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轻触觉对中风患者平衡能力的影响。

Effects of Light Touch on Balance in Patients with Stroke.

作者信息

In Tae-Sung, Jung Jin-Hwa, Jang Sang-Hun, Kim Kyung-Hun, Jung Kyoung-Sim, Cho Hwi-Young

机构信息

Department of Physical Therapy, Gimcheon university, Gimcheon, Republic of Korea 214, Daehak-ro, Gimcheon, 39528, Republic of Korea.

Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea, 65 Semyung-ro, Jecheon-si, Chungbuk, 390-711, Republic of Korea.

出版信息

Open Med (Wars). 2019 Apr 9;14:259-263. doi: 10.1515/med-2019-0021. eCollection 2019.

DOI:10.1515/med-2019-0021
PMID:30997393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6463820/
Abstract

Light touch is the combination of cutaneous and kinesthetic inputs. The literature suggests that light touch compensates for a reduced amount of center of pressure information in older peoples, blind subjects and patients with neurological disorder. This study investigated the effects of light touch applied to an external bar, on the postural sway in individuals with hemiparetic stroke. We used a cross sectional study, fifteen individuals with stroke and 15 healthy age-matched adults stood as still as possible on a force plate. Experimental trials (duration, 30 s) included two visual conditions (open eyes and closed eyes), two somatosensory conditions (no touch and light touch) and two support surface conditions (firm and foam surfaces). The area of center of pressure (COP) and the mean velocity of COP in the medio-lateral and anterior-posterior directions were assessed. For both groups, COP velocity and area decreased with light touch regardless of the visual or surface conditions. The effects of light touch were similar in both groups. In addition, results show that the effectiveness of light touch in reducing postural sway was greater on a foam surface than on a firm surface. Our findings indicate that light touch could be beneficial in postural control for individuals with hemi-paretic stroke.

摘要

轻触觉是皮肤感觉输入和动觉输入的结合。文献表明,轻触觉可弥补老年人、盲人及神经系统疾病患者压力中心信息的减少。本研究调查了轻触外部横杆对偏瘫性中风患者姿势摇摆的影响。我们采用横断面研究,15名中风患者和15名年龄匹配的健康成年人尽可能安静地站在测力板上。实验试验(持续时间30秒)包括两种视觉条件(睁眼和闭眼)、两种体感条件(无触摸和轻触)以及两种支撑表面条件(硬表面和泡沫表面)。评估了压力中心(COP)面积以及COP在内外侧和前后方向的平均速度。对于两组而言,无论视觉或表面条件如何,轻触都会使COP速度和面积降低。两组中轻触觉的效果相似。此外,结果表明,轻触在减少姿势摇摆方面在泡沫表面比在硬表面更有效。我们的研究结果表明,轻触觉可能有助于偏瘫性中风患者的姿势控制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/6463820/8ae5f98666ce/med-14-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/6463820/e1f0faacc413/med-14-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/6463820/8ae5f98666ce/med-14-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/6463820/e1f0faacc413/med-14-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3250/6463820/8ae5f98666ce/med-14-259-g002.jpg

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Postural control exercise without using the upper limbs improves activities of daily living in patients with stroke.不使用上肢的姿势控制训练可改善中风患者的日常生活活动能力。
Front Rehabil Sci. 2023 Apr 11;4:1124515. doi: 10.3389/fresc.2023.1124515. eCollection 2023.
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Effects of Plantar Flexor Stretching on Static and Dynamic Balance in Healthy Adults.足底屈肌拉伸对健康成年人静态和动态平衡的影响。
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本文引用的文献

1
Light touch compensates peripheral somatosensory degradation in postural control of older adults.轻触觉可补偿老年人姿势控制中周围体感的退化。
Hum Mov Sci. 2018 Aug;60:122-130. doi: 10.1016/j.humov.2018.06.001. Epub 2018 Jun 5.
2
Light touch modulates balance recovery following perturbation: from fast response to stance restabilization.轻触可调节扰动后的平衡恢复:从快速反应到姿势重新稳定。
Exp Brain Res. 2015 May;233(5):1399-408. doi: 10.1007/s00221-015-4214-z. Epub 2015 Feb 3.
3
Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation.
利用任天堂 Wii 平衡板评估平衡能力的软件的有效性和可靠性:可用性和验证。
J Neuroeng Rehabil. 2014 Jun 10;11:99. doi: 10.1186/1743-0003-11-99.
4
Individuals with post-stroke hemiparesis are able to use additional sensory information to reduce postural sway.脑卒中后偏瘫患者能够利用额外的感觉信息来减少姿势摆动。
Neurosci Lett. 2012 Mar 28;513(1):6-11. doi: 10.1016/j.neulet.2012.01.053. Epub 2012 Feb 9.
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Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance.任天堂 Wii 平衡板评估站立平衡的有效性和可靠性。
Gait Posture. 2010 Mar;31(3):307-10. doi: 10.1016/j.gaitpost.2009.11.012. Epub 2009 Dec 11.
6
Additional sensory information reduces body sway of individuals with anterior cruciate ligament injury.额外的感觉信息可减少前交叉韧带损伤患者的身体摇摆。
Neurosci Lett. 2008 Aug 29;441(3):257-60. doi: 10.1016/j.neulet.2008.06.039. Epub 2008 Jun 19.
7
Reduced postural sway during quiet standing by light touch is due to finger tactile feedback but not mechanical support.轻触时安静站立时姿势摆动减少是由于手指触觉反馈而非机械支撑。
Exp Brain Res. 2008 Jun;188(1):153-8. doi: 10.1007/s00221-008-1426-5. Epub 2008 May 28.
8
Influences of arm proprioception and degrees of freedom on postural control with light touch feedback.手臂本体感觉和自由度对轻触觉反馈下姿势控制的影响。
J Neurophysiol. 2008 Feb;99(2):595-604. doi: 10.1152/jn.00504.2007. Epub 2007 Nov 21.
9
Effectiveness of fingertip light contact in reducing postural sway in older people.指尖轻触对减少老年人姿势晃动的有效性。
Age Ageing. 2007 Jan;36(1):30-5. doi: 10.1093/ageing/afl072. Epub 2006 Jul 20.
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Effect of vision, touch and stance on cerebellar vermian-related sway and tremor: a quantitative physiological and MRI study.视觉、触觉和姿势对小脑蚓部相关摇摆和震颤的影响:一项定量生理学和MRI研究。
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