Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients - a controlled clinical trial
Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients - a controlled clinical trial
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DOI：
10.1177/0269215510385850
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发表时间：
2011-05-01
影响因子：
3
通讯作者：
Lee, Yang-Soo
中科院分区：
文献类型：
--
作者：
Byun, Seung-Deuk;Jung, Tae-Du;Lee, Yang-Soo
目的：研究滑动康复机对慢性中风患者平衡和步态的影响。设计：非随机交叉设计。设置：综合医院的住院患者康复。受试者：30例慢性中风患者，根据贝格平衡量表确定有中度或高度跌倒风险。干预措施：参与者被分为两组，进行为期四周的训练。A组（n = 15）在常规训练的基础上进行滑行康复训练2周，然后再进行常规训练2周。B组（n = 15）按相反顺序进行相同训练。实验期的效果定义为各组在滑动康复机训练过程中的变化之和，对照期的效果定义为各组仅在常规训练过程中的变化。主要测量指标：功能性Ambassador分类、贝格平衡量表、6分钟步行试验、计时起身和行走试验、韩国改良Barthel指数、改良Ashworth量表和徒手肌力试验。除改良Ashworth量表外，实验组其他各项指标均有显著性改善，而对照组仅6分钟步行试验有显著性改善（P < 0.01）。在实验期间的所有参数的变化程度也有统计学上的显着差异，与对照periods.Conclusions：滑动康复机可能是一个有用的工具，为改善平衡和步态能力的慢性脑卒中患者。
Objective: To investigate the effects of a sliding rehabilitation machine on balance and gait in chronic stroke patients.Design: A non-randomized crossover design.Setting: Inpatient rehabilitation in a general hospital.Subjects: Thirty patients with chronic stroke who had medium or high falling risk as determined by the Berg Balance Scale.Interventions: Participants were divided into two groups and underwent four weeks of training. Group A (n = 15) underwent training with the sliding rehabilitation machine for two weeks with concurrent conventional training, followed by conventional training only for another two weeks. Group B (n = 15) underwent the same training in reverse order. The effect of the experimental period was defined as the sum of changes during training with sliding rehabilitation machine in each group, and the effect of the control period was defined as those during the conventional training only in each group.Main measures: Functional Ambulation Category, Berg Balance Scale, Six-Minute Walk Test, Timed Up and Go Test, Korean Modified Barthel Index, Modified Ashworth Scale and Manual Muscle Test.Results: Statistically significant improvements were observed in all parameters except Modified Ashworth Scale in the experimental period, but only in Six-Minute Walk Test (P < 0.01) in the control period. There were also statistically significant differences in the degree of change in all parameters in the experimental period as compared to the control period.Conclusions: The sliding rehabilitation machine may be a useful tool for the improvement of balance and gait abilities in chronic stroke patients.