Department of Physical Therapy, Graduate School, Gimcheon University, Gimcheon-si, Korea.
Gimcheon Institute of Rehabilitation Science, Gimcheon University, Gimcheon-si, Korea.
J Back Musculoskelet Rehabil. 2022;35(6):1237-1246. doi: 10.3233/BMR-210141.
Numerous studies have investigated factors for trunk, balance stability and gait parameters of post-stroke patients. Evidence-based recommendations are required for the treatment of ankle proprioceptive exercise with thermal stimulation in post-stroke patients.
We investigated the effects of ankle proprioceptive exercise with thermal stimulation on the trunk stability, balance, and gait ability of post-stroke patients.
A total of 30 patients were randomly divided into the ankle proprioceptive training and thermal stimulation group (APT) and control group. The APT group performed ankle proprioceptive exercises with thermal stimulation for 60 min five times a week for eight weeks. The control group followed conservative treatment for 60 min five times a week for eight weeks. Trunk stability was measured with the trunk impairment scale (TIS) and balance tests were performed with the center of pressure (COP), limits of stability (LOS), Berg Balance Scale (BBS), and functional reach test (FRT) and gait ability was performed by OptoGait and 10 m WT.
There was a significant difference (p< 0.05) between before and after training in both groups. The APT group showed significant improvement in both groups.
This study can be used as intervention data for recovering trunk, balance stability and gait parameters in post-stroke patients.
大量研究已经调查了脑卒中患者躯干、平衡稳定性和步态参数的影响因素。需要针对脑卒中患者踝关节本体感觉热刺激运动治疗提出循证推荐意见。
本研究旨在探讨踝关节本体感觉热刺激运动对脑卒中患者躯干稳定性、平衡和步行能力的影响。
将 30 例患者随机分为踝关节本体感觉训练和热刺激组（APT 组）和对照组。APT 组进行踝关节本体感觉热刺激运动，每周 5 次，每次 60 分钟，共 8 周。对照组接受每周 5 次、每次 60 分钟的保守治疗，共 8 周。采用躯干损伤量表（TIS）测量躯干稳定性，采用压力中心（COP）、稳定性极限（LOS）、伯格平衡量表（BBS）、功能性伸展测试（FRT）评估平衡，采用 OptoGait 和 10 m WT 评估步态能力。
两组训练前后均有显著差异（p<0.05）。APT 组在两组中均有显著改善。
本研究可为脑卒中患者躯干、平衡稳定性和步态参数的恢复提供干预数据。
