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穿戴骨盆压缩带进行躯干稳定性训练对脑卒中患者步行和平衡能力的影响:一项评估者设盲、初步、随机、对照研究。

Effects of Trunk Stabilization Exercise While Wearing a Pelvic Compression Belt on Walking and Balancing Abilities in Patients With Stroke: An Assessor Blinded, Preliminary, Randomized, Controlled Study.

机构信息

From the Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea (Y-HC, N-HK); Department of Physical Therapy, College of Health and Medical Science, Cheongju University, Cheongju, Republic of Korea (S-MS); and Department of Physical Therapy, College of Health and Medical Science, Daejeon University, Daejeon, Republic of Korea (Y-JC).

出版信息

Am J Phys Med Rehabil. 2020 Nov;99(11):1048-1055. doi: 10.1097/PHM.0000000000001484.

Abstract

OBJECTIVE

The aim of this study was to investigate the effects of wearing a pelvic compression belt during trunk stability exercise on balance and gait ability in patients with stroke.

DESIGN

Thirty-six patients with stroke participated and were randomly allocated to three groups: the paretic group (trunk stability exercise wearing a pelvic belt on the paretic side), the nonparetic group (trunk stability exercise wearing a pelvic belt on the nonparetic side), or the control group (trunk stability exercise without a pelvic belt). Walking and balancing abilities were assessed before and after trunk stabilization exercise.

RESULTS

Significantly larger gains were identified in the paretic group than in the control group for all variables (P < 0.017). In addition, significantly larger gains were observed in the paretic group than in the nonparetic group (P < 0.017) (limit of stability, 15.6%; stance phase of paretic side, 4.1%; 10-m walking test, -10.1%; 6-min walking test, 4.6%).

CONCLUSION

Wearing a pelvic belt on the paretic side during trunk stabilization exercise seems to be more effective at improving the balancing and walking abilities of patients with stroke than wearing a pelvic compression belt on the nonparetic side or not wearing a pelvic belt.

摘要

目的

本研究旨在探讨在躯干稳定性训练中佩戴骨盆压缩带对脑卒中患者平衡和步态能力的影响。

设计

36 名脑卒中患者参与并随机分为三组:患侧组(在患侧佩戴骨盆带进行躯干稳定性训练)、非患侧组(在非患侧佩戴骨盆带进行躯干稳定性训练)或对照组(不佩戴骨盆带进行躯干稳定性训练)。在躯干稳定训练前后评估行走和平衡能力。

结果

患侧组在所有变量上的改善均明显大于对照组(P<0.017)。此外,患侧组的改善明显大于非患侧组(P<0.017)(稳定性极限,15.6%;患侧站立相,4.1%;10 米步行测试,-10.1%;6 分钟步行测试,4.6%)。

结论

在躯干稳定性训练中佩戴患侧骨盆带似乎比佩戴非患侧骨盆带或不佩戴骨盆带更能有效改善脑卒中患者的平衡和行走能力。

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