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牙线带对慢性中风患者踝关节活动范围、平衡和步态的影响:一项随机对照研究。

The Effects of a Floss Band on Ankle Range of Motion, Balance, and Gait in Chronic Stroke: A Randomized Controlled Study.

作者信息

Moon Byoung-Hyoun, Kim Ji-Won

机构信息

Department of Physical Therapy, Nambu University, 23, Cheomdanjungang-ro, Gwangsan-gu, Gwangju 62271, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Nov 27;12(23):2384. doi: 10.3390/healthcare12232384.

DOI:10.3390/healthcare12232384
PMID:39685006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11640843/
Abstract

: Stroke patients generally have balance and gait dysfunction due to decreased range of motion (ROM) and muscle strength of the ankle joint. A therapist can apply a floss band to enhance ROM, pain control, jump performance, strength, myofascial release, and recovery from fatigue. This study compared the immediate effects of floss band application on ankle ROM, balance, and gait ability in stroke patients. : This study randomized 40 chronic stroke patients to either the floss (n = 20) or sham (n = 20) band group. The intervention consisted of wrapping the ankle with a band (floss and sham). Balance and gait ability were measured using APDM Mobility Lab system equipment. Outcome measures were assessed at baseline and immediately after applying the floss or sham band. : There were significant improvements in dorsiflexion (DF), WBLT, static balance, and foot strike in those who used the floss band compared to the sham group (all < 0.05). : The floss band improved ankle DF, balance, and gait, indicating that it is a feasible therapeutic method for improving ankle DF, balance, and gait in chronic stroke patients.

摘要

中风患者通常因踝关节活动范围(ROM)和肌肉力量下降而出现平衡和步态功能障碍。治疗师可以使用弹力带以增加ROM、控制疼痛、提高跳跃能力、增强力量、进行肌筋膜放松以及促进疲劳恢复。本研究比较了应用弹力带对中风患者踝关节ROM、平衡和步态能力的即时影响。:本研究将40例慢性中风患者随机分为弹力带组(n = 20)和假弹力带组(n = 20)。干预措施包括用弹力带(弹力带组和假弹力带组)包裹踝关节。使用APDM移动实验室系统设备测量平衡和步态能力。在基线时以及应用弹力带或假弹力带后立即评估结果指标。:与假弹力带组相比,使用弹力带的患者在背屈(DF)、WBLT、静态平衡和足跟着地方面有显著改善(均P < 0.05)。:弹力带改善了踝关节背屈、平衡和步态,表明它是改善慢性中风患者踝关节背屈、平衡和步态的一种可行治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/f858eda8d86f/healthcare-12-02384-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/1129bc701f1c/healthcare-12-02384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/5ac185b9caf7/healthcare-12-02384-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/f858eda8d86f/healthcare-12-02384-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/1129bc701f1c/healthcare-12-02384-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/5ac185b9caf7/healthcare-12-02384-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dbe/11640843/f858eda8d86f/healthcare-12-02384-g003.jpg

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本文引用的文献

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Differences and relationships between weightbearing and non-weightbearing dorsiflexion range of motion in foot and ankle injuries.足踝损伤中立位与非负重背屈活动度的差异及相关性。
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The effects of Robot-assisted gait training and virtual reality on balance and gait in stroke survivors: A randomized controlled trial.机器人辅助步态训练和虚拟现实对脑卒中患者平衡和步态的影响:一项随机对照试验。
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Ankle Proprioception Deficit Is the Strongest Factor Predicting Balance Impairment in Patients With Chronic Stroke.踝关节本体感觉缺陷是预测慢性卒中患者平衡障碍的最强因素。
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