Department of Physiotherapy and Rehabilitation, KTO Karatay University, Konya, Türkiye.
Department of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
Neurol Res. 2024 Jun;46(6):553-560. doi: 10.1080/01616412.2024.2337522. Epub 2024 Apr 2.
OBJECTIVES: Inadequate trunk function is the underlying cause of many problems such as impaired balance and mobility. Although there have been trunk-based physiotherapy approaches in recent years, almost all of these approaches focus on motor problems. This study aims to investigate the effects of sensory training combined with trunk-centered Bobath exercises on trunk control and proprioception, balance, gait, and the activity of daily living (ADL). MATERIALS AND METHODS: This study is a randomized controlled trial included with twenty-seven stroke patients. Participants were separated into two groups, Group 1; 'sensory training combined with trunk-centered Bobath exercises' and Group 2; 'trunk-centered Bobath exercises'. Trunk-centered Bobath exercises were used for motor training. Sensory training included transcutaneous electric nerve stimulation and a set of exercises that provide tactile and proprioceptive stimulation. Trunk Impairment Scale, Trunk Reposition Error, Berg Balance Scale, 2-minute walk test, and Barthel Index were used to assess trunk control, trunk proprioception, balance, gait, and ADL respectively. RESULTS: Intra-group analysis results showed that trunk control, trunk proprioception, balance, gait, and ADL improved in both groups after treatment ( < 0.05). The changes in the Trunk Reposition Error values of the participants in Group 1 before and after treatment was found to be significantly higher than Group 2 ( < 0.05). CONCLUSIONS: The findings indicated that the application of trunk-centered motor training is effective in improving trunk proprioception and trunk control, balance, gait, and ADL in stroke patients. Also, sensory training combined with trunk-centered motor training was found more effective in improving trunk proprioception than solely motor training.
目的:躯干功能不足是许多问题的根本原因,如平衡和活动能力受损。尽管近年来出现了基于躯干的物理治疗方法,但几乎所有这些方法都侧重于运动问题。本研究旨在探讨感觉训练与以躯干为中心的 Bobath 运动相结合对躯干控制和本体感觉、平衡、步态和日常生活活动(ADL)的影响。
材料和方法:本研究为随机对照试验,共纳入 27 例脑卒中患者。参与者分为两组,组 1:“感觉训练与以躯干为中心的 Bobath 运动相结合”;组 2:“以躯干为中心的 Bobath 运动”。以躯干为中心的 Bobath 运动用于运动训练。感觉训练包括经皮神经电刺激和一组提供触觉和本体感觉刺激的运动。躯干损伤量表、躯干重新定位误差、伯格平衡量表、2 分钟步行测试和巴氏指数分别用于评估躯干控制、躯干本体感觉、平衡、步态和 ADL。
结果:组内分析结果显示,两组治疗后躯干控制、躯干本体感觉、平衡、步态和 ADL 均有改善( < 0.05)。组 1 患者治疗前后躯干重新定位误差值的变化明显高于组 2( < 0.05)。
结论:研究结果表明,以躯干为中心的运动训练对改善脑卒中患者的躯干本体感觉和躯干控制、平衡、步态和 ADL 是有效的。此外,感觉训练与以躯干为中心的运动训练相结合在改善躯干本体感觉方面比单纯运动训练更有效。