Department of Rehabilitation Medicine, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, Iksan, Republic of Korea.
Department of Rehabilitation Medicine, Wonkwang University School of Medicine and Institute of Wonkwang Medical Science, Iksan, Republic of Korea.
Arch Phys Med Rehabil. 2020 Feb;101(2):187-195. doi: 10.1016/j.apmr.2019.08.480. Epub 2019 Sep 25.
To examine the therapeutic effects of the lateral push-off skater exercise vs conventional treadmill training on health-related quality of life, cardiorespiratory fitness (CRF), and balance.
Single-blinded, randomized controlled trial.
Outpatient clinic at a tertiary hospital.
Patients after minor stroke (N=36) with National Institutes of Health Stroke Scale scores≤3 between 20 and 65 years of age were randomly assigned to the intervention group (n=18) or the control group (n=18).
Thirty-minute sessions of the skater exercise were performed 3 times weekly for 12 weeks in the intervention group. Conventional treadmill aerobic exercise was conducted in the control group at the same frequency and duration as the experimental group exercise.
The primary outcome was measured using the European Quality of Life-5 Dimension (EQ-5D). Secondary outcomes included CRF and balance indicators. Assessments were performed at baseline (T0), 12 weeks from T0 (T1), and 16 weeks from T0 (T2).
Significant improvements in EQ-5D, peak oxygen uptake (VOpeak), peak oxygen pulse, peak minute ventilation (VE), Dynamic Gait Index (DGI), and Berg Balance Scale (BBS) were found in the intervention group after performing the skater exercise (P<.05, all), and these improvements were sustained at T2 (P<.05, all). Between-group comparisons demonstrated greater improvements in EQ-5D, VOpeak, peak oxygen pulse, peak VE, DGI, and BBS in the intervention group than those in the control group at both T1 (P<.05, all) and T2 (P<0.05, all). Correlation analysis showed significant relationships between EQ-5D and VOpeak, peak VE, DGI, and BBS (P<.05, all).
The skater exercise improved health-related quality of life, CRF, and balance in patients after minor stroke more effectively than conventional treadmill-based aerobic exercise. We recommend the skater exercise as a high-intensity interval training program for patients after minor stroke.
比较侧向推滑步训练与传统跑步机训练对健康相关生活质量、心肺功能（CRF）和平衡的治疗效果。
单盲、随机对照试验。
一家三级医院的门诊诊所。
年龄在 20 至 65 岁之间，NIH 中风量表评分≤3 的小中风患者（N=36）被随机分配到干预组（n=18）或对照组（n=18）。
干预组每周进行 3 次、每次 30 分钟的滑步训练，共 12 周。对照组以与实验组相同的频率和时长进行传统跑步机有氧运动。
使用欧洲生活质量 5 维度（EQ-5D）量表测量主要结局。次要结局包括 CRF 和平衡指标。评估在基线（T0）、T0 后 12 周（T1）和 T0 后 16 周（T2）进行。
滑步训练后，干预组的 EQ-5D、峰值摄氧量（VOpeak）、峰值氧脉搏、峰值分钟通气量（VE）、动态步态指数（DGI）和伯格平衡量表（BBS）均有显著改善（P<.05，均），且在 T2 时仍保持改善（P<.05，均）。组间比较显示，干预组在 T1（P<.05，均）和 T2（P<.05，均）时，EQ-5D、VOpeak、峰值氧脉搏、峰值 VE、DGI 和 BBS 的改善均大于对照组。相关性分析显示，EQ-5D 与 VOpeak、峰值 VE、DGI 和 BBS 之间存在显著相关性（P<.05，均）。
与传统基于跑步机的有氧运动相比，侧向推滑步训练更有效地改善了小中风患者的健康相关生活质量、CRF 和平衡。我们建议将滑步训练作为小中风患者的高强度间歇训练方案。
