Chae Seung Hun, Kim You Lim, Lee Suk Min
Department of Physical Therapy, Sahmyook University, Republic of Korea.
J Phys Ther Sci. 2017 May;29(5):839-844. doi: 10.1589/jpts.29.839. Epub 2017 May 16.
[Purpose] This study aimed to investigate the effect of phase proprioceptive training on balance in patients with chronic stroke. [Subjects and Methods] Participants included 30 patients with stroke who were randomly assigned to the proprioceptive training group (n=15) or control group (n=15). Participants in the proprioceptive training group underwent proprioceptive training and received general physical therapy each for a total of 20 thirty-minute sessions, five times per week, during a period of four weeks; the control group received general physical therapy for a total of 20 sixty-minute sessions, five times per week, during a period of four weeks. [Results] All participants were evaluated with the Berg Balance Scale, Timed Up and Go (TUG) test, and Activities-specific Balance Confidence (ABC) Scale instrument before and after intervention. After training, the differences in BBS, TUG, and ABC scores in the proprioceptive group were significantly greater than those in the control group. [Conclusion] In conclusion, proprioceptive training was effective on balance ability. Therefore, proprioceptive training may be efficient when combining general physical therapy with phase proprioceptive training for patients with impairments of balance. Further research is needed to investigate proprioceptive training methods.
[目的] 本研究旨在探讨阶段性本体感觉训练对慢性脑卒中患者平衡能力的影响。[对象与方法] 参与者包括30例脑卒中患者，他们被随机分为本体感觉训练组（n = 15）和对照组（n = 15）。本体感觉训练组的参与者接受本体感觉训练，并同时接受一般物理治疗，共20次，每次30分钟，每周5次，为期4周；对照组接受一般物理治疗，共20次，每次60分钟，每周5次，为期4周。[结果] 在干预前后，使用Berg平衡量表、计时起立行走测试（TUG）和特定活动平衡信心量表（ABC）对所有参与者进行评估。训练后，本体感觉组的BBS、TUG和ABC评分差异显著大于对照组。[结论] 总之，本体感觉训练对平衡能力有效。因此，对于平衡功能受损的患者，将一般物理治疗与阶段性本体感觉训练相结合时，本体感觉训练可能是有效的。需要进一步研究来探讨本体感觉训练方法。
