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使用智能鞋垫的听觉反馈步态训练对中风患者的影响。

The Effects of Auditory Feedback Gait Training Using Smart Insole on Stroke Patients.

作者信息

Kim Junghyun, Jung Sangwoo, Song Changho

机构信息

Department of Physical Therapy, Sahmyook University, Seoul 01795, Korea.

Department of Sports Rehabilitation, Gimcheon University, Gimcheon 39528, Korea.

出版信息

Brain Sci. 2021 Oct 21;11(11):1377. doi: 10.3390/brainsci11111377.

Abstract

This study aimed to assess the effect of the auditory feedback gait training (AFGT) using smart insole on the gait variables, dynamic balance, and activities of daily living (ADL) of stroke patients. In this case, 45 chronic stroke patients who were diagnosed with a stroke before 6 months and could walk more than 10 m were included in this study. Participants were randomly allocated to the smart insole training group ( = 23), in which the AFGT system was used, or to the general gait training group (GGTG) ( = 22). Both groups completed conventional rehabilitation, including conventional physiotherapy and gait training, lasting 60 min per session, five times per week for 4 weeks. Instead of gait training, the smart insole training group received smart insole training twice per week for 4 weeks. Participants were assessed using the GAITRite for gait variables and Timed Up and Go test (TUG), Berg Balance Scale (BBS) for dynamic balance, and Modified Barthel Index (MBI) for ADL. The spatiotemporal gait parameters, symmetry of gait, TUG, BBS, and MBI in the smart insole training group were significantly improved compared to those in the GGTG ( < 0.05). The AFGT system approach is a helpful method for improving gait variables, dynamic balance, and ADL in chronic stroke patients.

摘要

本研究旨在评估使用智能鞋垫的听觉反馈步态训练(AFGT)对中风患者步态变量、动态平衡和日常生活活动(ADL)的影响。在本研究中,纳入了45例在6个月前被诊断为中风且能行走超过10米的慢性中风患者。参与者被随机分配到智能鞋垫训练组(n = 23),该组使用AFGT系统,或常规步态训练组(GGTG)(n = 22)。两组均完成常规康复,包括常规物理治疗和步态训练,每次持续60分钟,每周5次,共4周。智能鞋垫训练组每周进行两次智能鞋垫训练,共4周,而不是进行步态训练。使用GAITRite评估参与者的步态变量,使用定时起立行走测试(TUG)、伯格平衡量表(BBS)评估动态平衡,使用改良巴氏指数(MBI)评估ADL。与GGTG组相比,智能鞋垫训练组的时空步态参数、步态对称性、TUG、BBS和MBI均有显著改善(P < 0.05)。AFGT系统方法是改善慢性中风患者步态变量、动态平衡和ADL的一种有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0969/8615866/2c9e026703e7/brainsci-11-01377-g001.jpg

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