Hong Su-Yeon, Moon Young, Choi Jong-Duk
Department of Physical Therapy, Cheongju IM Rehabilitation Hospital, Cheongju, South Korea.
Department of Physical Therapy, The Graduate School, Daejeon University, Daejeon, South Korea.
Med Sci Monit Basic Res. 2020 Aug 10;26:e925264. doi: 10.12659/MSMBR.925264.
BACKGROUND The decreased postural control ability of stroke patients affects their ability to balance in various postures such as sitting and standing. This study aimed to determine whether cognitive task training for stroke patients is effective in improving walking and balancing abilities. MATERIAL AND METHODS Seventeen stroke patients (10 males, 7 females) were randomized by ballot to be assigned to the cognitive task group (CBT) or the general task group (GBT). For the cognitive task training, a dual task of balance and cognition using traffic signals, a familiar form to the subjects, was applied as a program. In both groups the interventions were performed for 30 min a day, 3 times a week, for 4 weeks. The timed up and go test (TUG), the Berg balance scale (BBS), and gait ability evaluation were performed to compare the therapeutic effects. RESULTS After the intervention, the BBS showed significant differences in both groups (p<0.05). The cognitive task training group had significant improvement in all outcome scores after the intervention (p<0.05). The TUG score of the CBT group significantly decreased to 6.17 s (p<0.05), but that of the GBT showed no statistically significant change. CONCLUSIONS Cognitive task training could be used in clinical rehabilitation as a more effective intervention method to improve balance and gait ability of stroke patients.
背景 中风患者姿势控制能力下降会影响其在坐立等各种姿势下的平衡能力。本研究旨在确定中风患者的认知任务训练对改善行走和平衡能力是否有效。材料与方法 17名中风患者（10名男性，7名女性）通过抽签随机分为认知任务组（CBT）或一般任务组（GBT）。对于认知任务训练，采用交通信号灯这一受试者熟悉形式的平衡与认知双重任务作为训练方案。两组均每天干预30分钟，每周3次，共4周。进行定时起立行走测试（TUG）、伯格平衡量表（BBS）和步态能力评估以比较治疗效果。结果 干预后，两组的BBS均有显著差异（p<0.05）。认知任务训练组干预后所有结果评分均有显著改善（p<0.05）。CBT组的TUG评分显著降至6.17秒（p<0.05），而GBT组则无统计学显著变化。结论 认知任务训练可作为一种更有效的干预方法用于临床康复，以改善中风患者的平衡和步态能力。
