Lee Jung-Sun, Kim Chang-Yong, Kim Hyeong-Dong
From the Department of Epidemiology and Health Informatics, The Graduate School of Public Health, Korea University, Seoul, Republic of Korea (J-SL); Department of Health Science, The Graduate School, Korea University, Seoul, Republic of Korea (C-YK); and Department of Physical Therapy, College of Health Science, Korea University, Seoul, Republic of Korea (H-DK).
Am J Phys Med Rehabil. 2016 Aug;95(8):608-17. doi: 10.1097/PHM.0000000000000454.
The aim of this study was to determine the effect of whole-body vibration training combined with task-related training on arm function, spasticity, and grip strength in subjects with poststroke hemiplegia.
Forty-five subjects with poststroke were randomly allocated to 3 groups, each with 15 subjects as follows: control group, whole-body vibration group, and whole-body vibration plus task-related training group. Outcome was evaluated by clinical evaluation and measurements of the grip strength before and 4 weeks after intervention.
Our results show that there was a significantly greater increase in the Fugl-Meyer scale, maximal grip strength of the affected hand, and grip strength normalized to the less affected hand in subjects undergoing the whole-body vibration training compared with the control group after the test. Furthermore, there was a significantly greater increase in the Wolf motor function test and a decrease in the modified Ashworth spasticity total scores in subjects who underwent whole-body vibration plus task-related training compared with those in the other 2 groups after the test.
The findings indicate that the use of whole-body vibration training combined with task-related training has more benefits on the improvement of arm function, spasticity, and maximal grip strength than conventional upper limb training alone or with whole-body vibration in people with poststroke hemiplegia.
本研究旨在确定全身振动训练结合任务相关训练对脑卒中后偏瘫患者上肢功能、痉挛状态及握力的影响。
45例脑卒中患者被随机分为3组，每组15例，分别为：对照组、全身振动组、全身振动加任务相关训练组。干预前及干预4周后，通过临床评估和握力测量对结果进行评价。
我们的结果显示，与对照组相比，接受全身振动训练的患者在测试后Fugl-Meyer量表评分、患侧手最大握力以及与健侧手相比的握力标准化值均有显著更大幅度的增加。此外，与其他两组相比，接受全身振动加任务相关训练的患者在测试后Wolf运动功能测试有显著更大幅度的提高，改良Ashworth痉挛总分降低。
研究结果表明，对于脑卒中后偏瘫患者，全身振动训练结合任务相关训练在改善上肢功能、痉挛状态及最大握力方面比单独进行传统上肢训练或结合全身振动训练更有益。
