Department of Rehabilitation Medicine, Pusan National University School of Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Gyeongnam Regional Health & Medical Center for Persons with Disabilities, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Medicine (Baltimore). 2022 Sep 2;101(35):e30286. doi: 10.1097/MD.0000000000030286.
This randomized controlled trial aimed to investigate the effects of dance therapy using telerehabilitation on trunk control and balance training in patients with stroke and compare them with the effects of conventional treatment.
We enrolled 17 patients with subacute or chronic stroke who were randomly assigned to either an experimental or a control group. In addition to conventional physical therapy, the experimental group (n = 9) participated in 40-minute, non-face-to-face, dance-therapy sessions and the control group (n = 8) received conventional physical therapy. The primary outcome measures were the Trunk Impairment Scale (TIS) scores to assess trunk control and balance function between the 2 groups as a measure of change from baseline to after the intervention.
We found that the TIS scores of the patients in the experimental group significantly improved (P = .017). The TIS results indicated non-inferiority within a predefined margin for dance therapy using telerehabilitation (difference = -0.86, 95% confidence interval [CI] = -2.21 to 0.50).
Dance therapy using telerehabilitation significantly improved the TIS scores in the experimental group and was not inferior to conventional rehabilitation treatment when compared in a non-inferiority test. The remote dance program may therefore have similar effects to those of conventional treatment regarding trunk-control improvement in patients with stroke.
本随机对照试验旨在探讨远程康复舞蹈治疗对脑卒中患者躯干控制和平衡训练的影响，并将其与常规治疗进行比较。
我们纳入了 17 名亚急性或慢性脑卒中患者，将其随机分为实验组（n=9）和对照组（n=8）。除了常规物理治疗外，实验组还参加了 40 分钟的非面对面舞蹈治疗课程，而对照组仅接受常规物理治疗。主要结局指标为躯干损伤量表（TIS）评分，用于评估两组患者的躯干控制和平衡功能，以衡量干预前后的变化。
我们发现实验组患者的 TIS 评分显著改善（P=0.017）。TIS 结果表明，远程康复舞蹈治疗具有非劣效性（差值=-0.86，95%置信区间[CI]为-2.21 至 0.50）。
远程康复舞蹈治疗显著改善了实验组的 TIS 评分，在非劣效性试验中与常规康复治疗相当。因此，远程舞蹈方案在改善脑卒中患者的躯干控制方面可能具有与常规治疗相似的效果。
