Yuen Mandy, Ouyang H X, Miller Tiev, Pang Marco Y C
Queen Elizabeth Hospital, Kowloon, Hong Kong.
Hong Kong Polytechnic University, Hong Kong.
Neurorehabil Neural Repair. 2021 May;35(5):444-456. doi: 10.1177/15459683211005020. Epub 2021 Apr 7.
Effective and sustainable exercise training methods for improving balance poststroke are needed.
To evaluate the effect of Baduanjin Qigong for improving balance after stroke.
This was a single-blinded randomized controlled study in which only the assessor was blinded. Fifty-eight people with chronic stroke (mean age: 62.5 ± 11.8 years) were randomly assigned to the experimental (n = 29) or control group (n = 29). The experimental group underwent 8 weeks of supervised Baduanjin training (3 sessions per week). This was followed by home-based practice of the same exercises 3 days a week for another 8 weeks. The control group underwent 2 sessions of supervised conventional fitness training in the first week, followed by home-based exercise practice 3 days a week until the end of week 16. All outcomes were measured at baseline, week 8, and week 16.
Significantly greater improvements in the Mini-Balance Evaluation Systems Test (Mini-BESTest), composite equilibrium score (Sensory Organization Test), 5 Times Sit to Stand, and Timed Up and Go test were detected at week 8 in the experimental group than in the control group ( < .017). Further improvement in the Mini-BESTest was observed from week 8 to 16 in the experimental group ( < .001). Other outcomes (Limit of Stability, Fall-Efficacy Scale, Modified Barthel Index, Stroke-Specific Quality of Life) showed no significant results.
Baduanjin is effective in improving balance, leg strength, and mobility and is a safe and sustainable form of home-based exercise for people with chronic stroke.
需要有效且可持续的运动训练方法来改善中风后的平衡能力。
评估八段锦气功对改善中风后平衡能力的效果。
这是一项单盲随机对照研究，只有评估者处于盲态。58名慢性中风患者（平均年龄：62.5±11.8岁）被随机分为实验组（n = 29）或对照组（n = 29）。实验组接受为期8周的监督八段锦训练（每周3次）。之后，每周3天在家中进行同样的练习，持续8周。对照组在第一周接受2次监督下的传统健身训练，之后每周3天在家中进行锻炼，直至第16周结束。所有结果在基线、第8周和第16周进行测量。
与对照组相比，实验组在第8周时，迷你平衡评估系统测试（Mini-BESTest）、综合平衡评分（感觉统合测试）、5次坐立试验和计时起立行走测试有显著更大的改善（P <.017）。实验组从第8周到第16周，Mini-BESTest进一步改善（P <.001）。其他结果（稳定极限、跌倒效能量表、改良巴氏指数、中风特异性生活质量）无显著结果。
八段锦对改善平衡、腿部力量和活动能力有效，是慢性中风患者安全且可持续的家庭锻炼形式。
