| 张玉婷,汪 杰,吕雪莹,李瑛琦,郄淑燕,王丛笑.跑台扰动训练对脑卒中偏瘫患者平衡功能及跌倒风险的影响[J].中国康复医学杂志,2022,(5):636~641 |
| 跑台扰动训练对脑卒中偏瘫患者平衡功能及跌倒风险的影响 点此下载全文 |
| 张玉婷 汪 杰 吕雪莹 李瑛琦 郄淑燕 王丛笑 |
| 首都医科大学附属北京康复医院康复诊疗中心，北京市，100144 |
| 基金项目：国家科技部重点研发计划（2020YFC2004300） |
| DOI：10.3969/j.issn.1001-1242.2022.05.011 |
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| 摘要： |
| 摘要
目的：探讨跑台扰动训练对脑卒中偏瘫患者平衡功能及跌倒风险的影响。
方法：将97例脑卒中偏瘫伴有平衡障碍的患者随机均分为观察组和对照组，两组均进行常规PT训练，对照组在此基础上进行传统静动态平衡训练，20min/d；观察组中应用跑台扰动训练进行危机模拟步行功能训练，20min/d。两组训练时间均为5d/周，共6周。在治疗前和治疗6周后分别采用STABLE三维平衡姿势控制训练与评估系统进行静动态平衡功能测试，应用Tetrax平衡仪进行跌倒风险评估。
结果：治疗前，两组受试对象各项指标无显著性差异（P>0.05）；治疗6周后，对照组的睁眼站立、闭眼站立、脚前后站立、动态稳定时间明显改善（P<0.001）。单腿站立时重心摆动速度和跌倒风险评则进步不显著（P=0.482，P=0.066）。治疗组的上述指标均较治疗前显著进步（P<0.001）,进步程度大于对照组，除了睁眼站立和动态稳定时间外均P<0.05。
结论：跑台扰动训练可以更好地帮助脑卒中后偏瘫患者改善动态平衡功能，降低跌倒风险。 |
| 关键词：跑台扰动训练 脑卒中 平衡功能 跌倒风险 |
| Effects of treadmill-based perturbation training on balance function and fall risk in stroke patients with hemiplegia Download Fulltext |
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| Department of Rehabilitation Medicine， Beijing Rehabilitation Hospital， Capital Medical University， Beijing， 100144 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To explore the effect of treadmill-based perturbation training on balance function and fall risk of the stroke patients with hemiplegia.
Method： Ninety-seven hemiplegic patients after stroke with balance disorder were randomly divided into the treatment group and the control group. Both groups received routine PT training. In addition， the control group accepted traditional static and dynamic balance training at 20min/d and the treatment group performed crisis simulating walking training with treadmill-based perturbation， 20min/d. The training time of both groups was 5d/week， 6 weeks in total. Before treatment and after 6 weeks treatment， the static and dynamic balance performance was evaluated by the STABLE three-dimensional balance training and evaluation system， and using TETRAX balance devices to assess fall risk .
Result： Before treatment， there was no significant difference in all parameters between the two groups (P>0.05). After 6 weeks intervention，the time of dynamic stabilization，and the average center of pressure (COP) swing velocity when standing in eyes close, eyes open and tandem improved significantly（P<0.05）in control group, but not for average COP swing velocity as single leg support(P=0.482) and fall risk(P=0.066). In the observed group, all index improved after treatment(P<0.001), and improved more than those in control group(P<0.05) except for fall risk and average COP swing velocity when standing in eyes open.
Conclusion： Treadmill-based perturbation training have better effects on improving balance function and reducing the risk of falls compared with traditional static and dynamic balance training in stroke patients with hemiplegia. |
| Keywords:treadmill-based perturbation training stroke balance function fall risk |
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