多向踏步运动结合负重转移对脑卒中患者平衡和步态的影响。
Effects of multi-directional step exercise with weight-shifting as an adjunct to conventional exercises on balance and gait in stroke patients.
机构信息
Alva's College of Physiotherapy, Moodbidri, Karnataka, India.
New Horizons Child Development Centre, Mumbai, Maharashtra, India.
出版信息
Sci Rep. 2022 Oct 12;12(1):17053. doi: 10.1038/s41598-022-21073-y.
Stroke patients have gait dysfunctions that affect their activities of daily living. Stroke patients should be able to take multi-directional steps as it is necessary to achieve an independent gait. The study aimed to examine the effects of multi-directional step exercises (MSE) along with weight-shifting as an adjunct to conventional therapeutic exercises (CTE) on functional gait performance and balance in patients with stroke. Twenty-four stroke patients (mean age 56.75 years) participated in the study and were divided into experimental and control groups. The experimental group (EG) included MSE along with weight shifting and CTE. The control group (CG) included only CTE. Treatment intervention lasted for 4 weeks. Gait and balance were measured using the functional gait assessment (FGA) and the berg balance scale (BBS), respectively. EG showed a significant improvement (p = 0.000) in both the BBS and FGA scores. In CG, a significant improvement (p = 0.000) was observed only in FGA scores. EG showed a greater improvement in scores of BBS (p = 0.000) and FGA (p = 0.000) than CG. Four weeks of MSE in conjunction with CTE were more effective in improving balance and functional gait performance compared to CTE alone in the selected stroke population.
脑卒中患者存在步态功能障碍,影响其日常生活活动。脑卒中患者应能够进行多方向的迈步,因为这是实现独立步态所必需的。本研究旨在探讨多方向迈步训练(MSE)与重心转移相结合作为常规治疗性运动(CTE)的辅助治疗对脑卒中患者的功能性步态表现和平衡的影响。24 名脑卒中患者(平均年龄 56.75 岁)参与了这项研究,并分为实验组(EG)和对照组(CG)。实验组(EG)包括 MSE 与重心转移和 CTE。对照组(CG)仅包括 CTE。治疗干预持续 4 周。使用功能性步态评估(FGA)和伯格平衡量表(BBS)分别测量步态和平衡。EG 在 BBS 和 FGA 评分上均有显著改善(p=0.000)。在 CG 中,仅在 FGA 评分上观察到显著改善(p=0.000)。EG 在 BBS(p=0.000)和 FGA(p=0.000)评分上的改善均大于 CG。与单独 CTE 相比,4 周的 MSE 与 CTE 联合应用在所选脑卒中患者中更能有效改善平衡和功能性步态表现。