核心稳定性训练对听力损失儿童呼吸肌力量、呼吸功能和姿势控制的影响：一项随机对照试验。
The Effects of Core Stabilization Exercises on Respiratory Muscle Strength, Respiratory Functions, and Postural Control in Children With Hearing Loss: A Randomized Controlled Trial.
机构信息
Cardiopulmonary Physiotherapy Rehabilitation Department, Institute of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.
Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bezmialem Vakif University, Istanbul, Turkey.
出版信息
Ear Hear. 2024;45(2):306-315. doi: 10.1097/AUD.0000000000001428. Epub 2023 Oct 3.
OBJECTIVES
To evaluate the effects of core stabilization training on respiratory muscle strength, respiratory functions, and postural control in children with hearing loss.
DESIGN
We conducted a randomized controlled trial at Bezmialem Vakif University, Faculty of Health Sciences, Division of Physiotherapy and Rehabilitation. Thirty children with hearing loss who were diagnosed with prelingual sensorineural hearing loss were randomly allocated to the study (n = 15, 12.20 ± 1.69 years) and control (n = 15, 11.87 ± 2.20 years) groups. Core stabilization training protocol was performed by the study group for 8 weeks, 5 days/week, whereas the control group received no training. The primary outcome measure was respiratory muscle strength. The secondary outcome measures were: spirometry, postural control tests on Biodex Balance System, and Balance Error Scoring System (BESS). Exercise adherence was recorded via a diary for home sessions. Outcomes were assessed at baseline and the end of the 8 weeks.
RESULTS
In the study group, a significant improvement was observed in force vital capacity, peak expiratory flow of the spirometry test, maximum inspiratory pressure/expiratory pressure (MEP) of the respiratory muscle strength test; postural stability test except "anterior/posterior stability index", limits of stability test except "backward" and "forward/right", all parameters of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) test except "eyes closed firm surface" of the Biodex Balance System, and total score of BESS. Group × time interaction was found in MEP, "overall" stability index in postural stability test, "overall," "left," and "backward left" of limits of stability test, all parameters of the mCTSIB, and BESS total.
CONCLUSIONS
Core stabilization exercises were effective in improving respiratory muscle strength, spirometry, and postural control in children with hearing loss.
目的
评估核心稳定性训练对听力损失儿童呼吸肌力量、呼吸功能和姿势控制的影响。
设计
我们在贝西姆瓦克夫大学健康科学学院物理治疗和康复系进行了一项随机对照试验。将 30 名被诊断为语前感音神经性听力损失的听力损失儿童随机分配到研究组（n = 15，12.20 ± 1.69 岁）和对照组（n = 15，11.87 ± 2.20 岁）。研究组进行了 8 周的核心稳定性训练方案，每周 5 天；而对照组则未接受任何训练。主要结局指标是呼吸肌力量。次要结局指标是：Biodex 平衡系统的呼吸肌力量测试、肺活量测定、姿势控制测试和平衡错误评分系统（BESS）。通过日记记录家庭训练的运动依从性。在基线和 8 周结束时评估结果。
结果
在研究组中，呼吸肌力量测试中的用力肺活量、呼气峰流速、最大吸气压力/呼气压力（MEP）；除“前后稳定性指数”外的姿势稳定性测试、除“向后”和“向前/右”外的稳定性极限测试、Biodex 平衡系统中的改良临床感觉互动和平衡测试（mCTSIB）测试中的除“闭眼固面”外的所有参数，以及 BESS 的总分均有显著改善。在 MEP、姿势稳定性测试中的“整体”稳定性指数、稳定性极限测试中的“整体”、“左侧”和“左侧向后”、mCTSIB 的所有参数以及 BESS 总分中，均发现了组×时间的交互作用。
结论
核心稳定性练习对听力损失儿童的呼吸肌力量、肺活量和姿势控制有积极影响。
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