Effects of weight-shift training on walking ability, ambulation, and weight distribution in individuals with chronic stroke: a pilot study
Effects of weight-shift training on walking ability, ambulation, and weight distribution in individuals with chronic stroke: a pilot study
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DOI：
10.1179/1074935715z.00000000052
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发表时间：
2015-12-01
影响因子：
2.2
通讯作者：
Franzen, Erika
中科院分区：
文献类型：
--
作者：
Andersson, Pontus;Franzen, Erika
背景：与年龄匹配的对照组相比，中风后步态困难的人通常具有不对称的步态和较慢的步态速度。这些困难限制中风患者在他们的日常生活activity.Objective：这项试点研究旨在评估的影响，体重转移训练的步态，站立时的体重分布，和amphibia在人与步态困难后stroke.Methods：10例慢性中风（3-11年，因为侮辱）和其余的步态困难参加了为期3周的体重转移训练计划。空间和时间步态参数进行了评估前，后，和3个月后的运动分析系统的培训。体重分布用测力板和Ambassador用瑞典版临床结局变量量表（S-COVS）进行评估。Wilcoxon符号秩检验被用来探讨测试occasion.Results之间的差异：显着变化，在减少的立场时间在非麻痹腿（P = 0.005）和增加的S-COVS（P = 0.043）的测试前和后之间。在3个月的随访测试中，受试者的步态速度也显著增加（P = 0.037）。站立重量分布没有改变之间的前和后的测试（P = 0.575），但前和后续的测试之间，它从瘫痪腿转移到非瘫痪（P = 0.007）。结论：重量转移训练似乎改善步态和Ampadia在慢性中风的主题，但不与站立重量分布。然而，这项初步研究有几个局限性，需要更大的样本量和对照组。
Background: People with gait difficulties after a stroke usually have an asymmetrical gait and slower gait speed than age-matched controls. These difficulties restrict people with stroke in their daily life activities.Objective: This pilot study sought to evaluate the effects of weight-shift training on gait, weight distribution in standing, and ambulation in people with gait difficulties after a stroke.Methods: Ten subjects with chronic stroke (3-11 years since insult) and remaining gait difficulties participated in a 3-week weight-shift training program. Spatial and temporal gait parameters were assessed pre-, post-, and 3-month post-training with a motion analysis system. Weight distribution was assessed with force plates and ambulation with the Swedish version of the Clinical Outcome Variables Scale (S-COVS). Wilcoxon signed-rank tests were used to explore differences between test occasions.Results: Significant changes were seen between pre-and post-tests in decreased stance time on the non-paretic leg (P = 0.005) and increased score on the S-COVS (P = 0.043). At the 3-month follow-up test, the subjects had also increased their gait speed significantly (P = 0.037). Standing weight distribution did not change between pre-and post-tests (P = 0.575), but between the pre-and follow-up tests it shifted from the paretic leg to the non-paretic (P = 0.007).Conclusion: Weight-shift training seems to improve gait and ambulation in subjects with chronic stroke, but not with standing weight distribution. However, this pilot study has several limitations and a larger sample size with a control group is necessary.