Olczak Anna, Carvalho Raquel, Stępień Adam, Mróz Józef
Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, 00-968 Warsaw, Poland.
RISE-Health-Escola Superior de Tecnologias da Saúde do Tâmega e Sousa (ESTeSTS) Instituto Politécnico de Saúde do Norte, Avenida Central de Gandra, 1317, 4585-116 Paredes, Portugal.
Brain Sci. 2025 Mar 5;15(3):275. doi: 10.3390/brainsci15030275.
Impaired balance leads to loss of function, e.g., the inability to walk safely. Therefore, restoring balance is a common goal of rehabilitation after a stroke. An innovative motor imaging and robotic device, the ErigoPro walking table, was used to improve balance in patients who had suffered an acute stroke.
Sixty-six stroke patients in the acute phase with an average age of 64.85 ± 18.62 years were randomly assigned to one of three groups (22 subjects each) and treated with different therapies (conventional, conventional with ErigoPro, and conventional with ErigoPro enriched with motor imaging). The duration of therapy was two weeks. Patients were assessed before and after completion of therapy. The study used the trunk stability test and the Berg Balance Scale to assess balance, and the Riablo™ device to measure static balance. In addition, an assessment of the superficial tension of the transversus abdominis and multifidus muscles was performed. The clinical trial registration URL unique identifier was NCT06276075.
In each of the groups studied, the therapies applied resulted in significant improvement in functional assessment of trunk stability and balance (TCT < 0.001 and BBS < 0.001). The assessment of balance in the frontal ( = 0.023) and sagittal ( = 0.074) planes with the Riablo™ device confirmed the superiority of motor imaging-enhanced therapy at the level of a statistical trend. The tension of the transversus abdominis was higher at the second measurement (M = 14.41; SE = 3.31).
Motor imagery-enhanced therapy is most important, both for trunk stability and functional improvement of body balance parameters and for increasing transversus abdominis muscle tension.
平衡受损会导致功能丧失，例如无法安全行走。因此，恢复平衡是中风后康复的一个共同目标。一种创新的运动成像和机器人设备，即ErigoPro步行台，被用于改善急性中风患者的平衡能力。
66例急性期中风患者，平均年龄64.85±18.62岁，被随机分为三组（每组22例），接受不同治疗（传统治疗、传统治疗加ErigoPro、传统治疗加富含运动成像的ErigoPro）。治疗持续两周。在治疗完成前后对患者进行评估。该研究使用躯干稳定性测试和伯格平衡量表评估平衡能力，并用Riablo™设备测量静态平衡。此外，还对腹横肌和多裂肌的表面张力进行了评估。临床试验注册网址唯一标识符为NCT06276075。
在每个研究组中，所应用的治疗方法均使躯干稳定性和平衡的功能评估有显著改善（躯干稳定性测试P<0.001，伯格平衡量表P<0.001）。使用Riablo™设备对额面（P = 0.023）和矢状面（P = 0.074）平衡的评估在统计趋势水平上证实了运动成像增强治疗的优越性。第二次测量时腹横肌的张力更高（M = 14.41；SE = 3.31）。
运动想象增强疗法对于躯干稳定性、身体平衡参数的功能改善以及增加腹横肌张力最为重要。
