Whole-Body Vibration Combined with Treadmill Training Improves Walking Performance in Post-Stroke Patients: A Randomized Controlled Trial.
Whole-Body Vibration Combined with Treadmill Training Improves Walking Performance in Post-Stroke Patients: A Randomized Controlled Trial.
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DOI：
10.12659/msm.904474
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发表时间：
2017-10-14
期刊：
影响因子：
--
通讯作者：
Lee S
中科院分区：
文献类型：
--
作者：
Choi W;Han D;Kim J;Lee S
中风的特点是步态不对称，导致稳定性差并降低整体活动水平。本研究的目的是探讨全身振动联合跑步机训练（WBV-TT）对慢性中风患者步行能力的影响。 30 名门诊慢性卒中患者被随机分配到 WBV-TT 组或跑步机训练 (TT) 组。 WBV-TT组的参与者在振动平台上进行6种运动4.5分钟，然后在跑步机上行走20分钟。 TT组的参与者在没有振动的平台上进行相同的练习，然后以相同的方式在跑步机上行走。每次练习振动持续45秒，每周干预3次，持续6周。两组的跑步机行走速度逐渐增加5%。结果测量包括步态时空参数 (GAITRite®) 和 6 分钟步行测试。与基线相比，WBV-TT 组在步行速度、步频、步长、步幅、单肢支撑、双肢支撑和 6 分钟步行测试方面的步行表现显着改善（p<0.05）。与 TT 组相比，步行速度、步长、步幅和双肢支撑也有显着改善（p<0.05）。这些发现表明，对于改善慢性中风患者的步行能力，WBV-TT 比 TT 更有效。
Stroke is characterized by an asymmetrical gait pattern that causes poor stability and reduces overall activity levels. The aim of this study was to investigate the effect of whole-body vibration combined with treadmill training (WBV-TT) on walking performance in patients with chronic stroke. Thirty ambulatory chronic stroke patients were randomly allocated to the WBV-TT group or the treadmill training (TT) group. The participants in the WBV-TT group performed 6 types of exercises on a vibrating platform for 4.5 minutes and then walked on the treadmill for 20 minutes. The participants in the TT group conducted the same exercise on a platform without vibration and then walked on the treadmill in the same manner. The vibration lasted for 45 seconds in each exercise, and the intervention was performed 3 times weekly for 6 weeks. The treadmill walking speed was gradually increased by 5% in both groups. The outcome measures included the temporospatial parameter of gait (GAITRite®) and 6-minute walk test. The WBV-TT group showed significant improvements in walking performance with respect to walking speed, cadence, step length, stride length, single-limb support, double-limb support, and 6-minute walk test compared with baseline (p<0.05). Significant improvements were also seen in walking speed, step length, stride length, and double-limb support compared with the TT group (p<0.05). These findings indicate that WBV-TT is more effective than TT for improving walking performance of patients with chronic stroke.
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