Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial.
Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial.
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密集的多平台躯干训练以及中风患者的平衡，流动性和跌倒风险的影响以及一项随机对照试验的影响。
DOI：
10.1177/03000605211059413
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Ahmed A
中科院分区：
文献类型：
--
作者：
Ahmed U;Karimi H;Amir S;Ahmed A
我们确定了由高强度训练、多平面躯干运动和双任务练习组成的运动方案是否可以改善偏瘫卒中患者的躯干控制、平衡、功能活动能力和降低跌倒风险。在本随机对照试验中，74例患者（平均年龄61.71岁）随机分为实验组和对照组。主要终点为躯干损伤量表（TIS）评分。次要结果是Berg平衡量表、10米步行测试、计时起跑测试、计时起跑认知测试和中风影响量表-16的得分，以衡量组间从基线到组间的变化。我们使用线性混合模型来确定各组内部和各组之间随时间的变化，以及在6个月和12个月的随访中变化是否持续。我们观察到从基线到治疗后3个月平均TIS评分显著增加（7.74）；在6个月和12个月的随访中，得分保持上升（分别为8.60和8.43）。实验组所有次要结局均有显著且有临床意义的结果。6个月和12个月时，两组之间的跌倒风险显著降低。强化多平面躯干运动结合双任务练习可促进卒中患者的躯干控制、平衡和功能恢复，降低跌倒风险，提高独立活动能力。试验注册：#IRCT20200127046275N1。
We determined whether an exercise regime comprising high-intensity training, multiplanar trunk movements, and dual-task practice could improve trunk control, balance, functional mobility, and reduce fall risk in patients with hemiplegic stroke. In this randomized controlled trial, 74 patients (mean age 61.71 years) were randomly assigned to the experimental and comparison groups. Primary outcome was trunk impairment scale (TIS) scores. Secondary outcomes were scores on the Berg balance scale, 10-meter walk test, Timed-up-and-go test, timed-Up-Go–cognitive, and Stroke Impact Scale-16 to measure between-group changes from baseline. We used linear mixed modeling to identify changes over time within and between groups on each scale and whether changes persisted at 6- and 12-month follow-ups. We observed significantly increased mean TIS scores from baseline to 3 months post-treatment (7.74); the increased scores were maintained at 6- and 12-month follow-ups (8.60 and 8.43, respectively). In the experimental group, all secondary outcomes showed significant and clinically meaningful results. Fall risk between groups was significantly reduced at 6 and 12 months. Intensive multiplanar trunk movements coupled with dual-task practice promoted trunk control, balance, and functional recovery in patients with stroke, reduced fall risk, and improved independent mobility. Trial registration: #IRCT20200127046275N1.
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DOI：
10.1016/j.apmr.2012.01.014
发表时间：
2012-07-01
影响因子：
4.3
作者：
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DOI：
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发表时间：
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影响因子：
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