基于陆地和水上的躯干运动方案可改善脑卒中患者躯干控制、平衡和日常生活活动能力：一项随机临床试验。
Land-based and aquatic trunk exercise program improve trunk control, balance and activities of daily living ability in stroke: a randomized clinical trial.
机构信息
Department of Physical Therapy, Graduate School Sahmyook University, Seoul, Republic of Korea.
Department of Health Sciences and Technology, Samsung Advanced Institute for Health Science and Technology (SAIHST), Samsung Medical Center, Sungkyunkwan University, Seoul, Republic of Korea.
出版信息
Eur J Phys Rehabil Med. 2019 Dec;55(6):687-694. doi: 10.23736/S1973-9087.18.05369-8. Epub 2018 Oct 29.
BACKGROUND
There are many land-based or aquatic exercise programs for improving trunk control, balance, and activities of daily living in stroke patients. However, no study has reported the effects of an exercise program that combines land-based and aquatic trunk exercises in stroke patients.
AIM
To investigate the effects of a land-based and aquatic trunk exercise (LATE) program on trunk control, balance, and activities of daily living in chronic stroke patients.
DESIGN
This study was designed as a single-blind randomized controlled trial.
SETTING
Inpatient rehabilitation ward, Goyang, Republic of Korea.
POPULATION
Twenty-nine patients participated in this study.
METHODS
Participants were randomly allocated to the LATE group (N.=14) and control group (N.=15). The LATE program consisted of land-based and aquatic trunk exercises, performed for 30 minutes per day, 5 days per week, for 4 weeks as an adjunct to 30 minutes of conventional physical therapy. The control group underwent only conventional physical therapy for 30 minutes each time, twice per day, 5 days per week, for 4 weeks. The participants were tested before and after the intervention using the Korean Trunk Impairment Scale (K-TIS) and the 5-item, 3-level Postural Assessment Scale for Stroke (PASS-3L) to assess trunk control; the 7-item, 3-level Berg Balance Scale (BBS-3L) and the Functional Reach Test (FRT) to evaluate balance; and the Modified Barthel Index (MBI) to assess activities of daily living.
RESULTS
The LATE group exhibited improvements in K-TIS, PASS-3L, BBS-3L, and MBI scores and FRT distance compared with the control group (P<0.05).
CONCLUSIONS
The results of this study suggest that the LATE program can help improve trunk control, balance, and activities of daily living in chronic stroke patients and may be used as a practical adjunct to conventional physical therapy.
CLINICAL REHABILITATION IMPACT
The LATE program can improve postural control in stroke patients and improve independence in daily activities.
背景
有许多基于陆地或水上的运动方案可用于改善脑卒中患者的躯干控制、平衡和日常生活活动能力。然而，尚无研究报告将陆地和水上躯干运动相结合的运动方案对脑卒中患者的影响。
目的
探讨陆地和水上躯干运动（LATE）方案对慢性脑卒中患者躯干控制、平衡和日常生活活动能力的影响。
设计
这是一项单盲随机对照试验。
地点
韩国高阳市的住院康复病房。
人群
共有 29 名患者参加了这项研究。
方法
参与者被随机分配到 LATE 组（n=14）和对照组（n=15）。LATE 方案包括陆地和水上躯干运动，每天进行 30 分钟，每周 5 天，作为常规物理治疗 30 分钟的辅助治疗，共进行 4 周。对照组每次接受 30 分钟的常规物理治疗，每天 2 次，每周 5 天，共进行 4 周。干预前后，采用韩国躯干损伤量表（K-TIS）和 5 项 3 级脑卒中姿势评估量表（PASS-3L）评估躯干控制情况；采用 7 项 3 级伯格平衡量表（BBS-3L）和功能性伸展测试（FRT）评估平衡情况；采用改良巴氏指数（MBI）评估日常生活活动能力。
结果
与对照组相比，LATE 组的 K-TIS、PASS-3L、BBS-3L 和 MBI 评分以及 FRT 距离均有改善（P<0.05）。
结论
本研究结果表明，LATE 方案可改善慢性脑卒中患者的躯干控制、平衡和日常生活活动能力，可作为常规物理治疗的实用辅助手段。
临床康复影响
LATE 方案可改善脑卒中患者的姿势控制能力，提高日常生活活动的独立性。
Zotero 插件