Department of Physical Therapy, Faculty of Health and Welfare, Tokushima Bunri University, Tokushima City, Japan.
Department of Neurosurgery, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima City, Japan.
J Clin Neurosci. 2020 May;75:55-61. doi: 10.1016/j.jocn.2020.03.031. Epub 2020 Mar 28.
The aim of this study was to investigate the effects of action observation treatment (AOT) on gait ability in patients with subacute to convalescent stroke. Sixteen patients with subacute stroke were divided into a control group (n = 8) and AOT group (n = 8) when admitted to the convalescent ward. The control group received a conventional rehabilitation only. In addition to conventional rehabilitation, the AOT received AOT for 3 months (30 min per day 5 times per week). The AOT involved observing the action of another subject in a comfortable gait situation from the front, sides, and back via video and conducting the actual action. All participants were assessed during the main-assessment period, which included a baseline (i.e., when admitted to the convalescent ward) and 1, 2, and 3 months after baseline. The sub-assessment period at 2 and 3 months after baseline was conducted with participants who could walk independently. The main outcomes of the main-assessment and sub-assessment periods were Functional Ambulation Classification (FAC) and the 10-m walk test (10MWT), respectively. With respect to the FAC, we used a split plot design analysis of covariance to test the interaction between assessment time and group. There was no significant interaction between assessment time and group in FAC. However, a significant improvement of the 10MWT in the sub-assessment period was observed in the AOT group, but not the control group. Our results indicate that AOT may be an effective therapy for patients with subacute to convalescent stroke who can walk independently.
本研究旨在探讨动作观察治疗（AOT）对亚急性至恢复期脑卒中患者步态能力的影响。16 名亚急性脑卒中患者在入住康复病房时被分为对照组（n=8）和 AOT 组（n=8）。对照组仅接受常规康复治疗。除常规康复外，AOT 组还接受了为期 3 个月的 AOT（每天 30 分钟，每周 5 次）。AOT 包括通过视频从前、侧、后三个角度观察舒适步态下另一个主体的动作，并进行实际动作。所有参与者在主要评估期间进行评估，包括基线（即入住康复病房时）和基线后 1、2 和 3 个月。在基线后 2 个月和 3 个月进行了亚评估期，参与者可以独立行走。主要评估期和亚评估期的主要结果分别为功能性步行分类（FAC）和 10 米步行测试（10MWT）。关于 FAC，我们使用协方差的分割图设计分析来检验评估时间和组之间的交互作用。在 FAC 中，评估时间和组之间没有显著的交互作用。然而，在 AOT 组中观察到亚评估期 10MWT 的显著改善，但对照组没有。我们的结果表明，AOT 可能是一种对能够独立行走的亚急性至恢复期脑卒中患者有效的治疗方法。
