Vakilian Alireza, Babaeipour Hossein, Sahebozamani Mansour, Mohammadipour Fariborz
Department of Neurology and Non Communicable Diseases Research Center, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
Department of Sport Injuries and Corrective Trainings, Faculty of Literature and Humanity Sciences, Vali-e-Asr University of Rafsanjan, Rafsanjan, Iran.
Turk J Phys Med Rehabil. 2021 Sep 1;67(3):315-321. doi: 10.5606/tftrd.2020.5437. eCollection 2021 Sep.
This study aims to investigate the effect of six-week aquatic exercise on the static and semi-dynamic balance of male patients with chronic ischemic stroke (CIS).
This randomized clinical trial (RCT) included a total of 36 male CIS patients (mean age 60.2±6.7 years; range, 40 to 70 years) between January 2015 and January 2017. The patients were randomly divided into three groups consisting of 12 patients in each group: (i) exercising in shallow water, (ii) exercising in deep water, and (iii) control group. Training sessions were held three days a week for six weeks, and the control group did not participate in these sessions. The balance of the patients was checked using the Biodex balance system in two stages.
There was no significant difference between the two intervention groups (shallow and deep) in terms of the balance assessment post-test (p>0.05), yet there was a statistically significant difference between the two intervention groups (shallow and deep) with the control group in terms of the semi-dynamic balance (total) score, (p<0.05); the semi-dynamic balance (total) of the two intervention groups (shallow and deep) was higher than that of the control group (p<0.05).
Our study results indicate that exercise in both depths is a suitable solution to improve balance, particularly semi-dynamic balance (total) in male CIS patients. Accordingly, aquatic training has a positive effect on balance in male stroke patients and we can prescribe this protocol as a useful remedy for these patients.
本研究旨在探讨为期六周的水上运动对慢性缺血性脑卒中（CIS）男性患者静态和半动态平衡的影响。
这项随机临床试验（RCT）纳入了2015年1月至2017年1月期间的36例男性CIS患者（平均年龄60.2±6.7岁；范围40至70岁）。患者被随机分为三组，每组12例：（i）浅水训练组，（ii）深水训练组，（iii）对照组。训练课程每周进行三天，共六周，对照组不参加这些课程。使用Biodex平衡系统分两个阶段检查患者的平衡能力。
在测试后平衡评估方面，两个干预组（浅水组和深水组）之间无显著差异（p>0.05），但在半动态平衡（总分）方面，两个干预组（浅水组和深水组）与对照组之间存在统计学显著差异（p<0.05）；两个干预组（浅水组和深水组）的半动态平衡（总分）均高于对照组（p<0.05）。
我们的研究结果表明，两种深度的运动都是改善男性CIS患者平衡能力，特别是半动态平衡（总分）的合适方法。因此，水上训练对男性脑卒中患者的平衡能力有积极影响，我们可以将此方案作为这些患者的有效治疗方法。
