腰椎旋转手法对脑卒中患者躯干控制和步态参数的即时影响。

The Immediate Effects of Lumbar Rotational Mobilization on Trunk Control and Gait Parameter in Patients with Stroke.

机构信息

Department of Physical Therapy, Suwon Women's University, South Korea.

Department of Physical Therapy, Gangdong University, 278, Daehak-gil, Gamgok-myeon, Eumseong-gun, Chungcheongbuk-do, South Korea.

出版信息

J Stroke Cerebrovasc Dis. 2022 Aug;31(8):106582. doi: 10.1016/j.jstrokecerebrovasdis.2022.106582. Epub 2022 Jun 24.

DOI:10.1016/j.jstrokecerebrovasdis.2022.106582

PMID:35759843

Abstract

OBJECTIVES

Improved gait performance in patients with stroke requires trunk control. This study investigated the effect of lumbar rotational mobilization on improving trunk control and gait parameters.

MATERIALS AND METHODS

This study recruited 42 patients with stroke who were randomly assigned to the grade III (experimental group, n=21) and grade I (control group, n=21) lumbar rotational mobilization groups. Grade III lumbar mobilization with right and left rotation was performed in the experimental group with patients lying on their sides. The control group performed grade I rotation mobilization using the same method. Among outcome measurements, the trunk impairment scale was used for trunk control, while gait parameters were measured using the BTS G-WALK.

RESULTS

The trunk impairment scale score and gait performance were significantly higher in the experimental group than those in the control group.

CONCLUSIONS

Grade III lumbar rotational mobilization improved trunk control and increased gait performance in patients with stroke.

摘要

目的

改善脑卒中患者的步态表现需要对躯干进行控制。本研究旨在探讨腰椎旋转松动术对改善躯干控制和步态参数的影响。

材料与方法

本研究纳入了 42 名脑卒中患者，将其随机分为 3 级（实验组，n=21）和 1 级（对照组，n=21）腰椎旋转松动组。实验组患者侧卧，采用右侧和左侧旋转的 3 级腰椎松动术。对照组采用相同方法进行 1 级旋转松动术。在结果测量中，躯干障碍量表用于评估躯干控制，BTS G-WALK 用于测量步态参数。