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视觉反馈平衡系统联合减重训练系统对脑卒中早期康复阶段平衡及步行能力的影响:一项随机对照探索性研究

Effects of visual feedback balance system combined with weight loss training system on balance and walking ability in the early rehabilitation stage of stroke: a randomized controlled exploratory study.

作者信息

Lu Wei, Wen Mingming, Li Yinxia, Liu Feng, Li Yongping, Zhang Hengchun, Zhang Min

机构信息

Department of Rehabilitation Medicine, Gansu Provincial Hospital, Lanzhou, Gansu, China.

Cadre Ward of Respiratory and Critical Care Medicine, Gansu Provincial Hospital, Lanzhou, Gansu, China.

出版信息

Ther Adv Neurol Disord. 2024 Sep 30;17:17562864241266512. doi: 10.1177/17562864241266512. eCollection 2024.

Abstract

BACKGROUND

Previous studies have suggested that the Pro-Kin visual feedback balance system can promote the recovery of balance function in stroke patients.

OBJECTIVES

However, this system has not been used effectively in the early stages of stroke rehabilitation. This study aimed to investigate the effect of Pro-Kin system combined with weight loss system for the early recovery of balance and walking ability following a stroke.

METHODS

A total of 62 patients who underwent radiological diagnosis of stroke were randomly divided into two groups: a control group ( = 31) and a treatment group ( = 31). Both groups received conventional balance training. The treatment group also received training on the Pro-Kin system in conjunction with a weight loss system. Balance was measured using the Berg Balance Scale (BBS), Timed 'Up & Go' (TUG) test and Pro-Kin system. Walking ability was assessed using the Functional Ambulation Classification (FAC). The tests were performed before the start of treatment and on the 4th week following the training. There was no statistically significant difference between the groups before training.

RESULTS

After 4 weeks of training in both groups, there were significant improvements in balance and walking ability. BBS values and FAC were significantly higher ( < 0.01), TUG times, ellipse area and motion trajectory length were significantly reduced ( < 0.01,  < 0.05) after training. The treatment group outperformed the control group ( < 0.05). In addition, there was a positive correlation between balance function and walking ability ( < 0.01).

CONCLUSION

The Pro-Kin system combined with weight loss system is a viable method that promotes early reconstruction of balance and walking ability following a stroke.

TRIAL REGISTRATION

Clinical trial number ChiCTR1900026370. https://www.chictr.org.cn/showprojEN.html?proj=43736.

摘要

背景

先前的研究表明,Pro-Kin视觉反馈平衡系统可促进中风患者平衡功能的恢复。

目的

然而,该系统在中风康复早期尚未得到有效应用。本研究旨在探讨Pro-Kin系统结合减重系统对中风后平衡和步行能力早期恢复的影响。

方法

共有62例经影像学诊断为中风的患者被随机分为两组:对照组(n = 31)和治疗组(n = 31)。两组均接受常规平衡训练。治疗组还接受了Pro-Kin系统结合减重系统的训练。使用伯格平衡量表(BBS)、定时起立行走测试(TUG)和Pro-Kin系统测量平衡。使用功能步行分类(FAC)评估步行能力。在治疗开始前和训练后的第4周进行测试。训练前两组之间无统计学显著差异。

结果

两组训练4周后,平衡和步行能力均有显著改善。训练后,BBS值和FAC显著升高(P < 0.01),TUG时间、椭圆面积和运动轨迹长度显著缩短(P < 0.01,P < 0.05)。治疗组的表现优于对照组(P < 0.05)。此外,平衡功能与步行能力之间存在正相关(P < 0.01)。

结论

Pro-Kin系统结合减重系统是促进中风后平衡和步行能力早期重建的一种可行方法。

试验注册

临床试验编号ChiCTR1900026370。https://www.chictr.org.cn/showprojEN.html?proj=43736。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d92a/11457188/cea089163f52/10.1177_17562864241266512-fig1.jpg

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