核心稳定性训练结合超声生物反馈对脑卒中患者运动功能、平衡控制、步行速度和日常生活活动能力的影响。
The effectiveness of core stabilization exercise using ultrasound biofeedback on motor function, balance control, gait speed and activities of daily living in stroke patients.
机构信息
Department of Physical Therapy, Yonsei University, Wonju, Korea.
Department of Physical Therapy, Chungnam National University Hospital, Daejeon, Korea.
出版信息
Technol Health Care. 2024;32(S1):477-486. doi: 10.3233/THC-248042.
BACKGROUND
Patients with hemiparetic stroke experience diminished motor function, dynamic balance, and gait speed, which influence their activities of daily living (ADL).
OBJECTIVE
This study aimed to determine the therapeutic effects of ultrasound biofeedback core exercise (UBCE) on Fugl-Meyer assessment (FMA), Time up and go (TUG), 10-meter walking test (10MWT) and functional independent measure (FIM) in participants with stroke.
METHODS
Twenty-four stroke survivors consistently underwent UBCE or abdominal draw-in maneuver (ADIM) for 30 min/session, 3 days a week for 4 weeks. Clinical outcome measurements - the FMA, TUG, 10MWT, and FIM - were observed pre-and post-intervention.
RESULTS
We detected significant changes in the FMA-lower extremities, TUG, 10MWT, and FIM scores between the UBCE and ADIM groups. UBCE and ADIM showed significant improvements in FMA-lower extremities, TUG, 10MWT, and FIM scores. However, UBCE showed more favorable results than ADIM in patients with stroke.
CONCLUSIONS
Our research provides novel therapeutic suggestion of neurorehabilitation in stroke patients.
背景
偏瘫患者的运动功能、动态平衡和步行速度均有所下降，这影响了他们的日常生活活动能力（ADL）。
目的
本研究旨在确定超声生物反馈核心训练（UBCE）对脑卒中患者 Fugl-Meyer 评估（FMA）、计时起立行走测试（TUG）、10 米步行测试（10MWT）和功能性独立性测量（FIM）的治疗效果。
方法
24 名脑卒中幸存者持续接受 UBCE 或腹部内收运动（ADIM）治疗，每次 30 分钟/疗程，每周 3 天，共 4 周。在干预前后观察临床结局测量——FMA、TUG、10MWT 和 FIM。
结果
我们发现 UBCE 组和 ADIM 组的 FMA 下肢、TUG、10MWT 和 FIM 评分均有显著变化。UBCE 和 ADIM 均可显著改善 FMA 下肢、TUG、10MWT 和 FIM 评分，但 UBCE 对脑卒中患者的效果优于 ADIM。
结论
本研究为脑卒中患者的神经康复治疗提供了新的治疗建议。
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