Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain.
Int J Environ Res Public Health. 2020 Jul 1;17(13):4728. doi: 10.3390/ijerph17134728.
One of the most serious and disabling problems of stroke is pain and a decrease in balance, with the consequent increased risk of falls. The aim of the randomized controlled trial study was to compare the efficacy of three different treatment proposals to improve pain, gait, and balance in chronic stroke patients. Forty patients diagnosed with stroke were divided into three groups: the dry-land therapy group (control group) received sessions that included walking exercises and trunk mobility. The experimental group received Ai Chi aquatic therapy, and the combined group received alternating dry-land therapy sessions and Ai Chi aquatic therapy. The measurement instruments used were: the Tinetti balance and gait scale, the visual analog scale (VAS), 360° turn, single leg stance, and the 30-s stand test (CS-30). After twelve weeks of treatment, the results were significantly better for the combined therapy group and the experimental group compared to the dry-land therapy group ( < 0.01) in the VAS scale, CS-30, and 360° turn, although improvements were also found in the evaluations carried out in the aquatic therapy group. In total, for the Tinetti scale and single-leg stance, the differences between the groups were evident, although not statistically significant ( = 0.001). Aquatic therapy with Ai Chi and the combination of aquatic therapy with dry-land therapy was effective in improving pain, balance, and gait in patients with chronic stroke, thus improving their functional capacity and quality of life.
中风最严重和致残的问题之一是疼痛和平衡下降，从而增加跌倒的风险。这项随机对照试验研究的目的是比较三种不同治疗方案在改善慢性中风患者疼痛、步态和平衡方面的疗效。将 40 名诊断为中风的患者分为三组：陆地治疗组（对照组）接受包括步行运动和躯干活动的治疗课程。实验组接受 Achi 水疗，联合组接受交替陆地治疗课程和 Achi 水疗。使用的测量仪器包括：Tinetti 平衡和步态量表、视觉模拟量表（VAS）、360°转身、单腿站立和 30 秒站立测试（CS-30）。经过 12 周的治疗，与陆地治疗组相比，联合治疗组和实验组在 VAS 量表、CS-30 和 360°转身方面的结果明显更好（<0.01），尽管在水疗组的评估中也发现了改善。总的来说，对于 Tinetti 量表和单腿站立，组间差异明显，但无统计学意义（=0.001）。Achi 水疗和水疗与陆地治疗相结合对改善慢性中风患者的疼痛、平衡和步态有效，从而提高了他们的功能能力和生活质量。
