全身振动治疗对中风患者平衡和步态的影响。
The Effect of Whole Body Vibration Treatment on Balance and Gait in Patients with Stroke.
作者信息
Sade Ilgın, Çekmece Çiğdem, İnanir Murat, SelÇuk Barın, Dursun Nigar, Dursun Erbil
机构信息
Department of Physical Medicine and Rehabilitation, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.
Yahya Kaptan Occupational Therapy School, Kocaeli University, Kocaeli, Turkey.
出版信息
Noro Psikiyatr Ars. 2019 Aug 20;57(4):308-311. doi: 10.29399/npa.23380. eCollection 2020 Dec.
INTRODUCTION
In patients with neurological disorders Whole Body Vibration (WBV) has been reported to improve motor function. Our aim was to assess the effects of WBV on both balance and walking performance in adult stroke patients.
METHODS
Forty three post-stroke patients were randomly divided into two groups. One would receive WBV therapy (WBV group) while the control group would not. All patients participated in a conventional rehabilitation program for three weeks while the vibration group also received WBV over the same period. Patients balance and walking performance were evaluated using the Berg Balance Scale (BBS), Timed Up and Go Test (TUG) and computerized gait analysis. All evaluations were performed before and after therapy.
RESULTS
The median (range) age of all patients was 51.00 (18-66) years. The groups numbered 26 and 17 patients for the WBV and control groups respectively. After intervention, significant improvements were found in the WBV group for BBS score (p=0.004), TUG score (p=0.035), step length (p=0.004) and walking speed (p=0.031) when compared to the controls.
CONCLUSION
WBV is effective for the improvement of balance and gait performance in stroke patients.
引言
据报道，全身振动（WBV）可改善神经系统疾病患者的运动功能。我们的目的是评估WBV对成年中风患者平衡能力和步行能力的影响。
方法
43名中风后患者被随机分为两组。一组接受WBV治疗（WBV组），而对照组不接受。所有患者均参加为期三周的常规康复计划，在此期间振动组还接受WBV治疗。使用伯格平衡量表（BBS）、定时起立行走测试（TUG）和计算机化步态分析对患者的平衡能力和步行能力进行评估。所有评估均在治疗前后进行。
结果
所有患者的年龄中位数（范围）为51.00（18 - 66）岁。WBV组和对照组分别有26名和17名患者。与对照组相比，干预后WBV组在BBS评分（p = 0.004）、TUG评分（p = 0.035）、步长（p = 0.004）和步行速度（p = 0.031）方面有显著改善。
结论
WBV对改善中风患者的平衡能力和步态表现有效。
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