Park Chang-Sik, Kang Kwon-Young
Department of Occupational Therapy, Howon University.
J Phys Ther Sci. 2013 Sep;25(9):1173-5. doi: 10.1589/jpts.25.1173. Epub 2013 Oct 20.
[Purpose] The purpose of this study was to evaluate the functional effects of additional action observational training for functional electrical stimulation treatment on weight bearing, stability and gait velocity of hemiplegic patients. [Subjects and Methods] Twenty subjects were randomized into two groups. Subjects more than six months post-stroke participated. Balance and gait velocity were measured at the baseline, and after six weeks of treatment. Both groups received functional electrical stimulation treatment. The experimental group additionally received action observational training. The paired t-test was used to analyze differences in the outcome measures between before and after the intervention. The difference between the groups was compared using the independent t-test. [Results] The experimental group showed significant increases in weight bearing (anterior·posterior, right·left) on the affected side, stability index and gait velocity. The control group showed only a significant increase in anterior·posterior weight bearing on the affected side. Moreover, according to the comparison of training effects between in the two groups, the variables of anterior·posterior weight bearing, stability index and gait velocity revealed a statistically significant difference. [Conclusion] Additional action observational training for functional electrical stimulation treatment should be considered as a therapeutic method in physical therapy for the improvement of weight bearing, stability index and gait velocity of hemiplegic patients.
[目的] 本研究旨在评估功能性电刺激治疗附加动作观察训练对偏瘫患者负重、稳定性和步速的功能影响。[对象与方法] 20名受试者被随机分为两组。纳入中风后超过6个月的受试者。在基线时以及治疗6周后测量平衡和步速。两组均接受功能性电刺激治疗。实验组额外接受动作观察训练。采用配对t检验分析干预前后结果指标的差异。使用独立t检验比较两组之间的差异。[结果] 实验组患侧(前后、左右)负重、稳定性指数和步速显著增加。对照组仅患侧前后负重显著增加。此外,根据两组训练效果的比较,前后负重、稳定性指数和步速变量显示出统计学上的显著差异。[结论] 功能性电刺激治疗附加动作观察训练应被视为物理治疗中改善偏瘫患者负重、稳定性指数和步速的一种治疗方法。