Department of Physical Therapy, Hyogo University of Health Sciences, Hyogo.
Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto.
Int J Rehabil Res. 2021 Jun 1;44(2):152-158. doi: 10.1097/MRR.0000000000000464.
To compare the effects of gait trainings targeting the stance (stance training) and the swing phases (swing training) among the subjects with stroke, and quantify the characteristics in the subjects who benefitted from either the stance training or the swing training. Sixteen subjects with stroke performed the stance training, which focused on the center of pressure to move from the heel to the forefoot, and the swing training, which focused on the improvement of hip flexion in the swing phase. To investigate the immediate effects of the stance training and the swing training, the instrumented gait analysis was performed before and after training. To quantify the characteristics, subjects were divided into two groups based on the gait speed change. These two groups were compared using clinical examinations. After the stance training, the center of pressure displacement of the paretic limb was increased compared with the swing training. Subjects who benefitted from the stance training had slower Timed Up and Go and weaker paretic hip muscle strength than those who benefitted from the swing training. Stance training may be more effective in subjects with slower Timed Up and Go outcomes and weaker hip muscles.
比较针对脑卒中患者支撑相（站立训练）和摆动相（摆动训练）的步态训练的效果，并量化受益于站立训练或摆动训练的患者的特征。16 名脑卒中患者进行了站立训练，重点是从脚跟到前脚掌的压力中心移动，以及摆动训练，重点是改善摆动相的髋关节屈曲。为了研究站立训练和摆动训练的即时效果，在训练前后进行了仪器步态分析。为了量化特征，根据步态速度的变化将患者分为两组。使用临床检查比较这两组。与摆动训练相比，站立训练后患侧的压力中心位移增加。从站立训练中获益的患者的 Timed Up and Go 时间更慢，患侧髋关节肌肉力量更弱，而从摆动训练中获益的患者则相反。对于 Timed Up and Go 结果较慢和髋关节肌肉较弱的患者，站立训练可能更有效。
