Nam Seok Hyun, Son Sung Min, Kim Kyoung
Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Republic of Korea.
Department of Physical Therapy, College of Health Science, Cheongju University, Republic of Korea.
J Phys Ther Sci. 2017 Apr;29(4):673-676. doi: 10.1589/jpts.29.673. Epub 2017 Apr 20.
[Purpose] This study aimed to investigate the effects of training involving compelled weight shift on the paretic lower limb on gait parameters and plantar pressure distribution in patients with stroke. [Subjects and Methods] Forty-five stroke patients participated in the study and were randomly divided into: group with a 5-mm lift on the non-paretic side for constrained weight shift training (5: constrained weight shift training) (n=15); group with a 10-mm lift on the non-paretic side for constrained weight shift training (10: constrained weight shift training) (n=15); or the control group (n=15). Both, the 5 constrained weight shift training and 10 constrained weight shift training groups underwent constrained weight shift training 5 times per week for 4 weeks, whereas the control group performed ergometer exercises for lower limb muscle strengthening. [Results] The 10 constrained weight shift training group showed a significant increase in the contact surface and impulse of the hindfoot compared to the control group, and the step length and walking speed were significantly longer and faster. [Conclusion] We found that constrained weight shift training on the paretic lower limb is an effective treatment method for improving normal gait pattern in stroke patients.
[目的]本研究旨在探讨患侧下肢强制性体重转移训练对中风患者步态参数和足底压力分布的影响。[对象与方法]45例中风患者参与本研究，并随机分为：非患侧垫高5毫米进行强制性体重转移训练组（5：强制性体重转移训练组）（n = 15）；非患侧垫高10毫米进行强制性体重转移训练组（10：强制性体重转移训练组）（n = 15）；或对照组（n = 15）。5强制性体重转移训练组和10强制性体重转移训练组均每周进行5次强制性体重转移训练，共4周，而对照组进行测力计下肢肌肉强化训练。[结果]与对照组相比，10强制性体重转移训练组后足的接触面和冲量显著增加，步长和步行速度显著更长、更快。[结论]我们发现患侧下肢强制性体重转移训练是改善中风患者正常步态模式的有效治疗方法。
