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中枢神经系统损伤患者临床适用治疗干预重叠效应的比较研究。

A comparative study on the overlapping effects of clinically applicable therapeutic interventions in patients with central nervous system damage.

作者信息

Lee Jung-Ho, Lee Dae-Hwan

机构信息

Physical therapy, Kyungdong University, Goseong-gun, Republic of Korea.

出版信息

Open Med (Wars). 2023 Oct 27;18(1):20230828. doi: 10.1515/med-2023-0828. eCollection 2023.

Abstract

This study was conducted to investigate the effects of anti-gravity treadmill (AGT) training, which provides visual feedback and Biorescue training on proprioception, muscle strength, balance, and gait, in stroke patients. A total of 45 people diagnosed with post-stroke were included as study subjects; they were randomized to an AGT training group provided with visual feedback (Group A), a Biorescue training group provided with visual feedback (Group B), and an AGT/Biorescue group that subsequently received AGT training and Biorescue training (Group C). A muscle strength-measuring device was used to evaluate muscle strength. Timed Up and Go and Bug Balance Scale assessment sheets were used to evaluate balance ability. Dartfish software was used to evaluate gait ability. The results of the study showed that Groups A and C had a significant increase in muscle strength compared with Group B; in terms of balance and gait abilities, Group C showed a significant increase in balance ability and gait speed and a significant change in knee joint angle compared with Groups A and B. In conclusion, this study suggests that including a method that applies multiple therapeutic interventions is desirable in the rehabilitation of stroke patients to improve their independence.

摘要

本研究旨在探讨抗重力跑步机(AGT)训练(提供视觉反馈)和生物救援训练对中风患者本体感觉、肌肉力量、平衡和步态的影响。共有45名被诊断为中风后的患者被纳入研究对象;他们被随机分为提供视觉反馈的AGT训练组(A组)、提供视觉反馈的生物救援训练组(B组)以及随后接受AGT训练和生物救援训练的AGT/生物救援组(C组)。使用肌肉力量测量装置评估肌肉力量。使用定时起立行走测试和Bug平衡量表评估表评估平衡能力。使用Dartfish软件评估步态能力。研究结果表明,与B组相比,A组和C组的肌肉力量显著增加;在平衡和步态能力方面,与A组和B组相比,C组的平衡能力和步态速度显著增加,膝关节角度有显著变化。总之,本研究表明,在中风患者的康复中,采用多种治疗干预方法是可取的,以提高他们的独立性。

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