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任务导向性跑步机行走训练对中风患者步行能力的影响。

Effects of task-oriented treadmill-walking training on walking ability of stoke patients.

作者信息

Kwon Oh-hyuk, Woo Youngkeun, Lee Ju-sang, Kim Kyung-hoon

机构信息

Department of Physical Therapy, Bundang Jesaeng Hospital , Seongnam, Republic of Korea.

出版信息

Top Stroke Rehabil. 2015 Dec;22(6):444-52. doi: 10.1179/1074935715Z.00000000057. Epub 2015 Apr 28.

DOI:10.1179/1074935715Z.00000000057
PMID:25920503
Abstract

BACKGROUND

Generally, treadmill-walking training focuses on weight bearing and the speed of walking. However, changes in direction, speed, and slope while walking require adaptation.

OBJECTIVE

The effects of task-oriented treadmill-walking training (TOTWT) on the walking ability of stroke patients were evaluated.

METHODS

Subjects were randomly divided into two groups: the task-oriented treadmill-walking training (TOTWT) group and the conventional treadmill-walking training (CTWT) group. Evaluation was performed before the commencement of the training and again 4 and 8 wk after training was initiated. The OptoGait system measured gait parameters. The Timed Up and Go test and 6-min walk test were also performed.

RESULTS

Within each group, both the TOTWT and the CTWT groups significantly differed before and after the intervention in all tests (P <  0.05); the CTWT group showed greater improvement in all tests following TOTWT (P <  0.05).

CONCLUSION

TOTWT improves gait and rehabilitation in the stroke-affected limb, and also improves general gait characteristics.

摘要

背景

一般来说,跑步机行走训练侧重于负重和行走速度。然而,行走时方向、速度和坡度的变化需要适应。

目的

评估任务导向型跑步机行走训练(TOTWT)对中风患者行走能力的影响。

方法

将受试者随机分为两组:任务导向型跑步机行走训练(TOTWT)组和传统跑步机行走训练(CTWT)组。在训练开始前以及训练开始4周和8周后再次进行评估。使用OptoGait系统测量步态参数。还进行了计时起立行走测试和6分钟步行测试。

结果

在每组中,TOTWT组和CTWT组在所有测试中干预前后均有显著差异(P < 0.05);与TOTWT相比,CTWT组在所有测试中均有更大改善(P < 0.05)。

结论

TOTWT可改善中风患肢的步态和康复情况,还可改善一般步态特征。

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