Martino Cinnera Alex, Ciancarelli Irene, Marrano Serena, Palagiano Massimiliano, Federici Elisa, Bisirri Alessio, Iosa Marco, Paolucci Stefano, Koch Giacomo, Morone Giovanni
Scientific Institute for Research, Hospitalization and Health Care IRCCS Santa Lucia Foundation, 00142 Rome, Italy.
Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.
Brain Sci. 2024 Sep 13;14(9):917. doi: 10.3390/brainsci14090917.
As one of the leading causes of disability in the world, stroke can determine a reduction of balance performance with a negative impact on daily activity and social life. In this study, we aimed to evaluate the effects of sensor-based balance training with exergaming feedback on balance skills in chronic stroke patients.
21 individuals (11F, 57.14 ± 13.82 years) with a single event of ischemic stroke were randomly assigned to the sensor-based balance training group (SB-group) or the usual care balance training group (UC-group). Both groups received 10 add-on sessions with exergaming feedback (SB-group) or conventional training (UC-group). Clinical and instrumental evaluation was performed before (t0), after (t1), and after one month (t2) from intervention. Participation level was assessed using the Pittsburgh Rehabilitation Participation Scale at the end of each session.
The SB-group showed an improvement in postural stability ( = 0.02) when compared to the UC-group. In the evaluation of motivational level, the score was statistically higher in the SB-group with respect to the UC-group ( < 0.01).
Except for the improvement in postural stability, no difference was recorded in clinical score, suggesting a comparable gain in both groups. However, patients undergoing sensor-based training exhibited a higher participation score, ultimately indicating the use of this training to improve the adherence to rehabilitation settings, especially in patients with lower compliance.
作为全球主要的致残原因之一，中风会导致平衡能力下降，对日常活动和社会生活产生负面影响。在本研究中，我们旨在评估基于传感器的平衡训练结合运动游戏反馈对慢性中风患者平衡技能的影响。
21名单次缺血性中风患者（11名女性，年龄57.14±13.82岁）被随机分配到基于传感器的平衡训练组（SB组）或常规护理平衡训练组（UC组）。两组均接受10次附加训练，SB组接受运动游戏反馈训练，UC组接受传统训练。在干预前（t0）、干预后（t1）和干预后1个月（t2）进行临床和仪器评估。每次训练结束时，使用匹兹堡康复参与量表评估参与水平。
与UC组相比，SB组的姿势稳定性有所改善（=0.02）。在动机水平评估中，SB组的得分在统计学上高于UC组（<0.01）。
除姿势稳定性有所改善外，两组临床评分无差异，表明两组获益相当。然而，接受基于传感器训练的患者表现出更高的参与得分，最终表明使用这种训练可以提高对康复治疗的依从性，尤其是对于依从性较低的患者。
