| 吴存书,杨 云,龚 翔,金文杰,肖梦晶,陈珺雯,钱开林,陈 谦,鲁 俊,庄咏梅,许光旭.四方形运动训练对脑卒中患者平衡功能的影响[J].中国康复医学杂志,2025,(4):534~541 |
| 四方形运动训练对脑卒中患者平衡功能的影响 点此下载全文 |
| 吴存书 杨 云 龚 翔 金文杰 肖梦晶 陈珺雯 钱开林 陈 谦 鲁 俊 庄咏梅 许光旭 |
| 南京医科大学康复医学院，江苏省南京市，210029 |
| 基金项目：江苏省卫生健康发展研究中心开放课题（JSHD2021003） |
| DOI：10.3969/j.issn.1001-1242.2025.04.009 |
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| 摘要： |
| 摘要
目的：观察四方形运动训练（quadrato motor training， QMT）对脑卒中患者单任务及双任务平衡功能的影响。
方法：将符合纳排标准的脑卒中患者随机分为对照组（15例）、跨步组（15例）和QMT组（15例），3组均接受常规康复训练。跨步组在此基础上增加跨步运动训练，QMT组增加QMT训练。治疗前后应用Prokin平衡评估系统、Berg平衡量表、计时起立-行走测试（timed up and go test，TUGT）、连线测试（the trail making test，TMT）、双任务成本（dual task cost，DTC）及特定活动平衡信心量表（the activities-specific balance confidence scale，ABC）评定3组的动静态平衡功能、注意及执行功能、双任务表现及平衡的自我效能感。
结果：治疗前，3组评估指标的组间比较无显著性差异（P＞0.05）。治疗后，对照组仅TUGT测试与治疗前相比有显著性差异，其余指标与治疗前相比均无显著性差异（P＞0.05）；跨步组仅睁眼测试中左右方向的平均摆动速度、睁闭眼测试中前后方向的平均摆动速度及运动长度较治疗前没有改善，其余指标与治疗前相比均有显著性差异（P＜0.05）；QMT组所有指标均较治疗前改善（P＜0.05）；QMT组在睁眼测试中前后方向的平均摆动速度、运动椭圆面积、ABC均显著优于对照组（P＜0.01）；在睁闭眼测试中左右方向的平均摆动速度、运动长度，闭眼测试中前后方向的平均摆动速度、运动椭圆面积、Berg、TUGT、TUGTcog、DTC、TMTA、TMTB、TMTB-A均优于对照组和跨步组（P＜0.05）。
结论：相较于单纯的运动训练，QMT作为交互性的运动-认知双任务训练更有助于改善脑卒中患者的动静态平衡功能，并通过改善注意及执行功能降低双任务成本，使运动表现更佳。 |
| 关键词：脑卒中 运动-认知双任务训练 四方形运动训练 双任务表现 平衡功能 |
| The effect of quadrato motor training on balance function： a single and dual-task condition study in stroke patients Download Fulltext |
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| School of Rehabilitation， Nanjing Medical University， Nanjing， 210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To observe the effect of quadrato motor training （QMT） training on the balance of stroke patients under two conditions （single and dual-task）.
Method： The eligible stroke patients were randomly divided into three groups： the control group （n=15）， the gait training group （n=15）， and the QMT group （n=15）. All groups received routine rehabilitation training. The gait training group received additional gait training， while the QMT group received QMT training. The Prokin Balance Assessment System， Berg balance scale， timed up and go test （TUGT）， trail making test （TMT）， dual-task cost， and specific activity balance confidence scale were used to evaluate the static and dynamic balance function， attention and executive function， dual-task performance， and self-efficacy of balance before and after treatment in the three groups.
Result： Before treatment， there were no significant differences in the assessment indicators among the three groups （P>0.05）. After treatment， only the TUGT test showed a significant difference compared to before treatment in the control group， while the other indicators showed no significant differences （P>0.05）. In the gait training group， only the average swing speed in the ML direction during the eyes-open test， the average swing speed in the AP direction during the eyes-closed test， and the movement length did not improve compared to before treatment， while the other indicators showed significant differences compared to before treatment （P<0.05）. In the QMT group， all indicators showed improvement compared to before treatment （P<0.05）. The QMT group showed significantly better results than the control group in terms of the average swing speed in the AP direction during the eyes-open test， the movement ellipse area， and ABC （P<0.01）. In the eyes-closed test， the QMT group showed better results than both the control group and the gait training group in terms of the average swing speed in the ML direction， the movement length， the average swing speed in the AP direction， the movement ellipse area， Berg Balance Scale， TUG， TUGT cognitive， DTC， TMTA， TMTB， and TMTB-A （P<0.05）.
Conclusion： As an interactive exercise cognitive training，QMT training was found to be more effective in improving attention and executive function， dynamic and static balance function， and reducing dual-task costs than single exercise training in stroke patients. |
| Keywords:stroke motor-cognitive dual-task training quadrato motor training dual-task performance balance function |
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