Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training
Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training
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DOI：
10.1093/ptj/81.4.995
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发表时间：
2001-04-01
期刊：
影响因子：
3.2
通讯作者：
Hicks, RR
中科院分区：
文献类型：
--
作者：
Geiger, RA;Allen, JB;Hicks, RR
背景和目的。视觉生物反馈/力板系统常用于治疗平衡障碍。在这项研究中，研究人员调查了视觉生物反馈/力板训练是否可以增强其他物理治疗干预对中风后平衡和活动能力的影响。科目。本研究纳入13例门诊偏瘫患者，年龄30 ~ 77岁（X=60.4， SD=15.4），卒中后15 ~ 538天。方法。研究开始时，研究对象被随机分配到实验组和对照组，由心理学家测试他们的认知和视觉感知能力。在4周物理治疗前后，还使用Berg平衡量表和定时“Up & Go”测试对受试者进行评估。两组均接受旨在改善平衡和活动能力的物理治疗干预，每周2至3次。实验组在每50分钟的疗程中进行15分钟的NeuroCom平衡大师训练。对照组给予其他物理治疗50分钟。结果。干预后，两组在伯格平衡量表上得分更高，执行定时“上&走”测试所需的时间更少。这些改善与研究人群的平衡和活动独立性的增加相对应。然而，平均变化的比较显示各组之间没有差异。讨论与结论。尽管两组在4周的物理治疗干预后均表现出改善，但在接受视觉生物反馈/力板训练结合其他物理治疗的组中没有发现额外的效果。
Background and Purpose. Visual biofeedback/forceplate systems are often used for treatment of balance disorders. In this study, the researchers investigated whether the addition of visual biofeedback/forceplate training could enhance the effects of other physical therapy interventions on balance and mobility following stroke. Subjects. The study included a sample of convenience of (13)under bar outpatients with hemiplegia who ranged in age from 30 to 77 years (X=60.4, SD=15.4) and were 15 to 538 days poststroke. Methods. Subjects were assigned randomly to either an experimental group or a control group when the study began, and their cognitive and visual-perceptual skills were tested by a psychologist. Subjects were also assessed using the Berg Balance Scale and the Timed "Up & Go" Test before and after 4 weeks of physical therapy. Both groups received physical therapy interventions designed to improve balance and mobility 2 to 3 times per week. The experimental group trained on the NeuroCom Balance Master for 15 minutes of each 50-minute treatment session. The control group received other physical therapy for 50 minutes. Results. Following intervention, both groups scored higher on the Berg Balance Scale and required less time to perform the Timed "Up & Go" Test. These improvements corresponded to increased independence of balance and mobility in the study population. However, a comparison of mean changes revealed no differences between groups. Discussion and Conclusion. Although both groups demonstrated improvement following 4 weeks of physical therapy interventions, no additional effects were found in the group that received visual biofeedback/forceplate training combined with Other physical therapy.