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有意进行轻微人际接触以辅助神经疾病中的平衡控制。

Deliberately Light Interpersonal Touch as an Aid to Balance Control in Neurologic Conditions.

作者信息

Johannsen Leif, McKenzie Evelyn, Brown Melanie, Redfern Mark S, Wing Alan M

机构信息

1 Department of Sport and Health Sciences, Technische Universität München, Munich, Germany2 Behavioural Brain Sciences Centre, School of Psychology, University of Birmingham, Birmingham, UK3 National Institute of Conductive Education, Birmingham, UK4 Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Rehabil Nurs. 2017 May/Jun;42(3):131-138. doi: 10.1002/rnj.197.

DOI:10.1002/rnj.197
PMID:25546374
Abstract

PURPOSE

We aimed to quantify the benefit of externally provided deliberately light interpersonal touch (IPT) on body sway in neurological patients.

DESIGN

IPT effect on sway was assessed experimentally across differing contacting conditions in a group of 12 patients with Parkinson's disease and a group of 11 patients with chronic hemiparetic stroke.

METHODS

A pressure plate recorded sway when IPT was provided by a healthcare professional at various locations on a patient's back.

FINDINGS

IPT on the back reduced anteroposterior body sway in both groups. Numerically, IPT was more effective when applied more superior on the back, specifically at shoulder level, and when applied at two contact locations simultaneously.

CONCLUSION

Our findings demonstrate the benefit of deliberately light IPT on the back to facilitate patients' postural stability.

CLINICAL RELEVANCE

Deliberately light IPT resembles a manual handling strategy, which minimizes load imposed on healthcare professionals when providing balance support, while it facilitates patients' own sensorimotor control of body balance during standing.

摘要

目的

我们旨在量化外部提供的刻意轻度人际接触(IPT)对神经疾病患者身体摇摆的益处。

设计

在一组12名帕金森病患者和一组11名慢性偏瘫性中风患者中,通过不同的接触条件对IPT对摇摆的影响进行了实验评估。

方法

当医疗保健专业人员在患者背部的不同位置提供IPT时,压力板记录摇摆情况。

结果

两组患者背部接受IPT后,身体前后摇摆均减少。从数值上看,IPT应用于背部较高位置(特别是肩部水平)以及同时应用于两个接触位置时效果更佳。

结论

我们的研究结果表明,背部进行刻意轻度IPT有助于提高患者的姿势稳定性。

临床意义

刻意轻度IPT类似于一种手动处理策略,在提供平衡支持时可将施加于医疗保健专业人员的负荷降至最低,同时有助于患者在站立时自身对身体平衡的感觉运动控制。

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