Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: A single-blind, randomized trial
Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: A single-blind, randomized trial
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DOI：
10.1177/1545968307300523
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发表时间：
2007-09-01
影响因子：
4.2
通讯作者：
Fetter, M.
中科院分区：
文献类型：
--
作者：
Thaut, A. H.;Leins, A. K.;Fetter, M.
目标。方法对两组偏瘫患者(RAS组，43例；NDT/Bobath组，35例)进行为期3周的日常训练，比较两种不同步态训练在卒中康复中的疗效。平均进入研究的时间：RAS组为卒中后21.3天，对照组为22.3天。患者在能够在手持设备的帮助下完成5个大步周期后立即进入研究。患者按年龄、性别和病变部位进行密切等同。采用Barthel指数和Fugl-Meyer量表对两组患者的运动功能进行预评估。测试前后测量显示，RAS组在速度(P=.006)、步长(P=.0001)、节奏(P=.0001)和对称性(P=.0049)方面比NDT/Bobath组有显著改善。RAS对NDT/Bobath训练的影响大小分别为：速度13.1 m/min，步长0.18 in，步速19步/min。资料显示，经过3周的步态训练，RAS是偏瘫康复中加强步态训练的有效治疗方法。与NDT/Bobath培训相比，RAS的收益明显更高。
Objectives. The effectiveness of 2 different types of gait training in stroke rehabilitation, rhythmic auditory stimulation (RAS) versus neurodevelopmental therapy (NDT)/Bobath-based training, was compared in 2 groups of hemiparetic stroke patients over a 3-week period of daily training (RAS group, n = 43; NDT/Bobath group =35).Methods. Mean entry date into the study was 21.3 days poststroke for the RAS group and 22.3 days for the control group. Patients entered the study as soon as they were able to complete 5 stride cycles with handheld assistance. Patients were closely equated by age, gender, and lesion site. Motor function in both groups was preassessed by the Barthel Index and the Fugl-Meyer Scales.Results. Pre- to posttest measures showed a significant improvement in the RAS group for velocity (P =.006), stride length (P =.0001), cadence (P =.0001) and symmetry (P =.0049) over the NDT/Bobath group. Effect sizes for RAS over NDT/Bobath training were 13.1 m/min for velocity, 0.18 in for stride length, and 19 steps/min for cadence.Conclusions. The data show that after 3 weeks of gait training, RAS is an effective therapeutic method to enhance gait training in hemiparetic stroke rehabilitation. Gains were significantly higher for RAS compared to NDT/Bobath training.