Fondazione Santa Lucia, Scientific Institute for Research and Healthcare, Rome, Italy.
Physical and Rehabilitation Medicine, Tor Vergata University of Rome, Italy.
Restor Neurol Neurosci. 2020;38(6):467-475. doi: 10.3233/RNN-201055.
Along with conventional therapy, novel tools are being developed in balance training for the rehabilitation of persons with stroke sequelae. The efficacy of Computerized Balance Training thus far been the object of studies only in persons with chronic stroke.
To investigate the effects of an early Computerized Balance Training on balance, walking endurance and independence in activities of daily living, in persons with mild hemiparesis in subacute phase.
Thirty-two persons with a recent hemiparesis (within 4 weeks from stroke onset), able to maintain a standing position for at least 30 seconds, were randomly assigned to an experimental or control group. The control group (CG) were administered conventional physiotherapy of 40 minutes twice a day, 5 times a week for 4 weeks, while the experimental group (EG) underwent conventional physiotherapy 40 minutes once a day and Computerized Balance Training once a day, 5 times a week for 4 weeks. Outcomes were evaluated by means of Berg Balance Scale (BBS), Tinetti Balance Scale (TBS), Two Minutes Walk Test (2MWT), Barthel Index (BI) and stabilometric tests.
Twelve participants for each group completed the training. Each group experienced 8 dropouts. The mean age (years) was 58.1±20.4 for EG and 59.7±14,7 for CG; the days from stroke were respectively 27.9±15.5 and 20±11.7. The difference between the two groups was statistically significant in experimental group for BBS (p = 0.003), for TBS (p = 0.028), for Sensory Integration and Balance tests performed with closed eyes on steady (p = 0.009) or instable surface (p = 0.023). and for 2MWT (p = 0.008).
Computerized Balance Training is an effective therapeutic tool for balance and gait endurance improvement in persons with stroke in subacute phase.
随着常规疗法的发展，新的工具也被应用于平衡训练，以帮助脑卒中后遗症患者康复。目前，计算机平衡训练的疗效已在慢性脑卒中患者中进行了研究。
探讨早期计算机平衡训练对亚急性期轻度偏瘫患者平衡、行走耐力和日常生活活动能力的影响。
将 32 名新近发生偏瘫（脑卒中后 4 周内）、能够保持站立 30 秒以上的患者随机分为实验组（EG）和对照组（CG）。CG 接受常规物理治疗，每天 40 分钟，每周 5 次，共 4 周；EG 接受常规物理治疗 40 分钟，每天 1 次，同时接受计算机平衡训练，每周 5 次，共 4 周。使用 Berg 平衡量表（BBS）、Tinetti 平衡量表（TBS）、两分钟步行试验（2MWT）、巴氏指数（BI）和平衡测试评估结果。
每组各有 12 名参与者完成了训练。每组各有 8 名参与者脱落。EG 的平均年龄（岁）为 58.1±20.4，CG 为 59.7±14.7；脑卒中后时间分别为 27.9±15.5 和 20±11.7。实验组的 BBS（p = 0.003）、TBS（p = 0.028）、闭眼在稳定（p = 0.009）或不稳定表面（p = 0.023）上进行的感觉整合和平衡测试、2MWT（p = 0.008）的两组间差异有统计学意义。
计算机平衡训练是一种有效的治疗工具，可改善亚急性期脑卒中患者的平衡和行走耐力。
