水中物理治疗对改善中风幸存者平衡能力和身体对称性的影响。
Effects of aquatic physiotherapy on the improvement of balance and corporal symmetry in stroke survivors.
作者信息
Montagna Jéssica Cristine, Santos Bárbara C, Battistuzzo Camila R, Loureiro Ana Paula C
机构信息
Department of Physical Therapy, School of Health and Bioscience, Pontifical Catholic University of Paraná Curitiba, Brazil.
Departament of Medicine, Royal Melborne Hospital, University of Melborne Victoria, Melborne, Australia.
出版信息
Int J Clin Exp Med. 2014 Apr 15;7(4):1182-7. eCollection 2014.
INTRODUCTION
One of the main problems associate with hemiparesis after stroke is the decrease in balance during static and dynamic postures which can highly affect daily life activities.
OBJECTIVE
To assess the effects of aquatic physiotherapy on the balance and quality of life (SS-QoL) of people with pos stroke.
METHODS
Chronic stroke participants received at total 18 individual sessions of aquatic physiotherapy using the principle of Halliwick (2x of 40 minutes per week). The outcomes measured were: Berg Balance scale, Timed up & go test (TUG), Stroke Specific Quality of Life Scale (SS-QoL) and baropodometric analysis. These assessment were performed before and one week after intervention.
RESULTS
Fifteen participants were included in this study. The mean age was 58.5 and 54% was male. After intervention, participants had a significant improvement on their static balance measured by Berg Balance scale and TUG. Dynamic balance had a significant trend of improvement in mediolateral domain with eyes closed and during sit-to-stand. The mobility domain of the SS-QoL questionnaire was significant higher after intervention.
CONCLUSIONS
Our results suggest that aquatic physiotherapy using the method of Halliwick can be a useful tool during stroke rehabilitation to improve balance. However, this improvement may not have significant impact of their quality of life.
引言
与中风后偏瘫相关的主要问题之一是静态和动态姿势下平衡能力下降，这会对日常生活活动产生严重影响。
目的
评估水上物理治疗对中风后患者平衡能力和生活质量（SS-QoL）的影响。
方法
慢性中风参与者总共接受了18次基于哈利维克原理的水上物理治疗个体疗程（每周2次，每次40分钟）。测量的结果包括：伯格平衡量表、定时起立行走测试（TUG）、中风特异性生活质量量表（SS-QoL）和足底压力分析。这些评估在干预前和干预后一周进行。
结果
15名参与者纳入本研究。平均年龄为58.5岁，男性占54%。干预后，参与者在通过伯格平衡量表和TUG测量的静态平衡方面有显著改善。在闭眼和从坐到站的过程中，动态平衡在内外侧方向有显著改善趋势。干预后，SS-QoL问卷的活动能力领域得分显著更高。
结论
我们的结果表明，采用哈利维克方法的水上物理治疗可能是中风康复过程中改善平衡的有效工具。然而，这种改善可能对他们的生活质量没有显著影响。
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