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坐立训练在脑卒中患者自我治疗中的应用价值研究

Study on the Usefulness of Sit to Stand Training in Self-directed Treatment of Stroke Patients.

作者信息

Mun Byeong-Mu, Lee Yeon-Seop, Kim Tae-Ho, Lee Ji-Hyun, Sim Sun-Mi, Park In-Mo, Park Jin, Seo Dong-Kwon

机构信息

Department of Rehabilitation Science, Graduate School, Daegu University, Republic of Korea.

Department of Physical Therapy, Daewon University College, Republic of Korea.

出版信息

J Phys Ther Sci. 2014 Apr;26(4):483-5. doi: 10.1589/jpts.26.483. Epub 2014 Apr 23.

DOI:10.1589/jpts.26.483
PMID:24764616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3996404/
Abstract

[Purpose] This study sought to determine the usefulness of sit to stand training in self-directed treatment of stroke patients. It examined the effect that sit to stand training has on balance and functional movement depending on the form of support surfaces. [Subjects and Methods] Thirty stroke patients were randomly sampled and divided into an unstable support surface group (15) and stable support surface group (15). In order to identify the effect depending on the form of support surfaces, 15 minutes of support surface training plus + 15 minutes of free gait training was performed. [Results] The results of the unstable support surface training showed that the corresponding sample t-test results were significant for the 7-item 3-point Berg balance scale, timed Up and Go test, and 6-minute walking test. The independent samples t-test, showed that there were significant outcomes in step length on the affected side, and step length on the unaffected side. [Conclusion] In conclusion, the sit to stand training on stable support surfaces was not as effective as the training using unstable support surfaces, but it is a simple and stable exercise with less risk of falls during training. It can also be performed alone by the patient in order to increase endurance and dynamic balance ability. Therefore, it is considered a useful exercise that can be performed alone by the patient outside the treatment room.

摘要

[目的]本研究旨在确定坐立训练在中风患者自我指导治疗中的效用。它研究了坐立训练根据支撑面形式对平衡和功能运动的影响。[对象与方法]随机抽取30名中风患者,分为不稳定支撑面组(15名)和稳定支撑面组(15名)。为了确定根据支撑面形式的影响,进行了15分钟的支撑面训练加15分钟的自由步态训练。[结果]不稳定支撑面训练的结果表明,相应的样本t检验结果在7项3分伯格平衡量表、计时起立行走测试和6分钟步行测试中具有显著性。独立样本t检验表明,患侧步长和健侧步长有显著结果。[结论]总之,在稳定支撑面上的坐立训练不如使用不稳定支撑面的训练有效,但它是一种简单且稳定的运动,训练期间跌倒风险较小。患者也可以单独进行,以提高耐力和动态平衡能力。因此,它被认为是一种患者可以在治疗室外单独进行的有用运动。

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本文引用的文献

1
Sensory reweighting in controls and stroke patients.感觉再平衡:对照组和脑卒中患者的研究
Clin Neurophysiol. 2013 Apr;124(4):713-22. doi: 10.1016/j.clinph.2012.09.019. Epub 2012 Oct 22.
2
Influence of constrained visual and somatic senses on controlling centre of mass during sit-to-stand.约束视觉和躯体感觉对坐站过程中重心控制中心的影响。
Gait Posture. 2012 May;36(1):90-4. doi: 10.1016/j.gaitpost.2012.01.011. Epub 2012 Mar 30.
3
Balance outcomes after additional sit-to-stand training in subjects with stroke: a randomized controlled trial.平衡训练对脑卒中后患者的影响:一项随机对照试验。
Clin Rehabil. 2010 Jun;24(6):533-42. doi: 10.1177/0269215509360751. Epub 2010 Apr 21.
4
Effect of 6 weeks wobble board exercises on static and dynamic balance of stroke survivors.
Technol Health Care. 2009;17(5-6):387-92. doi: 10.3233/THC-2009-0559.
5
Quantitative analysis of sit to stand movement: experimental set-up definition and application to healthy and hemiplegic adults.从坐到站动作的定量分析:实验装置定义及其在健康和偏瘫成年人中的应用。
Gait Posture. 2008 Jul;28(1):80-5. doi: 10.1016/j.gaitpost.2007.10.003.
6
The effect of foam surface properties on postural stability assessment while standing.站立时泡沫表面特性对姿势稳定性评估的影响。
Gait Posture. 2008 Nov;28(4):649-56. doi: 10.1016/j.gaitpost.2008.04.018. Epub 2008 Jul 7.
7
Cortical and spinal adaptations induced by balance training: correlation between stance stability and corticospinal activation.平衡训练引起的皮质和脊髓适应性:站立稳定性与皮质脊髓激活之间的相关性。
Acta Physiol (Oxf). 2007 Apr;189(4):347-58. doi: 10.1111/j.1748-1716.2007.01665.x.
8
Developing a short form of the Berg Balance Scale for people with stroke.为中风患者开发简短版伯格平衡量表。
Phys Ther. 2006 Feb;86(2):195-204.
9
Balance training following stroke: effects of task-oriented exercises with and without altered sensory input.中风后的平衡训练:有无改变感觉输入的任务导向性练习的效果
Int J Rehabil Res. 2006 Mar;29(1):51-9. doi: 10.1097/01.mrr.0000192100.67425.84.
10
Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke.肌肉力量和负重对称性与中风患者的从坐到站的表现有关。
Gait Posture. 2005 Oct;22(2):126-31. doi: 10.1016/j.gaitpost.2004.08.002.