Kobinata Naomi, Ueno Mai, Imanishi Yukihito, Yoshikawa Hideto
Department of Rehabilitation, Yoshikawa Hospital, Japan.
Department of Medicine, Yoshikawa Hospital, Japan.
J Phys Ther Sci. 2016 Sep;28(9):2441-2444. doi: 10.1589/jpts.28.2441. Epub 2016 Sep 29.
[Purpose] Rhythmic auditory stimulation has been used in gait training for stroke patients. However, few studies have investigated its effects in relation to lesion sites. Therefore, this study examined the immediate effects of rhythmic auditory stimulation on gait in stroke patients with lesions in different regions. [Subjects and Methods] One hundred and five patients were recruited and divided into five groups according to the lesion site: cerebellum, pons and medulla, thalamus, putamen, and corona radiata. During training, participants walked to an auditory, continuous rhythmic beat, which was set to each individual's cadence. [Results] Pre- versus post-test measures revealed significant increases in velocity and stride length in the cerebellum, pons and medulla, and thalamus groups. Although the putamen and corona radiata groups demonstrated increases in velocity and stride length, the increases were not significant. [Conclusion] Rhythmic auditory stimulation was effective in facilitating the prediction of motor timing and gait rhythm in stroke patients with lesions in the cerebellum, pons and medulla, and thalamus, which are associated with impairment of the timing mechanism.
[目的] 节奏性听觉刺激已用于中风患者的步态训练。然而，很少有研究探讨其与病变部位的关系。因此，本研究考察了节奏性听觉刺激对不同部位病变的中风患者步态的即时影响。[对象与方法] 招募了105名患者，根据病变部位分为五组：小脑、脑桥和延髓、丘脑、壳核和放射冠。在训练过程中，参与者随着与个人步频匹配的连续有节奏的听觉节拍行走。[结果] 测试前与测试后的测量结果显示，小脑、脑桥和延髓以及丘脑组的速度和步幅显著增加。虽然壳核和放射冠组的速度和步幅也有所增加，但增加并不显著。[结论] 节奏性听觉刺激有效地促进了与计时机制受损相关的小脑、脑桥和延髓以及丘脑病变的中风患者的运动计时和步态节奏预测。
