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全身振动疗法对亚急性脑卒中患者坐位平衡的影响:一项随机对照试验。

The effect of a whole-body vibration therapy on the sitting balance of subacute stroke patients: a randomized controlled trial.

作者信息

Lee Jong Hwa, Kim Sang Beom, Lee Kyeong Woo, Lee Sook Joung, Park Hyuntae, Kim Dong Won

机构信息

a Department of Physical Medicine and Rehabilitation, Regional Cardiocerebrovascular Center , Dong-A University College of Medicine , Busan , Republic of Korea.

b Department of Medicinal Biotechnology , Dong-A University , Busan , Republic of Korea.

出版信息

Top Stroke Rehabil. 2017 Sep;24(6):457-462. doi: 10.1080/10749357.2017.1305655. Epub 2017 Mar 23.

Abstract

BACKGROUND

The use of a whole-body vibration (WBV) therapy has recently been applied and investigated as a rehabilitation method for subacute stroke patients.

OBJECTIVE

To evaluate the effects of a WBV therapy on recovery of balance in subacute stroke patients who were unable to gain sitting balance.

METHODS

The conventional rehabilitation group (CG) received conventional physical therapy, including sitting balance training by a physical therapist, for 30 min a one session, for twice a day for five days a week for two weeks. The whole-body vibration group (VG) received one session of conventional physical therapy, and received WBV therapy instead of conventional physical therapy for 30 min a day for five days a week for two weeks.

RESULTS

There were 15 patients in the CG and 15 patients in the VG who completed the two-week therapy. After the two-week therapy, both groups showed functional improvement. Patients in the VG improved functional ambulation categories, Berg balance scale, trunk impairment scale scores. But, no statistically significant correlations between the therapeutic methods and outcomes were observed in either group.

CONCLUSION

Our results suggest that WBV therapy led to improvement of the recovery in balance recovery for subacute stroke patients. Because the WBV therapy was as effective as conventional physical therapy, we can consider a WBV therapy as a clinical method to improve the sitting balance of subacute stoke patients.

摘要

背景

全身振动(WBV)疗法最近已被应用并作为亚急性中风患者的一种康复方法进行研究。

目的

评估WBV疗法对无法获得坐位平衡的亚急性中风患者平衡恢复的影响。

方法

传统康复组(CG)接受传统物理治疗,包括由物理治疗师进行坐位平衡训练,每次30分钟,每天两次,每周五天,共两周。全身振动组(VG)接受一次传统物理治疗,然后每周五天,每天接受30分钟的WBV疗法而非传统物理治疗,共两周。

结果

CG组和VG组各有15例患者完成了为期两周的治疗。两周治疗后,两组均显示出功能改善。VG组患者的功能性步行分类、伯格平衡量表、躯干损伤量表评分均有所改善。但是,两组中均未观察到治疗方法与结果之间存在统计学上的显著相关性。

结论

我们的结果表明,WBV疗法可改善亚急性中风患者的平衡恢复。由于WBV疗法与传统物理治疗效果相同,我们可以将WBV疗法视为改善亚急性中风患者坐位平衡的一种临床方法。

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