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评估在跑步机上进行步态训练对脑卒中患者平衡能力的影响。

Evaluation of the impact of exercise of gait on a treadmill on balance of people who suffered from cerebral stroke.

作者信息

Drużbicki Mariusz, Przysada Grzegorz, Guzik Agnieszka, Kwolek Andrzej, Brzozowska-Magoń Agnieszka, Sobolewski Marek

机构信息

Institute of Physiotherapy, University of Rzeszów, Rzeszów, Poland.

Rzeszów University of Technology, Rzeszów, Poland.

出版信息

Acta Bioeng Biomech. 2016;18(4):41-48.

PMID:28133385
Abstract

PURPOSE

The aim of the study is to define the impact of exercise on a treadmill on static balance and stability of posture in a group of patients after cerebral stroke rehabilitated in a late period, with an application of a treadmill with the function of visual biofeedback.

METHODS

The examination was carried out in a group of 46 people in a late period after ischemic cerebral stroke. The patients examined were randomly put to a group with intervention (n = 23), in which a rehabilitation programme with an application of a treadmill with the visual feedback function was realized and to a control group (n = 23). They evaluated balance in standing on both feet by means of a force plate, symmetry of load of lower limbs and dynamic balance in Up & Go test.

RESULTS

A statistically significant change of stabilometric parameters was observed only in the area of postural sways of the centre of pressure (COP). A significant improvement of the symmetry of load of lower limbs in standing (p = 0.0266) was diagnosed in the examined group after the end of the programme. After the end of the programme no significant difference between the group with intervention and the control group as for a change of balance of the examined patients was found.

CONCLUSIONS

In the examined group in the chronic period after cs no significant improvement of stabilometrically evaluated balance was obtained, but improvement of the symmetry of load of lower limbs as well as improvement of dynamic balance were observed.

摘要

目的

本研究旨在确定在视觉生物反馈功能的跑步机上进行运动对一组晚期脑卒中康复患者静态平衡和姿势稳定性的影响。

方法

对46例缺血性脑卒中晚期患者进行检查。将接受检查的患者随机分为干预组(n = 23),在该组中实施了应用具有视觉反馈功能跑步机的康复计划,以及对照组(n = 23)。通过测力板评估双脚站立时的平衡、下肢负荷的对称性以及起立行走测试中的动态平衡。

结果

仅在压力中心(COP)的姿势摆动区域观察到稳定参数有统计学意义的变化。在该计划结束后,检查组中站立时下肢负荷对称性有显著改善(p = 0.0- 266)。在该计划结束后,干预组与对照组在被检查患者的平衡变化方面未发现显著差异。

结论

在慢性期脑卒中检查组中,稳定评估的平衡没有显著改善,但观察到下肢负荷对称性改善以及动态平衡改善。

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