Lee Jeonhyeng, Seo Kyochul
Department of Physical Therapy, Daegu Health University, Republic of Korea.
Department of Physical Therapy, Korea Nazarene University, Republic of Korea.
J Phys Ther Sci. 2014 Apr;26(4):517-20. doi: 10.1589/jpts.26.517. Epub 2014 Apr 23.
[Purpose] The purpose of this study was to evaluate the effects of stair walking training on balance ability of chronic stroke patients. [Subjects and Methods] Forty stroke patients were allocated equally and randomly to an experimental group and a control group. The experimental group undertook 30 minutes of training therapy and 30 minutes of walking exercise on stairs with flat surfaces. The control group undertook 30 minutes went of training therapy and 30 minutes of walking exercise on a flat surface. All the participants had five training sessions each week for four weeks. A Biorescue system was used to measure the weight-bearing footprint, anterior length in the limit of stability, posterior length in the limit of stability, surface area ellipse of Romberg, and length of Romberg before and after the training. [Results] With regard to changes in the weight-bearing footprint, the anterior length in the limit of stability, and the posterior length in the limit of stability, there were significant differences on both the paretic and nonparetic sides, and there were also significant differences in the surface area ellipse of Romberg and length of Romberg after the intervention. [Conclusion] The experiment results showed that walking exercise on stairs is effective in enhancing balance performance. The same exercise can be applied to patients with other types of neurological disorders to improve their balance.
[目的]本研究旨在评估上下楼梯训练对慢性脑卒中患者平衡能力的影响。[对象与方法]40例脑卒中患者被平均随机分配至实验组和对照组。实验组进行30分钟的训练治疗以及30分钟在楼梯和平地上的步行锻炼。对照组进行30分钟的训练治疗以及30分钟在平地上的步行锻炼。所有参与者每周进行5次训练，共持续4周。使用生物救援系统测量训练前后的负重足迹、稳定极限前长度、稳定极限后长度、罗姆伯格椭圆面积以及罗姆伯格长度。[结果]在负重足迹、稳定极限前长度和稳定极限后长度的变化方面，患侧和非患侧均存在显著差异，干预后罗姆伯格椭圆面积和罗姆伯格长度也存在显著差异。[结论]实验结果表明，上下楼梯步行锻炼对提高平衡能力有效。同样的锻炼方法可应用于其他类型神经疾病患者以改善其平衡能力。
