Yoon Hyunsik, Park Chanhee
Chungnam National University Hospital, Daejeon 35015, Republic of Korea.
Department of Physical Therapy, Yonsei University, Wonju 26493, Republic of Korea.
Healthcare (Basel). 2023 Dec 23;12(1):35. doi: 10.3390/healthcare12010035.
Stroke patients experience impaired sensory and motor functions, which impact their activities of daily living (ADL). The current study was designed to determine the best neurorehabilitation method to improve clinical outcomes, including the trunk-impairment scale (TIS), Berg balance scale (BBS), Fugl-Meyer assessment (FMA), and modified Barthel index (MBI), in stroke patients with impaired sensory function. Forty-four stroke survivors consistently underwent proprioceptive body vibration rehabilitation training (PBVT) or conventional physical therapy (CPT) for 30 min/session, 5 days a week for 8 weeks. Four clinical outcome variables-the FMA, TIS, BBS, and MBI-were examined pre- and post-intervention. We observed significant differences in the FMA, BBS, and MBI scores between the PBVT and CPT groups. PBVT and CPT showed significant improvements in FMA, BBS, TIS, and MBI scores. However, PVBT elicited more favorable results than CPT in patients with stroke and impaired sensory function. Collectively, this study provides the first clinical evidence of optimal neurorehabilitation in stroke patients with impaired sensory function.
中风患者会出现感觉和运动功能受损,这会影响他们的日常生活活动(ADL)。本研究旨在确定最佳的神经康复方法,以改善感觉功能受损的中风患者的临床结局,包括躯干损伤量表(TIS)、伯格平衡量表(BBS)、Fugl-Meyer评估(FMA)和改良巴氏指数(MBI)。44名中风幸存者持续接受本体感觉身体振动康复训练(PBVT)或传统物理治疗(CPT),每次训练30分钟,每周5天,共8周。在干预前后检查了四个临床结局变量——FMA、TIS、BBS和MBI。我们观察到PBVT组和CPT组之间在FMA、BBS和MBI评分上存在显著差异。PBVT和CPT在FMA、BBS、TIS和MBI评分上均有显著改善。然而,在感觉功能受损的中风患者中,PVBT比CPT产生了更有利的结果。总体而言,本研究为感觉功能受损的中风患者的最佳神经康复提供了首个临床证据。