Kos Natasa, Brcar Marusa, Brcar Marko, Velnar Tomaz
Medical Rehabilitation Unit, University Medical Centre Ljubljana, Zaloška 7, 1000 Ljubljana, Slovenia.
AMEU-ECM Maribor, Slovenska 17, 2000 Maribor, Slovenia.
Life (Basel). 2025 Apr 1;15(4):579. doi: 10.3390/life15040579.
Our study investigated the impact of multicomponent balance exercises (MBE) and sensorimotor mobilization with foot muscle strengthening (SMFE) on postural stability in patients with balance disorders, assessed using the Balance Error Scoring System (BESS) while standing still.
Twenty postoperative patients were included in a randomized clinical study and divided into an MBE group (six women and four men with an average age of 30.2 years) and the SMFE group (six women and four men aged 34.5 years). Balance was assessed with the BESS on the third postoperative day and before discharge. The hospitalization lasted 10 days.
All patients in both groups showed significant clinical and statistical improvements ( < 0.05) in maintaining an upright posture after the BESS test. In the MBE group, 80% of patients achieved a minimum clinically significant change of 10 points in postural stability, whereas 100% of patients in the SMFE group did the same. The SMFE group exhibited a statistically significant improvement ( < 0.05) in specific balance tasks conducted on hard and soft surfaces.
Our patient sample results suggest that SMFE is more effective than MBE. We recommend its use in early rehabilitation, although further research is necessary.
我们的研究调查了多组分平衡训练（MBE）和结合足部肌肉强化的感觉运动松动术（SMFE）对平衡障碍患者姿势稳定性的影响，采用平衡误差评分系统（BESS）在静立时进行评估。
20名术后患者纳入一项随机临床研究，分为MBE组（6名女性和4名男性，平均年龄30.2岁）和SMFE组（6名女性和4名男性，年龄34.5岁）。在术后第三天和出院前用BESS评估平衡。住院时间为10天。
两组所有患者在BESS测试后保持直立姿势方面均显示出显著的临床和统计学改善（<0.05）。在MBE组中，80%的患者在姿势稳定性方面实现了至少10分的最小临床显著变化，而SMFE组100%的患者实现了同样的变化。SMFE组在硬表面和软表面进行的特定平衡任务中表现出统计学上的显著改善（<0.05）。
我们的患者样本结果表明，SMFE比MBE更有效。我们建议在早期康复中使用，尽管还需要进一步研究。
