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功能性动作观察训练对脑卒中后偏瘫患者步态功能的影响:一项随机对照试验。

The effects of functional action-observation training on gait function in patients with post-stroke hemiparesis: A randomized controlled trial.

作者信息

Oh Seung-Jun, Lee Je-Hyeok, Kim Do-Hyun

机构信息

Department of Physical Therapy, Rusk Rehabilitation Center, Seoul, Korea.

Department of Physical Therapy, Dongguk University Medical Center, Gyeongju, Korea.

出版信息

Technol Health Care. 2019;27(2):159-165. doi: 10.3233/THC-181388.

Abstract

BACKGROUND

Functional action observation (FAO) is likely to activate the corticospinal tract and is likely to increase the potential ability of a functional task.

OBJECTIVE

The purpose of this study was to investigate the effects of FAO training on gait ability in patients with post-stroke hemiparesis.

METHODS

Thirty-five patients with hemiparesis caused by stroke participated in this study. All subjects had suffered from stroke for more than 6 months. Subjects received either a FAO or a general action observation (GAO) training for 30 minutes each time, five times per week, for four weeks. The GAITRite was used to measure walking velocities and spatio-temporal variables. The functional gait assessment (FGA) was used to assess gait ability. The independent t-test was used to analyze whether there were significant differences of all dependent variables between groups.

RESULTS

After four weeks of training, the step length, stride length, cadence, velocity, and FGA score in FAO group were statistically different from GAO group (p< 0.05).

CONCLUSION

The results of this study suggest that FAO is an effective and easy method for improvement of gait ability in chronic stroke patients.

摘要

背景

功能性动作观察(FAO)可能会激活皮质脊髓束,并可能提高功能性任务的潜在能力。

目的

本研究旨在探讨FAO训练对中风后偏瘫患者步态能力的影响。

方法

35例中风所致偏瘫患者参与本研究。所有受试者中风病程均超过6个月。受试者每次接受30分钟的FAO或一般动作观察(GAO)训练,每周5次,共4周。使用GAITRite测量步行速度和时空变量。采用功能性步态评估(FGA)评估步态能力。采用独立样本t检验分析两组间所有因变量是否存在显著差异。

结果

经过4周训练后,FAO组的步长、步幅、步频、速度和FGA评分与GAO组相比有统计学差异(p<0.05)。

结论

本研究结果表明,FAO是改善慢性中风患者步态能力的一种有效且简便的方法。

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