Kim Kyung-Hun, Jang Sang-Hun
Department of Physical Therapy, Gimcheon University, 214, Daehak-ro, Gimcheon 39528, Korea.
Department of Physical Therapy, Korea National University of Transportation, 61, Daehak-ro, Jeungpyeong-gun 27909, Chungcheongbuk-do, Korea.
Clin Pract. 2021 Sep 14;11(3):640-649. doi: 10.3390/clinpract11030079.
Sensory motor impairment, the most common neuromuscular condition in stroke patients, often contributes to muscle weakness and imbalance.
The purpose of this research was to investigate the effects of cognitive sensory-motor training (CSMT) on the muscle strength and balance ability in post-stroke patients.
Thirty-five participants after stroke were randomly assigned to the CSMT ( = 17) or control group ( = 18). All participants received 30 min of training each time, five times per week, for six weeks. Lower extremity muscle strength of tibialis anterior (LEMTA) was evaluated using a digital muscular dynamometer. The Medical Research Council (MRC) scale was used to evaluate muscle strengths of the hip joint, knee joint, and ankle joint. For balance ability test, the center of pressure (COP) movement distance and limited of stability (LOS) were measured using BioRescue.
LEMTA, MRC scale, balance ability were significantly more improved in the CSMT group than in the control group ( < 0.05).
Our findings indicate that CSMT is beneficial and effective for improving muscle strength of the lower extremity and balance ability of post-stroke patients.
感觉运动障碍是中风患者最常见的神经肌肉疾病，常导致肌肉无力和失衡。
本研究旨在探讨认知感觉运动训练（CSMT）对中风后患者肌肉力量和平衡能力的影响。
35名中风后参与者被随机分为CSMT组（n = 17）或对照组（n = 18）。所有参与者每次接受30分钟的训练，每周5次，共6周。使用数字肌肉测力计评估胫骨前肌的下肢肌肉力量（LEMTA）。采用医学研究委员会（MRC）量表评估髋关节、膝关节和踝关节的肌肉力量。对于平衡能力测试，使用BioRescue测量压力中心（COP）移动距离和稳定极限（LOS）。
CSMT组的LEMTA、MRC量表、平衡能力改善程度均显著高于对照组（P < 0.05）。
我们的研究结果表明，CSMT对改善中风后患者的下肢肌肉力量和平衡能力有益且有效。
