The Effect of Trunk Stabilization Exercise on the Thickness of the Deep Abdominal Muscles and Balance in Patients with Chronic Stroke

The Effect of Trunk Stabilization Exercise on the Thickness of the Deep Abdominal Muscles and Balance in Patients with Chronic Stroke
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躯干稳定运动对慢性脑卒中患者腹深肌厚度及平衡能力的影响

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发表时间:
2012
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通讯作者:
Dong yeop Lee
Dong yeop Lee
中科院分区:
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文献类型:
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作者:
Dong;Oh;J. Kim;Dong yeop Lee

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[目的]探讨躯干稳定训练对慢性脑卒中患者深腹肌厚度及平衡功能的影响。[对象]将12例慢性卒中患者随机分为2组,试验组6人,对照组6人。[方法]两组患者均接受常规物理治疗,每次30min,每周5次,疗程5周。此外,EG使用超声成像进行视觉反馈的躯干稳定练习,持续30分钟。对于腹深肌的厚度,用超声成像测量肌肉厚度间隙。采用卒中患者体位评定量表(PASS)和功能前伸试验(FRT)评定平衡能力。在干预前后测量肌肉厚度差、PASS和FRT。[结果]观察组干预前后各项指标均有显著差异。干预后两组的比较显示,所有变量均有显著差异。治疗组所有变量的改善率均显著高于对照组。[结论]躯干稳定训练对慢性卒中患者的腹肌厚度和平衡功能均有改善作用。结果支持常规物理治疗与躯干稳定训练相结合,可促进慢性卒中患者的康复,有助于其康复和改善功能预后。
[Purpose] This study investigated the effect of trunk stabilization exercises on the thickness of deep abdominal muscles and balance in chronic stroke patients. [Subjects] Twelve patients with chronic stroke were divided into 2 groups, an experimental group (EG) of 6 people and a control group (CG) of 6 people. [Methods] The 2 groups received routine physical therapy for 30 min, 5 times a week for 5 weeks. In addition, EG performed trunk stabilization exercises with visual feedback, using ultrasonic imaging, for 30 min. For the thickness of the deep abdominal muscles, the muscle thickness gap was measured with ultrasonic imaging. The Postural Assessment Scale for Stroke Patients (PASS) and Functional Reach Test (FRT) were also performed to assess balance ability. Muscles thickness gap, PASS, and FRT were measured before and after the intervention. [Results] Significant differences between the preand post-intervention values were observed for all variables in EG. A post-intervention comparison of the 2 groups revealed significant differences in all variables. The improvement rate for all variables was significantly higher in EG than in CG. [Conclusion] According to our results, trunk stabilization exercises showed effects in chronic stroke patients on both the deep abdominal muscle thickness and balance. The results support the idea that simultaneous application of routine physical therapy and trunk stabilization exercises can promote the recovery of chronic stroke patients and be helpful in rehabilitating them and improving their functional outcome.