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基于跑步机训练的真实世界录像对慢性脑卒中患者平衡和步态的影响:一项随机对照试验。

Effect of treadmill training based real-world video recording on balance and gait in chronic stroke patients: a randomized controlled trial.

机构信息

Department of Physical Therapy, Sahmyook University, Republic of Korea; Department of Physical Therapy, Seoul Bukbu Hospital, Republic of Korea.

出版信息

Gait Posture. 2014;39(1):523-8. doi: 10.1016/j.gaitpost.2013.09.003. Epub 2013 Sep 14.

Abstract

OBJECTIVE

The purpose of this study was to determine the role of treadmill training based real-world video recording (TRWVR) for balance and gait ability in chronic stroke patients.

DESIGN

Thirty chronic stroke patients were randomly assigned to either the TRWVR group (n=15) or the control group (n=15). Both groups participated in a standard rehabilitation program; in addition, the TRWVR group participated in TRWVR for 30 min per day, three times per week, for 6 weeks, and the control group participated in treadmill walking training for 30 min per day, three times per week, for 6 weeks. Balance ability was measured using the Berg Balance Scale (BBS), Timed Up and Go test (TUG) and the postural sway by force platform system. Gait performance was measured using a pressure sensitive walkway.

RESULTS

Significant differences in the time factor for dynamic balance and gait (P<0.05) were observed in the TRWVR and control group, with the exception of static balance. For the group × time interaction, significant improvements in dynamic balance and gait (P<0.05). In the correlation coefficient, no significant correlation was observed between changes in postural sway and other dependent variables.

CONCLUSIONS

Findings of this study demonstrated that the real-world video recording has an effect on dynamic balance and gait in chronic stroke patients when added to treadmill walking.

摘要

目的

本研究旨在确定基于跑步机训练的真实世界视频记录(TRWVR)对慢性脑卒中患者平衡和步态能力的作用。

设计

30 例慢性脑卒中患者被随机分为 TRWVR 组(n=15)和对照组(n=15)。两组均参加标准康复计划;此外,TRWVR 组每天进行 30 分钟的 TRWVR,每周 3 次,共 6 周,对照组每天进行 30 分钟的跑步机步行训练,每周 3 次,共 6 周。平衡能力采用 Berg 平衡量表(BBS)、计时起立行走测试(TUG)和力平台系统的姿势摆动来测量。步态性能采用压力敏感步态分析系统进行测量。

结果

TRWVR 组和对照组的动态平衡和步态时间因素均有显著差异(P<0.05),除静态平衡外。对于组间×时间交互作用,动态平衡和步态均有显著改善(P<0.05)。在相关系数中,姿势摆动的变化与其他因变量之间无显著相关性。

结论

本研究结果表明,在跑步机步行训练的基础上增加真实世界视频记录对慢性脑卒中患者的动态平衡和步态有影响。

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