Vasileva Danche, Izov Nikolai, Maznev Ivan, Lubenova Daniela, Mihova Marija, Markovski Velo, Cseppento Carmen Nistor
Faculty of Medical Sciences, University "Goce Delchev", St. Krste Misirkov 10-A, 2000 Shtip, Republic of Macedonia.
Department "Water Sports", Faculty of Kinesitherapy, Tourism and Sports Animation, National Sports Academy "Vasil Levski", Sofia, Republic of Bulgaria.
Open Access Maced J Med Sci. 2017 Apr 8;5(2):201-206. doi: 10.3889/oamjms.2017.053. eCollection 2017 Apr 15.
The aim of the study is to evaluate the changes of the kinetic parameters of gait in patients with supratentorial unilateral stroke in the chronic period (SUSChP).
The study was conducted with 67 patients with SUSChP (56 patients included in the experimental group - 32 men and 24 women, with duration of disease 7.8 ± 2.0 months, and 11 patients in the control group - 9 men and 2 women, with duration of disease 7.3 ± 1.5 months). To evaluate the changes in the gait were followed cadence of 6 m and 10 m and the speed of movement which are the most informative kinetic parameters. Patients in the experimental group were treated with a specialised 10-day KT, which later continued to be performed as an adapted exercise program at home for one month.
After applying specialised kinesitherapeutic methodology (SKTM), the highest trend towards improvement in the kinetic parameters of gait was established after the 1st month with a level of significance during treatment p < 0.001.
The enclosed SKTM in the experimental group continued later as an adapted exercise program at home, significantly improving the kinetic parameters of gait in patients with SUSChP, compared with the usual kinesi-therapeutic methodology applied in the control group.
本研究旨在评估幕上单侧慢性期脑卒中患者(SUSChP)步态动力学参数的变化。
对67例SUSChP患者进行了研究(56例纳入实验组,其中男性32例,女性24例,病程7.8±2.0个月;11例纳入对照组,其中男性9例,女性2例,病程7.3±1.5个月)。为评估步态变化,记录了6米和10米步频以及运动速度,这些是最具信息量的动力学参数。实验组患者接受了为期10天的专业KT治疗,随后继续作为家庭适应性锻炼计划进行1个月。
应用专业运动疗法(SKTM)后,第1个月时步态动力学参数改善趋势最为明显,治疗期间显著性水平p<0.001。
与对照组采用的常规运动疗法相比,实验组采用的SKTM随后作为家庭适应性锻炼计划继续进行,显著改善了SUSChP患者的步态动力学参数。