| 黄小静,窦祖林,丘卫红,付 奕,廖 迪.动态姿态平衡仪训练对脑卒中偏瘫患者平衡功能的影响[J].中国康复医学杂志,2011,26(11):1029~1034 |
| 动态姿态平衡仪训练对脑卒中偏瘫患者平衡功能的影响 点此下载全文 |
| 黄小静 窦祖林 丘卫红 付 奕 廖 迪 |
| 南方医科大学珠江医院康复医学科，广州，510282 |
| 基金项目：国家科技部——中国芬兰政府间合作项目（2006DFA33290）；广东省科技计划项目（2006B50107003） |
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| 摘要
目的：探讨使用动态姿态平衡仪对脑卒中后偏瘫患者进行平衡功能训练的效果。
方法：选取20例符合入选标准的脑卒中患者，随机分为治疗组（n＝10）和对照组（n＝10）。对照组进行传统的平衡功能训练，30min/d；治疗组根据动态姿态平衡仪评估结果采用内置的训练方案进行平衡功能训练，20min/d。两组训练时间均为5d/周，共2周。在治疗前和治疗2周后分别采用动态姿态平衡仪中的感觉整合能力试验（SOT）、Berg平衡量表（BBS）及“起立—行走”计时测试（TUGT）进行定性、定量的评估。
结果：两组受试对象的SOT指数、BBS和TUGT得分在治疗前后均有明显差异，但治疗组的改善程度明显大于对照组（P<0.05）；治疗组中SOT测试的闭眼、平台沿矢状面旋转（ECSS）、平台与视窗沿矢状面旋转（SVSS）程序下，治疗后的平衡指数与运动策略较对照组均有显著的改善（P<0.05）。
结论：利用动态姿态平衡仪对脑卒中后偏瘫患者进行平衡功能训练比传统训练方法能更有效地改善患者的平衡功能。 |
| 关键词：动态姿态平衡仪 平衡训练 脑卒中 视觉反馈 |
| Effects of dynamic postural balance training on balance function of hemiplegic stroke patients Download Fulltext |
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| Dept. of Rehabilitation Medicine, Zhujiang Hospital, Guangzhou, 510282 |
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| Abstract: |
| Abstract
Objective: To study the effects of a dynamic postural balance equipment on training balance function of patients with hemiplegia.
Method: Twenty hemiplegic stroke patients were recruited into the study and then randomly divided into the control group (n=10) and the training group (n=10). Conventional balance training was used in the control group; while visual feedback balance training with Smart-EquiTest System was employed in the training group. Both groups were trained 5d per week, for 2 weeks. Quantitative balance functions were evaluated using the sensory organization test(SOT) with Smart-EquiTest System, the Berg balance scale(BBS) and timed up & go test(TUGT) before training as well as 2 weeks after completing the training program.
Result: Both groups revealed improvements in SOT, BBS and TUGT after 2-week training, and patients in the training group gained more improvements compared with the control group(P<0.05); In the training group, the scoring of the equilibrium index and exercise strategy in eye closed, sway referenced support(ECSS) and Sway-referenced vision(SVSS) of SOT improved significantly after training, with P＜0.05 separately. On the other hand, no obvious difference was found in the equilibrium index in eye open(EO), eye closed(EC), sway-referenced vision(SV) and eye open, sway referenced support(EOSS) of SOT between the training group and the control group.
Conclusion: Visual feedback balance training with Smart-EquiTest System is significantly more effective than conventional training to improve balance function of hemiplegic stroke patients. |
| Keywords:dynamic postural balance equipment balance training stroke visual feedback |
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