Department of Veterans Affairs Medical Center, Eastern Kansas Health Care System, Topeka, KS, USA.
Int J Neurosci. 2009;119(12):2183-95. doi: 10.3109/00207450903152609.
Adults aged 55 to 80 years participated voluntarily in a wait-list control study during in-patient physical therapy following first stroke. All participants (N = 15) received conventional physical therapy gait training throughout 30 treatment sessions. Rhythmic auditory stimulation (RAS)-enhanced gait training was nested within conventional treatments in three conditions: (1) RAS throughout 30 treatments (N = 5); (2) RAS in the last 20 treatments (N = 5); and (3) RAS in the last 10 treatments (N = 5). Cadence and balance outcome measurements were taken at baseline, and following 10, 20, and 30 treatment sessions. Improvements across time were statistically significant in all conditions for one-limb stance, cadence, velocity, stride length, and posture head tilt with no statistically significant improvements for the Timed Up and Go Test and the Functional Reach Test. Statistically significant gains were made in the one-limb stance and cadence with earlier implementations of RAS. Results of the study demonstrate the feasibility of RAS to enhance gait training that warrants further investigation of the protocol to demonstrate the effects of RAS in stroke rehabilitation.
55 岁至 80 岁的成年人在首次中风后的住院物理治疗期间自愿参加了一项等待名单对照研究。所有参与者（N=15）都在 30 次治疗中接受了常规的物理治疗步态训练。节奏听觉刺激（RAS）增强的步态训练嵌套在常规治疗的三种情况下：（1）在 30 次治疗中全程接受 RAS（N=5）；（2）在最后 20 次治疗中接受 RAS（N=5）；以及（3）在最后 10 次治疗中接受 RAS（N=5）。在基线时和 10、20 和 30 次治疗后测量了步调和平衡结果。在所有条件下，单腿站立、步调和速度、步长和姿势头倾斜的时间都有统计学意义的改善，而计时起立和行走测试和功能性伸展测试没有统计学意义的改善。RAS 的早期实施使单腿站立和步幅有了显著的提高。该研究的结果表明，RAS 增强步态训练是可行的，值得进一步研究该方案，以证明 RAS 在中风康复中的作用。
