Judith Evers, Isabel Stolz, Marilena Klein
Institute of Movement and Neurosciences, Department Movement Rehabilitation, Neuromechanics and Paralympic Sports (IV), German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany.
Oberberg Clinic, RPP Society for Rehabilitation, Prevention & Care mbH, Am Hüttenberg 1, 51643, Gummersbach, Germany.
BMC Res Notes. 2024 Dec 12;17(1):358. doi: 10.1186/s13104-024-07022-0.
Recently, neuroathletic training has been increasingly applied in competitive sports, in therapy, and in prevention. Scientific evidence on the effectiveness of this approach, however, has been poorly developed. Potentials of neuropathologic perceptual exercises to potentially improve balance control in the context of movement therapy in stroke rehabilitation appear promising. To investigate the possible effects of neuroathletic exercises on the balance ability of poststroke patients with ischemic infarcts and intracerebral hemorrhages, a controlled trial of a standardized protocol of daily neuroathletic exercises compared to traditional movement therapy during a four-week period of medical rehabilitation was conducted (n = 19). Patients were assessed with the Berg-Balance Scale (BBS), which represents the Gold standard for clinical measurement of balance. The results of the prepost BBS measurement showed significant balance improvements in the intervention and control groups, whereas the intervention group reached a higher total score by half the size of the standard deviation. A comparison of the results of both groups supported the general effectiveness of movement therapy for improving balance in stroke rehabilitation. However, neuroathletic training exercises did not lead to a stronger effect. Moreover, the intervention group did not score significantly lower than the control group. A negative influence can therefore not be assumed. For further investigations of neuroathletic training compared to treatment-as-usual training to improve balance in stroke rehabilitation, additional studies with larger sample sizes and longer treatment periods should be conducted.Trial registration United States National Library of Medicine, NCT06391801, date: 04.29.2024.
最近，神经运动训练已越来越多地应用于竞技体育、治疗和预防领域。然而，关于这种方法有效性的科学证据却很匮乏。在中风康复的运动治疗中，神经病理学感知练习在潜在改善平衡控制方面的潜力似乎很有前景。为了研究神经运动练习对缺血性梗死和脑出血后中风患者平衡能力的可能影响，我们进行了一项对照试验，在为期四周的医学康复期间，将每日标准化神经运动练习方案与传统运动治疗进行比较（n = 19）。患者使用伯格平衡量表（BBS）进行评估，该量表是临床平衡测量的金标准。BBS测量前后的结果显示，干预组和对照组的平衡能力均有显著改善，而干预组的总分比标准差高出一半。两组结果的比较支持了运动治疗在改善中风康复平衡方面的总体有效性。然而，神经运动训练练习并没有产生更强的效果。此外，干预组的得分也没有显著低于对照组。因此，不能认为存在负面影响。为了进一步研究与常规治疗训练相比，神经运动训练对改善中风康复平衡的效果，应开展样本量更大、治疗周期更长的额外研究。试验注册 美国国立医学图书馆，NCT06391801，日期：2024年4月29日。
