Whole Body Vibration Training Improves Walking Performance of Stroke Patients with Knee Hyperextension: A Randomized Controlled Pilot Study
Whole Body Vibration Training Improves Walking Performance of Stroke Patients with Knee Hyperextension: A Randomized Controlled Pilot Study
复制标题
全身振动训练可改善膝关节过度伸展的中风患者的行走能力：一项随机对照试点研究。
DOI：
10.2174/1871527315666151111124937
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发表时间：
2015-01-01
影响因子：
3
通讯作者：
Shan, Chunlei
中科院分区：
文献类型：
--
作者：
Guo, Chuan;Mi, Xun;Shan, Chunlei
目的：探讨8周全身振动训练对膝过伸脑卒中患者步态表现和下肢功能的影响。
方法：将30例脑卒中患者随机分为对照组（n = 15）和干预组（n = 15）。干预组患者接受全身振动训练，对照组接受安慰剂治疗。本研究评估步行功能、下肢功能和膝过伸次数。通过10米步行试验评估步态表现，肉眼观察并记录膝过伸次数，采用Fugl - Meyer运动评估量表评估下肢功能。
结果：干预组膝过伸次数较对照组显著减少（P = 0.000，d = 1.749，95%置信区间[2.915, 7.285]）。干预组通过10米步行试验评估的步行功能较对照组显著改善（P = 0.001，d = 1.345，95%置信区间[1.896, 6.704]）。两组训练后三项测试的表现均有所改善（P = 0.000 / P = 0.000，d = 1.500 / d = 1.952，95%置信区间[3.309, 9.891] / 95%置信区间[5.549, 12.45]；P = 0.000 / P = 0.000，d = 2.015 / d = 2.952，95%置信区间[5.214, 11.39] / 95%置信区间[9.423, 15.98]；P = 0.000 / P = 0.000，d = 3.537 / d = 5.108，95%置信区间[19.05, 12.35] / 95%置信区间[16.52, 22.28]）。
结论：研究结果表明，8周全身振动训练可减少脑卒中患者的膝过伸并提高步行速度。
Objective: To investigate the effect of 8-week whole body vibration training on gait performance and lower extremity function in stroke patients with knee hyperextension.Methods: Total 30 subjects with stroke were randomized into the control group (n=15) or the intervention group (n=15). The patients of intervention group were treated with whole body vibration while the control group was treated with placebo. The walking function, lower limb function and knee hyperextension times were assessed in this study. Gait performances were evaluated by 10-meter walk test. The knee hyperextension times was visually observed and counted. The lower limb function was evaluated by Fugl-Meyer motor assessment.Results: The times of the knee hyperextension of the intervention group was significantly decreased compared with control groups (P=0.000, d=1.749, 95% CI[2.915,7.285]). The walking function assessed by 10-meter test of intervention group was significantly improved compared with control group (P=0.001, d=1.345, 95% CI[1.896,6.704]). The performances of all the three tests were improved after training in both groups (P=0.000/P=0.000, d=1.500/d=1.952, 95%CI[3.309,9.891]/ 95%CI[5.549,12.45]; P=0.000/P=0.000, d=2.015/d=2.952, 95% CI[5.214,11.39]/95%CI[9.423, 15.98]; P=0.000/P=0.000, d=3.537/d=5.108, 95%CI[19.05,12.35]/95%CI[16.52,22.28]).Conclusion: The results suggest that 8 weeks whole body vibration training can reduce knee hyperextension and increase ambulatory speed in stroke patients.