Department of Physical Therapy Education, Elon University, Elon, North Carolina 27244, USA.
Physiother Theory Pract. 2010 Oct;26(7):447-58. doi: 10.3109/09593980903532234.
The purpose of this study is to describe the effects of trunk stabilization training and locomotor training (LT) using body-weight support on a treadmill (BWST) and overground walking on balance, gait, self-reported function, and trunk muscle performance in an adult with severe ataxia secondary to brain injury. There are no studies on the effectiveness of these combined interventions in persons with ataxia. The subject was a 23-year-old male who had a traumatic brain injury 13 months prior. An A-B-A withdrawal single-system design was used. Outcome measures were Berg Balance Test (BBT), timed unsupported stance, Functional Ambulation Category (FAC), 10-meter walk test (10-MWT), Outpatient Physical Therapy Improvement in Movement Assessment Log (OPTIMAL), transverse abdominis (TrA) thickness, and isometric trunk endurance tests. Performance on the BBT, timed unsupported stance, FAC, 10-MWT, and OPTIMAL each improved after 10 weeks of intervention. In additions, TrA symmetry at rest improved as did right side-bridge endurance time. LT, using BWST and overground walking, and trunk stabilization training may be effective in improving balance, gait, function, and trunk performance in individuals with severe ataxia. Further research with additional subjects is indicated.
本研究旨在描述躯干稳定性训练和使用身体重量支持的跑步机（BWST）和地面行走的运动训练（LT）对脑损伤后严重共济失调的成年人平衡、步态、自我报告功能和躯干肌肉性能的影响。目前尚无关于这些联合干预措施在共济失调患者中的有效性的研究。研究对象是一名 23 岁男性，他在 13 个月前因创伤性脑损伤。采用 A-B-A 撤出单系统设计。结果测量指标包括 Berg 平衡测试（BBT）、无支撑站立时间、功能性步行分类（FAC）、10 米步行测试（10-MWT）、门诊物理治疗运动改善评估日志（OPTIMAL）、腹横肌（TrA）厚度和等长躯干耐力测试。干预 10 周后，BBT、无支撑站立时间、FAC、10-MWT 和 OPTIMAL 的表现均有所改善。此外，休息时的 TrA 对称性以及右侧桥接耐力时间也得到了改善。LT，使用 BWST 和地面行走以及躯干稳定性训练可能对改善严重共济失调患者的平衡、步态、功能和躯干性能有效。需要进一步研究更多的受试者。
