1Department of Physical Therapy, The Graduate School of Daejeon University, Daejeon, Republic of Korea.
Clin Rehabil. 2013 Dec;27(12):1118-25. doi: 10.1177/0269215513501528. Epub 2013 Oct 2.
To investigate the effect of action observational training on walking ability with chronic stroke patients.
A double-blind randomized controlled trial.
Inpatient rehabilitation hospital.
Thirty chronic stroke patients.
Patients in both groups underwent treadmill training for 30 minutes. The action observational training group (n = 15) watched a video of treadmill walking actions taken at various speeds before treadmill training for 10 minutes. The control group (n = 15) watched a nature video unrelated to gait training for the same amount of time. All participants received training five times a week for a period of four weeks.
Timed up and go test, 10-metre walk test, 6-minute walk test and maximal flexed knee angle in the swing phase during walking.
There were significant improvements in timed up and go test (-4.47 vs. -2.47 seconds), 10-m walk test (0.35 vs. 0.16 m/s), 6-minute walk test (93.13 vs. 32.53 m) and maximal flexed knee angle in the swing phase during walking (7.11 vs. 4.58 degrees) in the action observational training group compared with the control group (P < 0.05). Small to huge effect sizes of 1.27, 0.57, 2.34 and 0.37 were observed for timed up and go test, 10-m walk test, 6-minute walk test, and maximal flexed knee angle in the swing phase during walking, respectively.
These results suggest that action observational training is an effective method for improvement of the walking ability in chronic stroke patients.
探讨动作观察训练对慢性脑卒中患者步行能力的影响。
双盲随机对照试验。
住院康复医院。
30 例慢性脑卒中患者。
两组患者均进行 30 分钟跑步机训练。动作观察训练组（n=15）在跑步机训练前观看 10 分钟不同速度的跑步机行走动作视频。对照组（n=15）观看与步态训练无关的自然视频，时间相同。所有患者每周接受 5 次训练，为期 4 周。
计时起坐测试、10 米步行测试、6 分钟步行测试和步行摆动相最大屈膝角度。
与对照组相比，动作观察训练组计时起坐测试（-4.47 秒对-2.47 秒）、10 米步行测试（0.35 米/秒对 0.16 米/秒）、6 分钟步行测试（93.13 米对 32.53 米）和步行摆动相最大屈膝角度（7.11 度对 4.58 度）均有显著改善（P<0.05）。计时起坐测试、10 米步行测试、6 分钟步行测试和步行摆动相最大屈膝角度的效应量分别为 1.27、0.57、2.34 和 0.37，均为小到大。
这些结果表明，动作观察训练是提高慢性脑卒中患者步行能力的有效方法。
