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实时反馈方法对脑卒中患者静态平衡训练的影响:一项随机对照试验

Effects of Real-Time Feedback Methods on Static Balance Training in Stroke Patients: A Randomized Controlled Trial.

作者信息

Kwon Il-Ho, Shin Won-Seob, Choi Kyu-Seong, Lee Myung-Sun

机构信息

Department of Physical Therapy, Graduate School of Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of Korea.

Department of Physical Therapy, College of Health Medical Science, Daejeon University, 62, Daehak-ro, Dong-gu, Daejeon 34520, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Apr 1;12(7):767. doi: 10.3390/healthcare12070767.

Abstract

BACKGROUND

The purpose of this study was to investigate the effects of real-time feedback methods on static balance training in stroke patients. There are two types of real-time feedback methods, as follows: one is Knowledge of Result (KR), and the other is Knowledge of Performance (KP).

METHOD

Thirty stroke patients participated in this study and were randomly assigned to the KR group (n = 15) or the KP group (n = 15). All of the groups underwent real-time feedback training for four weeks (30 min per session, five sessions per week). The primary outcomes were sway length, sway velocity, and area 95%, which were assessed before and after the intervention. The secondary outcomes included the Berg Balance Scale, the Fugl Meyer Assessment for Lower Extremity, the Postural Assessment Scale for Stroke Trunk Impairment Scale, and the Fall Efficacy Scale. A group × time interaction was assessed using two-way ANOVA with repeated measures.

RESULT

There was a significant increase over time in all outcomes ( < 0.05). Significant differences were observed for a group × time interaction in sway length and area 95% ( < 0.05).

CONCLUSIONS

Real-time feedback training for static balance enhanced stroke patients' static balance abilities, clinical outcome assessments, and promoted self-efficacy against falls.

摘要

背景

本研究旨在探讨实时反馈方法对中风患者静态平衡训练的影响。实时反馈方法有以下两种:一种是结果知识(KR),另一种是表现知识(KP)。

方法

30名中风患者参与本研究,随机分为KR组(n = 15)或KP组(n = 15)。所有组均接受为期四周的实时反馈训练(每次训练30分钟,每周训练五次)。主要结局指标为摆动长度、摆动速度和95%面积,在干预前后进行评估。次要结局指标包括伯格平衡量表、下肢Fugl Meyer评估、中风躯干损伤姿势评估量表和跌倒效能感量表。采用重复测量的双向方差分析评估组×时间交互作用。

结果

所有结局指标随时间均有显著增加(<0.05)。在摆动长度和95%面积的组×时间交互作用方面观察到显著差异(<0.05)。

结论

静态平衡的实时反馈训练增强了中风患者的静态平衡能力、临床结局评估,并提高了预防跌倒的自我效能感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27ca/11011765/39d1044e0119/healthcare-12-00767-g001.jpg

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