Zhang Tingyu, Zheng Jiejiao
Rehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, 610041, China.
Neurol Sci. 2025 Apr 7. doi: 10.1007/s10072-025-08119-5.
Stroke remains the primary cause of mortality and morbidity in the adult population in China. Postural control dysfunction is a significant and persistent issue commonly observed in stroke patients. Core stability training has been shown to improve postural control in stroke patients, but the accuracy and efficacy of subjective scales used to assess the quality of resulting improvements remain uncertain. The first part of this manuscript reviews the origins and development of core stability training. The second part provides a brief examination of the mechanism by which core stability training affects postural control in post-stroke individuals. The third part reviews the functional recovery outcomes of core stability training as assessed through instrumental gait analysis, with gait spatio-temporal and kinematic parameters enhancing motor control, center of gravity trajectory and kinetic parameters enhancing postural stability, and electromyographic activity parameters enhancing neuromuscular recovery of core muscle groups.
中风仍然是中国成年人群死亡和发病的主要原因。姿势控制功能障碍是中风患者中常见的一个重大且持续存在的问题。核心稳定性训练已被证明可改善中风患者的姿势控制，但用于评估改善效果质量的主观量表的准确性和有效性仍不确定。本手稿的第一部分回顾了核心稳定性训练的起源和发展。第二部分简要探讨了核心稳定性训练影响中风后个体姿势控制的机制。第三部分回顾了通过仪器步态分析评估的核心稳定性训练的功能恢复结果，其中步态时空和运动学参数增强运动控制，重心轨迹和动力学参数增强姿势稳定性，肌电图活动参数增强核心肌群的神经肌肉恢复。
