改良坐立位训练对偏瘫性脑卒中患者平衡控制的影响：一项随机对照试验。
Effects of modified sit-to-stand training on balance control in hemiplegic stroke patients: a randomized controlled trial.
作者信息
Liu Meng, Chen Jin, Fan Wenxiang, Mu Jingsong, Zhang Jinlong, Wang Li, Zhuang Jianhai, Ni Chaomin
机构信息
Department of Rehabilitation Medicine, The Affiliated Provincial Hospital of Anhui Medical University, Anhui, Peoples' Republic of China.
Anhui Bioforcen Intelligent Technology Co. Ltd, Hefei, Peoples' Republic of China.
出版信息
Clin Rehabil. 2016 Jul;30(7):627-36. doi: 10.1177/0269215515600505. Epub 2015 Aug 27.
OBJECTIVE
To explore the effectiveness of modified sit-to-stand training on balance function in hemiplegic stroke patients.
DESIGN
Randomized controlled trial.
SETTING
Rehabilitation medical centre.
PARTICIPANTS
A total of 50 hemiplegic patients with stroke were randomly assigned to the control and experimental groups (n = 25 for each group).
INTERVENTIONS
Patients in the control group received the sit-to-stand training with symmetrical foot position, while patients in the experimental group were given the modified sit-to-stand training in which the paretic foot placed posterior. Subjects in both groups received 30 minutes of sit-to-stand training, five times a week, for four weeks.
MAIN OUTCOME MEASURES
The time and weight-bearing distribution during sit-to-stand movement, the centre of pressure sway length during quiet standing, the centre of pressure sway areas during dynamic standing and Berg Balance Scale were assessed before and after completing the four-week sit-to-stand training.
RESULTS
Our data showed significant improvements in standing balance and the sit-to-stand movement for two groups in the post-training compared with the pre-training. After training, the rise time shortened more significantly in the experimental group (mean change, 0.90 ±0.25 seconds) than the control group (mean change, 0.42 ±0.18 seconds). Weight-bearing asymmetry showed significantly greater improvement in the experimental group (mean change, 0.17 ±0.10) than in the control group (mean change, 0.06 ±0.05). Centre of pressure sway length was significantly smaller in the experimental group (mean change, 27.85 ±10.58 cm) than in the control group (mean change, 21.95 ±8.19 cm). Centre of pressure sway areas was significantly larger in the experimental group (mean change, 84.24 ±26.48 cm(2)) than in the control group (mean change, 67.74 ±22.84 cm(2)) (P = 0.027). The Berg Balance Scale was significantly higher in the experiment group (mean change, 8.4 ±3.1) than the control group (mean change, 5.8±2.8).
CONCLUSIONS
A modified sit-to-stand training improves the balance function in hemiplegic stroke patients.
目的
探讨改良坐立位训练对偏瘫性脑卒中患者平衡功能的有效性。
设计
随机对照试验。
地点
康复医学中心。
参与者
共50例偏瘫性脑卒中患者被随机分为对照组和试验组（每组n = 25）。
干预措施
对照组患者接受对称足位的坐立位训练，而试验组患者接受患侧足后置的改良坐立位训练。两组受试者均接受每周5次、每次30分钟的坐立位训练，共4周。
主要观察指标
在完成4周坐立位训练前后，评估坐立位运动过程中的时间和负重分布、静立位时压力中心摆动长度、动立位时压力中心摆动面积以及Berg平衡量表。
结果
我们的数据显示，与训练前相比，两组训练后站立平衡和坐立位运动均有显著改善。训练后，试验组的起立时间缩短幅度（平均变化，0.90±0.25秒）比对照组（平均变化，0.42±0.18秒）更显著。试验组的负重不对称改善程度（平均变化，0.17±0.10）比对照组（平均变化，0.06±0.05）显著更大。试验组的压力中心摆动长度（平均变化，27.85±10.58厘米）比对照组（平均变化，21.95±8.19厘米）显著更小。试验组的压力中心摆动面积（平均变化，84.24±26.48平方厘米）比对照组（平均变化，67.74±22.84平方厘米）显著更大（P = 0.027）。试验组的Berg平衡量表得分（平均变化，8.4±3.1）比对照组（平均变化，5.8±2.8）显著更高。
结论
改良坐立位训练可改善偏瘫性脑卒中患者的平衡功能。
Zotero 插件