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基于视听生物反馈的压力生物反馈系统在中风患者中进行躯干稳定训练:一项随机单盲研究

Audiovisual Biofeedback-Based Trunk Stabilization Training Using a Pressure Biofeedback System in Stroke Patients: A Randomized, Single-Blinded Study.

作者信息

Jung Sangwoo, Lee Kyeongjin, Kim Myungjoon, Song Changho

机构信息

Department of Physical Therapy, Gimcheon University, Gimcheon, Republic of Korea.

Department of Physical Therapy, Kyungdong University, Gangwon, Republic of Korea.

出版信息

Stroke Res Treat. 2017;2017:6190593. doi: 10.1155/2017/6190593. Epub 2017 Dec 20.

Abstract

The purpose of this study was to assess the effects of audiovisual biofeedback-based trunk stabilization training using a pressure biofeedback system (PBS) in stroke patients. Forty-three chronic stroke patients, who had experienced a stroke more than 6 months ago and were able to sit and walk independently, participated in this study. The subjects were randomly allocated to an experimental group ( = 21) or a control group ( = 22). The experimental group participated in audiovisual biofeedback-based trunk stabilization training for 50 minutes/day, 5 days/week, for 6 weeks. The control group underwent trunk stabilization training without any biofeedback. The primary outcome of this study was the thickness of the trunk muscles. The secondary outcomes included static sitting balance ability and dynamic sitting balance ability. The thickness of the trunk muscles, static sitting balance ability, and dynamic sitting balance ability were significantly improved in the experimental group compared to the control group ( < 0.05). The present study showed that trunk stabilization training using a PBS had a positive effect on the contracted ratio of trunk muscles and balance ability. By providing audiovisual feedback, the PBS enables accurate and effective training of the trunk muscles, and it is an effective method for trunk stabilization.

摘要

本研究的目的是评估使用压力生物反馈系统(PBS)进行基于视听生物反馈的躯干稳定训练对中风患者的影响。43名慢性中风患者参与了本研究,这些患者在6个月前经历过中风,并且能够独立坐立和行走。受试者被随机分为实验组(n = 21)或对照组(n = 22)。实验组每天进行50分钟基于视听生物反馈的躯干稳定训练,每周5天,共6周。对照组进行无任何生物反馈的躯干稳定训练。本研究的主要结局是躯干肌肉厚度。次要结局包括静态坐位平衡能力和动态坐位平衡能力。与对照组相比,实验组的躯干肌肉厚度、静态坐位平衡能力和动态坐位平衡能力均有显著改善(P < 0.05)。本研究表明,使用PBS进行躯干稳定训练对躯干肌肉的收缩率和平衡能力有积极影响。通过提供视听反馈,PBS能够对躯干肌肉进行准确有效的训练,是一种有效的躯干稳定方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1797/5750490/79db0c86c0cf/SRT2017-6190593.001.jpg

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