Park Min-Hee, Won Jong-Im
Department of Physical Therapy, Design Hospital, Republic of Korea.
Department of Physical Therapy, College of Medical Sciences, Jeonju University, Republic of Korea.
J Phys Ther Sci. 2017 Jul;29(7):1208-1211. doi: 10.1589/jpts.29.1208. Epub 2017 Jul 15.
[Purpose] The purpose of this study was to identify the effects of task-oriented training with altered somatosensory input on the balance ability of chronic stroke patients. [Subjects and Methods] Twenty-six subjects with chronic stroke were divided into an experimental group (n=14) and a control group (n=12). Both groups attended physical therapy sessions five times a week for four weeks. The experimental group performed additional, task-oriented training with altered sensory input three times a week for four weeks. Limit-of-stability tests were conducted before and after the intervention. In addition, all subjects were evaluated using the Berg Balance Scale (BBS) and Korean Activities-Specific Balance Confidence Scale before and after the intervention. [Results] There was a significant interaction between time and group on BBS scores, on the total surface area of the limit of stability, and on the surface area of the limit of stability of the affected side. However, an analysis of covariance in which the baseline values of each variable served as the covariates showed that only the post-intervention BBS score of the experimental group was significantly higher than that of the control group. [Conclusion] Task-oriented training with altered somatosensory input can improve functional balance in patients with chronic stroke.
[目的]本研究旨在确定改变躯体感觉输入的任务导向训练对慢性卒中患者平衡能力的影响。[对象与方法]26例慢性卒中患者被分为实验组(n = 14)和对照组(n = 12)。两组均每周参加5次物理治疗课程,为期4周。实验组每周额外进行3次改变感觉输入的任务导向训练,为期4周。在干预前后进行稳定性极限测试。此外,所有受试者在干预前后均使用伯格平衡量表(BBS)和韩国特定活动平衡信心量表进行评估。[结果]在BBS评分、稳定性极限的总表面积以及患侧稳定性极限的表面积方面,时间和组间存在显著交互作用。然而,以各变量的基线值作为协变量的协方差分析表明,只有实验组干预后的BBS评分显著高于对照组。[结论]改变躯体感觉输入的任务导向训练可改善慢性卒中患者的功能平衡。