全身振动疗法对亚急性脑卒中患者下肢功能的影响。
Effect of whole-body vibration therapy on lower extremity function in subacute stroke patients.
作者信息
Kim Jin Wan, Lee Jong Hwa
机构信息
Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Busan, Korea.
出版信息
J Exerc Rehabil. 2021 Jun 30;17(3):158-163. doi: 10.12965/jer.2142246.123. eCollection 2021 Jun.
This study aimed to investigate the effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. Subacute stroke patients who were able to undergo gait training were randomly divided into a vibration therapy group and a control group. All patients attended 20-min training sessions twice daily, 5 times a week for 2 weeks. Each session included 45 squats. The vibration group trained on a vibration platform and the control group trained on the ground. The degree of maximal isokinetic voluntary contraction torque was evaluated, and manual muscle tests of hip and knee flexion and extension were performed. The Berg Balance Scale, 10-m walk test, Timed Up and Go Test, and Functional Ambulation Category were used. A total of 38 patients, 20 in the vibration group and 18 in the control group, were included in the analysis. After the 2-week therapy, the vibration group showed significant improvements in lower extremity strength, balance, and gait performance. The vibration group showed significantly better performance on the Berg Balance Scale, 10-m walk test, and Functional Ambulation Category than the control group. There were no significant differences in maximal isokinetic voluntary contraction torque or manual muscle tests between the groups. Our results suggest that additional training with whole-body vibration may effectively improve the balance and gait performance of subacute stroke patients. Further studies on large populations are required to determine the therapy's clinical efficacy.
本研究旨在探讨全身振动疗法对亚急性脑卒中患者下肢功能的影响。能够进行步态训练的亚急性脑卒中患者被随机分为振动治疗组和对照组。所有患者每天进行两次20分钟的训练,每周5次,共2周。每次训练包括45次下蹲。振动组在振动平台上训练,对照组在地面上训练。评估最大等速自主收缩扭矩程度,并进行髋部和膝部屈伸的徒手肌力测试。使用伯格平衡量表、10米步行测试、定时起立行走测试和功能性步行分类。共有38例患者纳入分析,其中振动组20例,对照组18例。经过2周的治疗,振动组在下肢力量、平衡和步态表现方面有显著改善。振动组在伯格平衡量表、10米步行测试和功能性步行分类方面的表现明显优于对照组。两组之间在最大等速自主收缩扭矩或徒手肌力测试方面没有显著差异。我们的结果表明,全身振动辅助训练可能有效改善亚急性脑卒中患者的平衡和步态表现。需要对更多人群进行进一步研究以确定该疗法的临床疗效。