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将双重任务纳入亚急性卒中患者重复6分钟步行试验对平衡和步行功能的影响:一项随机对照试验。

Effects of incorporating dual task into repeated 6-min walk test on balance and walking functions in patients with subacute stroke: A randomized controlled trial.

作者信息

Jung In-Hyup, Oh Duck-Won

机构信息

Department of Physical Therapy, Davinci Hospital, Daejeon, Republic of Korea.

Department of Physical Therapy, College of Health and Medical Science, Cheongju University, Cheongju, Republic of Korea.

出版信息

Physiother Res Int. 2023 Mar 30:e2003. doi: 10.1002/pri.2003.

Abstract

OBJECTIVE

To explore the effects of incorporating dual task into a repeated 6-min walk test (6MWT) on balance and walking functions in patients with subacute stroke.

METHODS

Twenty-eight subacute stroke survivors were randomized into experimental group (EG) and control group (CG). EG and CG participated in dual task during the repeated 6MWT and the repeated 6-min test, respectively, for twice a day, three times weekly over 4 weeks. Outcome assessments were measured pre- and post-test using the 10-m walk test (10MWT), timed up and go test (TUG), 6MWT, Berg balance scale (BBS), and the activities specific balance confidence scale (ABC).

RESULTS

In the between-group comparison, change values in the 6MWT and ABC values between pre- and post-test appeared to be significantly different (p < 0.05). In within-group comparisons, the 10MWT, 6MWT, TUG, and ABC scores showed significant differences between pre- and post-test values in two groups (p < 0.05).

CONCLUSION

Repeated 6MWT may be beneficial to enhance balance and walking functions in patients with subacute stroke, with more favorable effects when performing dual tasks.

摘要

目的

探讨在亚急性脑卒中患者的重复6分钟步行试验(6MWT)中加入双重任务对平衡和步行功能的影响。

方法

将28名亚急性脑卒中幸存者随机分为实验组(EG)和对照组(CG)。EG和CG分别在重复6MWT和重复6分钟测试期间参与双重任务,每天两次,每周三次,共4周。在测试前和测试后使用10米步行测试(10MWT)、计时起立行走测试(TUG)、6MWT、伯格平衡量表(BBS)和活动特定平衡信心量表(ABC)进行结果评估。

结果

在组间比较中,测试前和测试后6MWT的变化值和ABC值似乎有显著差异(p<0.05)。在组内比较中,两组测试前和测试后的值在10MWT、6MWT、TUG和ABC评分上有显著差异(p<0.05)。

结论

重复6MWT可能有利于增强亚急性脑卒中患者的平衡和步行功能,在执行双重任务时效果更佳。

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