Cabanas-Valdés Rosa, Bagur-Calafat Caritat, Girabent-Farrés Montserrat, Caballero-Gómez Fernanda Mª, Hernández-Valiño Montserrat, Urrútia Cuchí Gerard
Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC) Barcelona, Catalonia, Spain
Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC) Barcelona, Catalonia, Spain.
Clin Rehabil. 2016 Oct;30(10):1024-1033. doi: 10.1177/0269215515609414. Epub 2015 Oct 8.
To examine the effect of core stability exercises on trunk control, dynamic sitting and standing balance, gait, and activities of daily living in subacute stroke patients.
A randomized controlled trial.
Inpatient rehabilitation hospital in two centres.
Eighty patients (mean of 23.25 (±16.7) days post-stroke) were randomly assigned to an experimental group and a control group.
Both groups underwent conventional therapy for five days/week for five weeks and the experimental group performed core stability exercises for 15 min/day. The patients were assessed before and after intervention.
The Trunk Impairment Scale (Spanish-Version) and Function in Sitting Test were used to measure the primary outcome of dynamic sitting balance. Secondary outcome measures were standing balance and gait as evaluated via Berg Balance Scale, Tinetti Test, Brunel Balance Assessment, Postural Assessment Scale for Stroke (Spanish-Version), and activities of daily living using Barthel Index.
The experimental group showed statistically significant differences for all of the total scale scores (P<0.05), except for the sitting section of the Brunel Balance Assessment. The mean (SD) difference between groups in Trunk Impairment Scale total score was 3.40 (±4.12) points, and its subscale dynamic sitting balance was 2.28 (±3.29). The Berg Balance Scale was 14.54 (±18.19) points, and the Barthel Index was 13.17 (±25.27) points. Collectively, these results were in favour of the experimental group.
Core stability exercises in addition to conventional therapy improves trunk control, dynamic sitting balance, standing balance, gait and activities of daily living in subacute post-stroke patients.
探讨核心稳定性训练对亚急性脑卒中患者躯干控制能力、动态坐位与站立平衡、步态及日常生活活动能力的影响。
随机对照试验。
两个中心的住院康复医院。
80例患者（卒中后平均23.25（±16.7）天）被随机分为实验组和对照组。
两组均接受每周5天、为期5周的常规治疗，实验组每天进行15分钟的核心稳定性训练。干预前后对患者进行评估。
采用躯干功能障碍量表（西班牙语版）和坐位功能测试来测量动态坐位平衡的主要结局。次要结局指标包括通过伯格平衡量表、Tinetti测试、布鲁内尔平衡评估、卒中姿势评估量表（西班牙语版）评估的站立平衡和步态，以及使用巴氏指数评估的日常生活活动能力。
除布鲁内尔平衡评估的坐位部分外，实验组在所有总分上均显示出统计学显著差异（P<0.05）。两组在躯干功能障碍量表总分上的平均（标准差）差异为3.40（±4.12）分，其分量表动态坐位平衡为2.28（±3.29）分。伯格平衡量表为14.54（±18.19）分，巴氏指数为13.17（±25.27）分。总体而言，这些结果支持实验组。
在常规治疗基础上进行核心稳定性训练可改善亚急性卒中后患者的躯干控制能力、动态坐位平衡、站立平衡、步态及日常生活活动能力。
