Lee Doo Ho, Park Seong Hoon, Han Ji Won
Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
J Phys Ther Sci. 2017 Apr;29(4):625-628. doi: 10.1589/jpts.29.625. Epub 2017 Apr 20.
[Purpose] The aim of this study was to investigate the effect of bilateral upper extremity exercises on trunk performance in patients with stroke. [Subjects and Methods] Twenty in-patients with chronic stroke of at least 6 month's duration participated in this study. Patients in the experimental and control groups received neurological rehabilitation treatment for stroke. In addition to the neurological rehabilitation treatment, patients in the experimental group received 30 minutes of bilateral upper extremity exercises 3 times weekly for 4 weeks. Outcomes were measured using the Trunk Impairment Scale before and after the 4-week training period. [Results] Significant intragroup differences in all items of Trunk Impairment Scale were observed after intervention. In particular, significant intergroup differences were observed for dynamic sitting balance, trunk coordination, and between total scores of the Trunk Impairment Scale. [Conclusion] The results of this study suggest bilateral upper extremity exercises could be used in addition to trunk exercises to improve trunk performance in patients with stroke.
[目的]本研究旨在探讨双侧上肢运动对脑卒中患者躯干功能的影响。[对象与方法]20例病程至少6个月的慢性脑卒中住院患者参与本研究。实验组和对照组患者均接受脑卒中神经康复治疗。除神经康复治疗外，实验组患者每周进行3次、每次30分钟的双侧上肢运动，共4周。在4周训练期前后，使用躯干功能障碍量表进行评估。[结果]干预后，躯干功能障碍量表所有项目在组内均有显著差异。特别是，在动态坐位平衡、躯干协调性以及躯干功能障碍量表总分方面，组间存在显著差异。[结论]本研究结果表明，除躯干运动外，双侧上肢运动可用于改善脑卒中患者的躯干功能。
