect of water weight loss gait training, and provide a reference for subsequent clinical application.

[0014] Preferably, the method is applicable to hemiplegic patients in the recovery period after stroke who are conscious and have no severe cognitive / speech impairment, have muscle strength of major lower limb muscle groups ≥ grade 2, and have standing balance of grade I or above but are unable to walk independently.

[0015] Compared with existing technologies, this invention provides a water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients, which has the following beneficial effects: 1. This invention achieves the beneficial effect of unifying standardized rehabilitation process with personalized training program by constructing a systematic training framework of assessment-preparation-three-stage training-monitoring-recovery-follow-up. The method is based on comprehensive assessment and takes a three-stage progressive training program with the assistance of traditional Chinese medicine as its core, thereby ensuring full-process rehabilitation from the establishment of basic walking ability to higher-order dynamic balance and coordination control ability, and ultimately effectively overcomes the problems of fragmented process and lack of specificity in traditional training.

[0016] 2. This invention introduces an integrated safety management system that combines multi-dimensional real-time monitoring and graded emergency response, achieving the beneficial effect of maximizing patient safety while increasing training intensity. This method combines target heart rate in water, gait parameters, subjective feelings and intuitive observation, and pre-sets clear handling paths from routine discomfort to emergency situations, forming a closed-loop management of training safety, thereby significantly reducing the risks of water exercise and providing safety guarantees for early rehabilitation intervention. Attached Figure Description

[0017] Figure 1 This is a flowchart of the method of the present invention. Detailed Implementation

[0018] The technical solutions of the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings. Obviously, the described embodiments are only some embodiments of the present invention, and not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those skilled in the art without creative effort are within the scope of protection of the present invention.

[0019] Please see Figure 1 A water-based weight-loss gait rehabilitation training method for stroke patients with hemiplegia includes the following steps: Step 1, comprehensive assessment of the patient's condition before treatment; Step 2, pre-training preparation; Step 3, first stage basic water walking training; Step 4, second stage dynamic balance improvement training; Step 5, third stage walking speed and coordination control training; Step 6, real-time monitoring and emergency treatment during training; Step 7, post-training cool-down and recovery; Step 8, follow-up and re-evaluation of treatment effects.

[0020] Specifically, the comprehensive pre-treatment assessment process in step one is as follows: S1.1 Basic Information and Diagnostic Confirmation: Verify the patient's gender, age, course of illness, hemiplegic side, and stroke type (cerebral infarction / cerebral hemorrhage). Refer to the "Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke in China (2023 Edition)" and the "Guidelines for the Prevention and Treatment of Cerebrovascular Diseases in China (2024 Edition)" to confirm the diagnosis. Exclude transient ischemic attacks, subarachnoid hemorrhage, and other stroke types that do not meet training criteria. Based on the "Diagnostic and Efficacy Evaluation Criteria for Stroke," conduct a TCM syndrome diagnosis, identifying the following six common syndrome types: wind-phlegm obstruction, liver yang hyperactivity, phlegm-heat accumulation in the intestines, qi deficiency and blood stasis, yin deficiency and wind stirring, and yin and yang deficiency. Based on the syndrome differentiation results, provide individualized TCM decoction treatment, as detailed in Table 1 below: Table 1 Traditional Chinese Medicine Syndrome treatment Representative prescription drugs Addition and subtraction suggestions Wind-phlegm obstructing the meridians Dispels wind and resolves phlegm, unblocks meridians and relieves spasms Modified Banxia Baizhu Tianma Decoction Adding silkworm pupae and scorpions can enhance the effects of clearing the meridians and relieving spasms. Liver Yang Rising Calm the liver and subdue yang, clear heat and extinguish wind Modified Tianma Gouteng Decoction Adding abalone shell and mother-of-pearl enhances the calming and tranquilizing effect. Phlegm-heat in the viscera Clears heat and resolves phlegm, promotes bowel movement and relieves heat Modified Xinglou Chengqi Decoction Adding Scutellaria baicalensis and Gardenia jasminoides clears heat, while hemp seed moistens the intestines and promotes bowel movement. Qi deficiency and blood stasis Invigorating Qi and promoting blood circulation, removing blood stasis and unblocking collaterals Modified Buyang Huanwu Decoction Adding Salvia miltiorrhiza and Spatholobus suberectus enhances blood circulation and unblocks meridians. Yin deficiency and wind stirring Nourishing Yin and Subduing Yang, Calming Wind and Unblocking the Meridians Modified Zhengan Xifeng Decoction Adding tortoise shell and turtle shell nourishes yin and subdues yang. Yin and Yang deficiency Nourishing Yin and Yang, harmonizing Yin and Yang Modified Rehmannia Decoction Adding deer antler glue and epimedium warms and tonifies kidney yang. Note: All Chinese herbal prescriptions should be individually adjusted by a qualified TCM practitioner based on the patient's specific constitution, tongue and pulse appearance, and complications. One dose should be taken daily, decocted in water and warm, for a course of treatment of 2 weeks. Adjustments can be made according to changes in the condition. S1.2 Functional Indicator Assessment: The assessment is conducted from four dimensions: gait parameters, balance ability, lower limb function, and degree of gait dependence. Simultaneously, it incorporates the four diagnostic methods of Traditional Chinese Medicine (inspection, auscultation, inquiry, and palpation), focusing on assessing the tongue body, tongue coating, pulse characteristics (such as wiry, slippery, and thready pulses), and the meridian pressure response of the affected limb; details are as follows: S1.2.1. The Gait Trainer3 gait testing and training system is used to detect gait parameters such as patient walking speed, affected side step length, affected side step width, and gait frequency, and to record abnormal gait manifestations (such as foot drop and circling gait). S1.2.2. Use the Berg Balance Scale (BBS) to assess balance ability, focusing on the patient's performance in 14 actions, including sitting-to-standing transfer, standing on one leg, and standing with eyes closed. Calculate the total score (56 points in total, a score below 40 points indicates a risk of falling). S1.2.3. Assess lower limb function using the Fugl-Meyer Lower Limb Motion Scale (FMA-L), scoring 17 items across 7 dimensions including reflex activity, joint range of motion, and active movement (out of 34 points) to determine lower limb muscle strength (must reach level 2 or above) and motor control ability. S1.2.4. Based on the Holden Walking Functional Scale (FAC), determine the patient's degree of walking dependence (must be unable to walk independently, i.e., FAC grade ≤ 3). S1.3 Contraindications and Risk Screening: Check the patient's vital signs (blood pressure, heart rate, respiration) to confirm that blood pressure is well controlled; inquire about medical history to exclude severe cognitive impairment, mental disorders, history of epilepsy, hydrophobia, failure of vital organ function, lower extremity bone and joint diseases, infectious diseases, and urinary and fecal incontinence according to the exclusion criteria; assess trunk control ability; The advantages are: through the above contraindications and risk screening, it can ensure that the patient's standing balance reaches level I or above, which meets the conditions for early weight loss walking training and water exercise training. In addition, based on the theory of traditional Chinese medicine, patients with significant acute symptoms such as yin deficiency and yang hyperactivity, wind stirring, phlegm-heat accumulation in the intestines, etc., are excluded.

[0021] Specifically, the pre-training preparations in step two include: (1) Environmental preparation: The temperature of the water weight loss training room is controlled at 24-26℃, and the water temperature is adjusted to 28-32℃ (in line with the comfortable temperature range of hydrotherapy). Ensure that the water quality (pH value, bacterial content) meets the medical water standards; clean the training area, remove irrelevant obstacles, lay anti-slip mats around the pool, and set up an emergency call button. (2) Equipment preparation: Debug the FM-X water weight loss gait training system, check the running status of the treadmill (speed adjustment range 0.3~1.5km / h), turbine bath function (intensity adjustable), water level control system (adjust the water level according to the patient's height, generally up to 2~3cm below the patient's xiphoid process, to ensure weight loss effect without affecting breathing); calibrate the Gait Trainer3 gait testing system to ensure accurate parameter detection; prepare orthotics (such as foot and ankle orthotics), functional electrical stimulation equipment (used when auxiliary training is needed) and emergency equipment (blood pressure monitor, blood glucose meter, oxygen inhalation device, emergency medicines); (3) Patient preparation: Instruct the patient to change into a special swimsuit and remove jewelry (such as necklaces, bracelets), glasses and other items; assist the patient to complete the urination and defecation to avoid discomfort during training; provide psychological counseling to the patient, explain the principles, procedures and safety of water training, and relieve tension and fear of water; 5 to 10 minutes before training, let the patient do a simple warm-up at the poolside (such as knee flexion and extension training, ankle flexion and extension training) to move the lower limb joints.

[0022] The advantages are: by taking meticulous and targeted preparatory measures for the environment, equipment, and patients, it is possible to completely eliminate safety hazards in training, effectively reduce adverse risks, ensure that training equipment is accurately adapted to the needs of patients, and guarantee the scientific nature of the training process. At the same time, the above preventive measures also help to optimize the patient's physical and mental state before training, improve their compliance with training and training effect, and lay a solid foundation for the smooth implementation and achievement of training results.

[0023] Specifically, the first stage of step three involves basic water walking training: S2.1 Weight Loss Adjustment: Assist the patient into the training pool, activate the FM-X system's weight loss function, and adjust the buoyancy according to the patient's weight (generally a weight loss of 30% to 50%) to ensure that the patient's lower limbs can easily support the body while maintaining body stability; S2.2. Walking Training Implementation: Turn on the treadmill and set the initial speed to 0.45–0.5 km / h. Instruct the patient to stand on the treadmill, lightly holding onto the handrails (or with the therapist's assistance), keeping the torso upright, and actively using the affected leg to walk forward in rhythm with the treadmill. The therapist, positioned in front of or to the side of the patient, uses verbal instructions (such as "lift the affected leg" or "adjust stride width") to guide the patient in correcting abnormal gait (e.g., avoiding toe-dropping and reducing circling movements). Observe the patient's adaptation every 3–5 minutes of training. If there is no discomfort, gradually increase the treadmill speed in increments of 0.08–0.1 km / h until reaching 0.8–1.0 km / h (adjust according to the patient's tolerance, ensuring no fatigue or chest tightness occurs). S2.3 Training Duration and Conclusion: Maintain training at the target speed (0.8-1.0 km / h) for 8-10 minutes, then gradually decelerate at an increment of 0.08-0.1 km / h until stopping; During training, monitor the patient's target heart rate in the water every 2-3 minutes (maintain at 60%-70% of the maximum heart rate, maximum heart rate = 220 - age), and record gait performance during walking (such as stride length symmetry and gait frequency stability).

[0024] The advantages are: through the above-mentioned step-by-step, closely monitored training process, an adaptive entry can be achieved under the premise of safety. This process can not only use the weight loss system to establish a stable lower limb support foundation for patients, but also ensure that the training intensity always matches the patient's real-time tolerance through the low starting point, small amplitude and frequent observation speed adjustment strategy. While effectively activating the muscle strength of the affected side, it can also eliminate the fatigue and compensation patterns that are common in the early training of patients, laying a scientific and safe exercise foundation for subsequent rehabilitation.

[0025] Specifically, the second stage of step four involves dynamic equilibrium improvement training: S3.1 Basic walking transition: Continuing the training mode of the first stage, turn on the treadmill and set the speed to 0.8-1.0km / h. Let the patient walk in the water for 4-5 minutes. During this stage, guide the patient to concentrate on the Yongquan acupoint on the sole of the foot, feel the changes in buoyancy and center of gravity in the water, adjust the posture with the mindset of "standing in the water", fully activate the lower limb muscles, and adapt to the training rhythm. S3.2 Turbine Bath Stimulation Training: Activate the turbine bath function and adjust the water flow intensity to a moderate level (the patient should feel the impact of the water flow but not feel discomfort). Allow the water flow to act on the patient's lower limbs (focusing on the knee and ankle joints) to enhance proprioceptive input. Instruct the patient to maintain a walking posture under water flow stimulation, while performing dynamic balance training (such as shifting weight from side to side and gently swaying the body forward and backward). The therapist assists by gently supporting the patient's waist to help the patient adjust their body alignment and avoid imbalance. The turbine bath stimulation lasts for 1.8 to 2 minutes. During this time, closely observe the patient's balance. If significant swaying occurs, promptly reduce the water flow intensity or pause the training.

[0026] S3.3 Training Consolidation: After turning off the turbine bath, have the patient continue walking at a speed of 0.8-1.0 km / h for 4-5 minutes to strengthen the walking pattern under dynamic balance control. The therapist should focus on the patient's stride width stability (avoiding stride width that is too large or too small) and optimize gait parameters through verbal prompts (such as "keep your feet shoulder-width apart").

[0027] The advantage is that, through the closed-loop design of steady-state walking – turbine bath disturbance – re-steady-state consolidation described above, the ability to progress from static stability to dynamic balance can be achieved. This process cleverly utilizes the water flow impact of the turbine bath as an unpredictable disturbance factor to efficiently stimulate the patient's lower limb proprioception in a safe environment, forcing the central nervous system to integrate sensory information and adjust postural control in real time. Combined with the therapist's manual assistance and verbal cues, it effectively trains the patient's ability to maintain body alignment and stride width stability during dynamic activities, ultimately improving the patient's anti-interference ability and balance function during walking.

[0028] Specifically, the third stage of step five involves training in walking speed and coordination control: S4.1 Speed ​​Improvement Training: Turn on the treadmill and set the initial speed to 0.4-0.5 km / h. Guide the patient to walk forward, increasing the speed by 0.08-0.1 km / h every 25-30 seconds until reaching 1.2-1.5 km / h (adjust according to the patient's tolerance; if shortness of breath or lower limb weakness occurs, stop increasing the speed); maintain walking at the target speed for 4-5 minutes. The therapist assesses coordination ability by observing the patient's cadence (normal adult cadence is about 90-120 steps / minute) and stride length symmetry, and adjusts the rhythm with the help of a metronome (set target cadence) for patients with excessively fast or slow cadence. S4.2 Turbine Bath and Backward Walking Combined Training: After walking at a speed of 1.2-1.5 km / h for 4-5 minutes, start the turbine bath (intensity consistent with the second stage) and continue stimulating for 1.8-2 minutes. Then reduce the treadmill speed to 0.3-0.5 km / h and guide the patient to turn around and perform backward walking training. During backward walking, the therapist stands in front of the patient, protects the patient's shoulders with both hands to prevent falling backward, and reminds the patient to land on their heel first and push off with their toes to avoid dragging the toes of the affected side. The backward walking training lasts for 4-5 minutes. During this period, observe the patient's gait stability. If the patient has difficulty exerting force on the affected lower limb, reduce the speed in time.

[0029] S4.3 Building Confidence: Before the end of the training, have the patient walk forward at a speed of 0.5-0.8 km / h for 2.5-3 minutes to feel the improvement in walking ability (such as faster walking speed and longer stride). The therapist gives the patient encouraging feedback (such as "Your walking speed is faster than last time, which is a great improvement") to enhance the patient's confidence in rehabilitation.

[0030] The advantages are: through the above-mentioned multi-dimensional, challenging and supportive composite training strategy, the walking efficiency and neuromuscular coordination can be comprehensively improved. This process combines progressive speed increase, forward walking under turbine bath interference and more difficult regression training, comprehensively challenging the patient's cadence, stride length control and multitasking ability. Finally, through deceleration review and positive feedback, not only can the patient's training results be consolidated, but also the patient's rehabilitation confidence can be greatly enhanced, ultimately achieving dual optimization of the patient's motor function and psychological state.

[0031] Specifically, step six involves real-time monitoring and emergency response during training: S6.1 Real-time monitoring indicators: Record the patient's target heart rate and blood pressure in the water every 1.5 to 2 minutes (if available); observe the patient's facial expressions (e.g., whether they are frowning or in pain), limb movements (e.g., whether they have muscle stiffness or gait disorder), and ask about their subjective feelings (e.g., whether they are tired, have chest tightness, dizziness, or lower limb soreness); use the Gait Trainer3 system to collect gait parameters in real time, compare the changes in gait speed and stride length before and after training, assess the training effect, and determine whether there is a risk of overtraining. At the same time, observe the patient's complexion. When changes in TCM syndromes such as flushed face and red eyes (liver yang hyperactivity) or pale complexion (qi deficiency and blood deficiency) occur, be alert and assess the training intensity. S6.2 Emergency Treatment Measures: When a patient complains of fatigue, chest tightness, dizziness, and lower limb cramps, immediately stop the treadmill and turbine bath. Assist the patient to stand by the pool or sit on a rest chair in the pool, and monitor vital signs. If symptoms persist (e.g., dizziness lasting more than 5 minutes, or significantly elevated blood pressure), initiate the emergency procedure, transfer the patient to shore in a wheelchair, administer oxygen, measure blood glucose (to rule out hypoglycemia), and contact the emergency department for consultation if necessary. If the patient reports feeling fatigued the day after training, adjust the training plan for the following day (e.g., reduce treadmill speed, shorten training time, or switch to training every other day). For those experiencing lower limb cramps (called "cramps" in Traditional Chinese Medicine) during training, immediately stop treatment and administer acupuncture to relieve pain if necessary. S6.3 Recording and Feedback: During each training session, record the monitoring data (heart rate, blood pressure, gait parameters), patient reactions, and emergency treatment in detail to form a training log, which will provide a basis for subsequent program adjustments. The training log should also record the patient's tongue coating and pulse changes on the same day, as well as any TCM-related symptoms that appear during the training.

[0032] The advantages are: through the integrated safety management system of monitoring, evaluation, decision-making, and feedback, a life safety guarantee and risk control mechanism covering the entire training process is constructed. This process closely combines subjective feelings, objective indicators, and intelligent system monitoring to achieve early identification and rapid response to the risks of overtraining and abnormal situations. Its clearly defined emergency procedures and detailed training logs ultimately ensure that patients can be given the most appropriate treatment in any situation, and provide accurate data support for the individualized and dynamic adjustment of rehabilitation programs, fundamentally guaranteeing the safety and sustainability of patients' rehabilitation training.

[0033] Specifically, step seven, post-training cool-down and recovery, includes: S7.1 Body preparation: Assist the patient to slowly walk out of the training pool, rinse the body with warm water (avoid sudden changes in water temperature), dry the skin and change into dry clothes in time, pay attention to keeping warm (especially the lower limbs and shoulders) to prevent catching a cold; guide the patient to do relaxation training (ankle stretching) at the poolside for 4-5 minutes to relieve muscle tension and reduce delayed onset muscle soreness, and use Chinese herbal liniments (such as safflower oil, liniment) to gently massage the main muscle groups of the affected lower limb and the Yangming and Shaoyang meridians to relax muscles and unblock meridians; S7.2 Status Assessment and Feedback: Inquire about the patient's physical feelings after training (such as whether there is muscle soreness or joint discomfort), use a simplified version of the BBS scale (select two items: sitting-to-standing transfer and standing on one leg) to quickly assess balance status, and record the immediate gait performance after training (such as whether the patient can walk to the rest area independently); communicate with the patient about the advantages and disadvantages of this training (such as "the balance was very good when walking backwards today, but the walking speed can be improved"), and jointly set small goals for the next training (such as "try to increase the speed to 1.3km / h next time").

[0034] S7.3, Life Guidance and Recording: Inform the patient to avoid strenuous activity within one hour after training, drink an appropriate amount of warm water (to replenish fluids), and maintain a diet high in protein and fiber (to promote muscle repair); enter detailed data of this training (training duration, speed, turbine bath intensity, monitoring indicators, patient response) into the electronic medical record system, update the patient's rehabilitation file simultaneously, compare with the baseline data before treatment, preliminarily assess the training effect, and provide individualized traditional Chinese medicine treatment. For example, for Qi deficiency and blood stasis syndrome, Buyang Huanwu Decoction is recommended; for phlegm and obstruction syndrome, a decoction of Pinellia ternata, Atractylodes macrocephala, and Gastrodia elata is used to promote rapid functional recovery. Based on the principles of TCM syndrome differentiation and treatment, combined with the patient's post-training condition and changes in constitution, the TCM intervention plan is further refined as shown in Table 2 below: Table 2 Certificate type Post-training performance characteristics (reference) treatment Recommended prescription Phlegm-blood stasis syndrome Heaviness and numbness in the limbs, dark tongue with greasy coating, and slippery or choppy pulse. Resolves phlegm, removes blood stasis, unblocks meridians, and relieves pain Modified Wendan Decoction combined with Xuefu Zhuyu Decoction The syndrome of empty collaterals and wind evil entering the body Muscle atrophy on the paralyzed side, susceptibility to colds, sweating and aversion to wind, pale tongue with thin white coating. Tonify Qi and strengthen the exterior, dispel wind and unblock the meridians Jade Screen Powder Combined with Qianzheng Powder (with modifications) Heart and Spleen Deficiency Syndrome After training, symptoms included palpitations, shortness of breath, significant fatigue, loss of appetite, pale tongue with a thin white coating. Nourishes the heart and spleen, replenishes blood and calms the mind Modified Gui Pi Tang Kidney essence deficiency syndrome Long-term hemiplegia, unsteady gait, soreness and weakness in the lower back and knees, tinnitus and forgetfulness, pale red tongue with little coating Tonifies the kidneys and replenishes essence, benefits marrow and strengthens the brain Modified Zuogui Wan or Bushen Yisui Tang Internal stirring of liver wind, with lingering pathogenic factors not yet cleared. Occasionally, after training, symptoms such as limb twitching, dizziness, irritability, red tongue with a thin yellow coating may occur. Calms the liver and extinguishes wind, clears heat and soothes the mind. Modified Lingjiao Gou Teng Decoction Note: (1) All Chinese herbal prescriptions should be individually adjusted by physicians with Chinese medicine practice qualifications based on the patient's tongue appearance, pulse appearance, constitution and training response; (2) It is recommended to take a warm Chinese herbal decoction within 30 minutes after training to facilitate drug absorption and muscle repair; (3) For those who take anticoagulants (such as warfarin) for a long time, blood-activating drugs (such as danshen and chuanxiong) should be used with caution to avoid the risk of bleeding.

[0035] The advantages are: through the above-mentioned systematic end process and holistic care measures, a smooth transition from training to daily life and the extension of rehabilitation benefits can be achieved. This process can not only effectively prevent common post-exercise complications (such as catching a cold, muscle stiffness and soreness) through body cleaning, keeping warm and active stretching, but also help patients consolidate training results and build confidence in rehabilitation through real-time status assessment and positive feedback. At the same time, guidance is extended to the details of life (diet, drinking water) and medical records are improved, forming a complete closed loop of training-recovery-life-record, which fully reflects the integrity and continuity of the rehabilitation service of this invention, and maximizes the promotion of physical recovery and maintains long-term training compliance.

[0036] Specifically, step eight involves follow-up treatment and re-evaluation of the effects: S8.1 Follow-up Arrangement: The training course lasts for 8 weeks, with 5 training sessions per week, 1 session per day, 30 minutes each time (water training duration); a telephone follow-up will be conducted once a week to inquire about the patient's physical condition during the training period (such as muscle soreness, sleep quality, and daily activity ability), reminding the patient to take routine internal medicine medications as prescribed and avoid self-adjustment of medication or receiving other rehabilitation therapies; an on-site assessment will be conducted every 4 weeks (twice in total, at weeks 4 and 8 of treatment), comparing the results with the pre-treatment assessment. S8.2 Comprehensive Effect Evaluation: After the completion of the entire treatment cycle, the same standardized assessment tools and methods as before treatment will be used to systematically evaluate the overall improvement of the patient's limb motor function, as detailed below. A TCM syndrome score assessment will also be conducted again, comparing the changes in scores before and after treatment to comprehensively evaluate the regulatory effect on the patient's overall Qi, blood, Yin, and Yang balance while improving gait function. S8.2.1 Gait parameters: The Gait Trainer3 system was used to re-detect gait speed, affected side stride length, affected side stride width, and gait frequency. The data before treatment, half of the treatment cycle, and the whole treatment cycle were compared to analyze the degree of gait improvement (such as the percentage increase in gait speed and the improvement in stride length symmetry). S8.2.2 Balance function: Re-evaluate using the BBS scale, analyze the change in total score, and determine whether the risk of falling has decreased (e.g., from below 40 points to above 40 points). S8.2.3 Lower limb motor function: The FMA-L scale is used to assess the improvement of muscle strength and motor control ability (e.g., from 0 points to more than 30 points) by comparing the scores before and after treatment. S8.2.4 Walking function: Based on the FAC scale, assess the changes in the patient's walking dependence (e.g., from FAC level 2 to FAC level 4, achieving independent walking on a flat surface). S8.3, Program Adjustment and Summary: Based on the evaluation results after the treatment course, when the patient's gait parameters, balance, and walking function significantly improve (e.g., BBS score improvement ≥10 points, FMA-L score improvement ≥5 points, FAC grade improvement ≥1 level), the frequency of water weight-loss training should be gradually reduced (e.g., changed to 3 times / week), and land walking training should be increased; when the improvement is not obvious, the reasons should be analyzed (e.g., insufficient training intensity, poor patient compliance), and the training program should be adjusted (e.g., increasing treadmill speed, extending turbine bath time); the training data of the treatment cycle should be compiled to form a patient rehabilitation report, summarizing the effect of water weight-loss gait training, providing a reference for subsequent clinical application, and the report should include an analysis of the efficacy of integrated traditional Chinese and Western medicine, clarifying the TCM pathogenesis that needs to be emphasized in the next stage of rehabilitation (e.g., continuing to focus on promoting blood circulation and removing blood stasis, or shifting to focusing on strengthening the spleen and replenishing qi).

[0037] The advantages are: through a systematic evaluation system that combines process monitoring and endpoint assessment with quantitative data and functional performance verification, the objective quantification of rehabilitation efficacy and the dynamic and precise control of treatment plans are achieved. This process, through regular follow-up and standardized mid-term and end-term assessments, constructs a closed-loop management system for the entire treatment course, ensuring timely tracking of patient progress and identification of potential problems. It uses internationally recognized scales and objective equipment data for multi-dimensional efficacy verification, making the efficacy judgment scientific and credible. Based on these data results, it clearly provides quantitative indicators and specific pathways for adjusting the plan (such as frequency reduction or reinforcement), thereby ensuring that the entire rehabilitation plan is scientific, personalized, and sustainable, truly realizing modern rehabilitation management based on evidence and guided by patient outcomes.

[0038] Specifically, the method of the present invention is applicable to hemiplegic patients in the recovery period of stroke (1-3 months of illness), who are conscious and have no severe cognitive / speech impairment, have muscle strength of major lower limb muscle groups ≥ grade 2, and have standing balance of grade I or above but cannot walk independently.

[0039] In summary, this invention, through rigorous randomized controlled trials, demonstrates that, on the basis of conventional rehabilitation training, supplementing it with the aforementioned three-stage aquatic weight-loss gait training program combined with traditional Chinese medicine can safely and effectively improve the gait quality, balance, and lower limb motor function of stroke patients with hemiplegia. Its therapeutic effect is significantly superior to conventional rehabilitation training alone. This program fully utilizes the physical properties of water, providing patients with a training environment that combines support, resistance, and rich sensory input. It is an efficient and appropriate rehabilitation treatment technique for achieving early gait function reconstruction after stroke.

[0040] Although embodiments of the invention have been shown and described, it will be understood by those skilled in the art that various changes, modifications, substitutions and alterations can be made to these embodiments without departing from the principles and spirit of the invention, the scope of which is defined by the appended claims and their equivalents.

Claims

1. A water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients, characterized in that, Includes the following steps: Step 1: Comprehensive assessment of the patient's pre-treatment condition: Collect the patient's pre-treatment information and determine whether the patient meets the training criteria through multi-dimensional assessment; Step 2: Pre-training preparation: Complete the preparation of the environment, equipment and patients, and develop a personalized training plan, setting training goals and intensity gradients in stages; Step 3, Phase 1 Basic Water Walking Training: With the goal of establishing a basic walking pattern, low-intensity water walking helps patients adapt to the water weight loss environment and initially improves walking coordination. Step 4, Second Stage Dynamic Balance Improvement Training: Based on basic walking training, turbine bath stimulation is added to enhance the patient's dynamic balance control ability and further correct abnormal gait; Step 5, Phase 3: Walking speed and coordination control training: By increasing walking speed, incorporating backward walking training, and combining turbine bath stimulation, the patient's walking speed and limb coordination ability are improved. Step Six: Real-time Monitoring and Emergency Handling During Training: Through a multi-dimensional approach combining physiological indicator monitoring, functional parameter collection, visual observation, and subjective feeling inquiry, the patient's physical reaction and training status are monitored throughout the training process, and sudden discomfort is dealt with in a timely manner. Step 7: Post-training cool-down and recovery: Complete post-training physical recovery, condition assessment and recording; Step 8: Follow-up and re-evaluation of treatment effects: Follow-up and comprehensive evaluation are conducted according to the course of treatment, and the training program is adjusted based on the evaluation results.

2. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The comprehensive pre-treatment assessment process for patients in step one is as follows: S1.1 Basic Information and Diagnostic Confirmation: Verify the patient's gender, age, disease course, hemiplegic side, and stroke type. Exclude transient ischemic attack, subarachnoid hemorrhage, and other stroke types that do not meet training criteria. Based on the "Diagnostic and Efficacy Evaluation Criteria for Stroke," conduct a Traditional Chinese Medicine (TCM) syndrome diagnosis, identifying the following six common syndrome types: wind-phlegm obstruction, liver yang hyperactivity, phlegm-heat accumulation in the intestines, qi deficiency and blood stasis, yin deficiency with wind stirring, and yin-yang deficiency. Based on the syndrome differentiation results, administer individualized TCM decoction treatment. S1.2 Functional index assessment: The assessment is carried out from four dimensions: gait parameters, balance ability, lower limb function and walking dependence. At the same time, the traditional Chinese medicine diagnostic methods of observation, auscultation, inquiry and palpation are combined to focus on assessing the tongue quality, tongue coating, pulse and meridian pressure response of the affected limb. S1.3 Contraindications and Risk Screening: Check the patient's vital signs to ensure that the patient's trunk control ability meets the conditions for early weight loss walking training and water exercise training, and exclude patients with significant acute symptoms such as yin deficiency and yang hyperactivity, wind stirring, phlegm-heat accumulation in the intestines, etc., based on traditional Chinese medicine theory.

3. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The pre-training preparations in step two include: (1) Environmental preparation: Control the temperature of the water weight loss training room at 24-26℃ and adjust the water temperature to 28-32℃; clean the training area, remove irrelevant obstacles, lay anti-slip mats around the pool, and set up an emergency call button; (2) Equipment preparation: Debug the FM-X underwater weight loss gait training system, check the running status of the treadmill, the turbine bath function, and the water level control system; calibrate the Gait Trainer3 gait testing system; prepare orthotics, functional electrical stimulation equipment and first aid equipment, and at the same time prepare traditional Chinese medicine external treatment aids; (3) Patient preparation: Instruct the patient to change into a special swimsuit and remove jewelry and glasses; assist the patient to urinate and defecate; provide psychological counseling to the patient and explain the principles, procedures and safety of water training; 5 to 10 minutes before training, let the patient warm up at the poolside and move the lower limb joints, and have the rehabilitation therapist perform meridian massage on the main meridians of the Yangming and Shaoyang meridians of the patient's lower limbs.

4. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The first stage of basic water walking training in step three: S2.1 Weight Loss Adjustment: Assist the patient into the training pool, activate the FM-X system's weight loss function, adjust the buoyancy according to the patient's weight, and add a suitable Chinese herbal bath pack to the pool water before the patient enters the water; S2.2 Implementation of gait training: Turn on the treadmill and set the initial speed to 0.45-0.5 km / h. Instruct the patient to stand on the treadmill, hold the handrails of the pool with both hands, keep the trunk upright, and actively exert force with the affected lower limb to walk forward in accordance with the rhythm of the treadmill. The therapist stands in front of or to the side of the patient and guides the patient to correct abnormal gait through verbal instructions. S2.3 Training duration and conclusion: Maintain training at the target speed for 8 to 10 minutes, then gradually decelerate to a stop at a rate of 0.08 to 0.1 km / h.

5. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The second stage of the dynamic equilibrium improvement training process in step four: S3.1 Basic walking transition: Continuing the training mode of the first stage, turn on the treadmill and set the speed to 0.8-1.0km / h, and let the patient walk in the water for 4-5 minutes. During this stage, guide the patient to concentrate their mind on the Yongquan acupoint on the sole of the foot. S3.2 Turbine Bath Stimulation Training: Activate the turbine bath function, adjust the water flow intensity to medium, and let the water flow act on the patient's lower limbs. Guide the patient to maintain a walking state under the stimulation of water flow, and at the same time conduct dynamic balance training. The therapist assists the patient to adjust the body force line through hand assistance. The turbine bath stimulation lasts for 1.8 to 2 minutes. S3.3 Training Consolidation: After turning off the turbine bath, have the patient continue walking at a speed of 0.8-1.0 km / h for 4-5 minutes. The therapist should monitor the patient's stride stability and optimize gait parameters through verbal prompts.

6. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The third stage of step five involves training in walking speed and coordination control. S4.1 Speed ​​Improvement Training: Turn on the treadmill and set the initial speed to 0.4-0.5 km / h. Guide the patient to walk forward, increasing the speed by 0.08-0.1 km / h every 25-30 seconds until reaching 1.2-1.5 km / h. Maintain walking at the target speed for 4-5 minutes. The therapist assesses coordination ability by observing the symmetry of the patient's stride frequency and stride length. For patients with excessively fast or slow stride frequencies, a metronome is used to assist in adjusting the rhythm to coordinate the upper and lower limbs. S4.2 Turbine bath combined with backward walking training: After walking at a speed of 1.2-1.5 km / h for 4-5 minutes, start the turbine bath and continue stimulating for 1.8-2 minutes. Then reduce the treadmill speed to 0.3-0.5 km / h and guide the patient to turn around and perform backward walking training. During backward walking, the therapist stands in front of the patient, protects the patient's shoulders with both hands, and reminds the patient to land on their heels first and push off with their toes. The backward walking training lasts for 4-5 minutes. When the affected lower limb has difficulty exerting force, the speed should be reduced in time. S4.3 Building Confidence: Before the end of the training, have the patient walk forward at a speed of 0.5-0.8 km / h for 2.5-3 minutes to feel the improvement in walking ability, and the therapist will give the patient encouraging feedback.

7. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: The real-time monitoring and emergency response process during training in step six: S6.1 Real-time monitoring indicators: Record the patient's target heart rate and blood pressure in the water in a regular manner, observe the patient's facial expressions and limb movements, and ask the patient about their subjective feelings; collect gait parameters in real time, compare the changes in gait speed and stride length before and after training, evaluate the training effect, and determine whether there is a risk of overtraining. S6.2 Emergency Treatment Measures: When the patient complains of fatigue, chest tightness, dizziness and lower limb cramps, immediately stop the treadmill and turbine bath, assist the patient to stand by the pool or sit on the rest chair in the pool, and monitor vital signs; if the symptoms do not improve, start the emergency procedure; if the patient reports feeling fatigued on the second day after training, adjust the training plan for the next day. S6.3 Recording and Feedback: During each training session, detailed records of monitoring data, patient responses, and emergency response procedures should be kept to form a training log, providing a basis for subsequent adjustments to the protocol.

8. The water-based weight-loss gait rehabilitation training method for stroke hemiplegic patients according to claim 1, characterized in that: Step seven, post-training recovery and rehabilitation, includes: S7.1 Body preparation: Assist the patient to slowly walk out of the training pool, rinse the body with warm water, dry the skin and change into dry clothes in time, pay attention to keeping warm, and guide the patient to do relaxation training at the poolside for 4 to 5 minutes. S7.2 Status Assessment and Feedback: Ask the patient about their physical feelings after training, assess their balance, record their immediate gait performance after training, communicate with the patient about the advantages and disadvantages of this training, and jointly set small goals for the next training. S7.3, Life Guidance and Recording: Inform the patient to avoid strenuous activity within 1 hour after training, replenish fluids, and maintain a diet high in protein and fiber; enter the detailed data of this training into the electronic medical record system, update the patient's rehabilitation file simultaneously, compare with the baseline data before treatment, and conduct a preliminary assessment of the training effect.

9. A method for water-based weight-loss gait rehabilitation training for stroke hemiplegic patients according to claim 1, characterized in that: Step eight involves follow-up treatment and re-evaluation of efficacy. S8.1 Follow-up arrangements: Inquire about the patient's physical condition during training breaks, remind the patient to take routine internal medicine medications as prescribed, and compare the results with the pre-treatment assessment; S8.2 Comprehensive Effect Evaluation: After the entire treatment cycle is completed, the same standardized evaluation tools and methods as before treatment are used to systematically evaluate the overall improvement of the patient's limb motor function. S8.3, Program Adjustment and Summary: Organize the training data of the treatment cycle, form a patient rehabilitation report, summarize the effect of water weight loss gait training, and provide a reference for subsequent clinical application.

10. A method for water-based weight-loss gait rehabilitation training for stroke hemiplegic patients according to claim 1, characterized in that: The method is applicable to hemiplegic patients in the recovery period after stroke who are conscious and have no severe cognitive / speech impairment, have muscle strength of major lower limb muscle groups ≥ grade 2, and have standing balance of grade I or above but cannot walk independently.

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