An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients.

An ankle proprioceptive control program improves balance, gait ability of chronic stroke patients.
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DOI:
10.1589/jpts.25.1321
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发表时间:
2013-10
影响因子:
--
通讯作者:
Lee BH
Lee BH
中科院分区:
其他
文献类型:
--
作者:
Park YH;Kim YM;Lee BH

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[目的]平衡能力和步态能力在很大程度上决定了患者日常生活的独立性水平,是康复治疗的重要目标。本研究旨在探讨踝关节本体感觉控制对慢性中风患者踝关节肌力、平衡和步态的影响。[方法] 13例脑卒中后6个月以上的慢性脑卒中患者。所有受试者接受踝关节本体感觉控制训练,每次30分钟,每周两天,为期六周。结果的措施是踝关节力量(BTE-Primus),定时起身和行走测试(TUG),和时空参数测量的GAITRite仪器。[结果]偏瘫侧踝关节背屈肌肌力、牵引力、步态速度、步频、步长、步长均较术前明显改善。[结论]踝关节本体感觉控制训练能有效改善慢性脑卒中患者的平衡和步态能力。这项研究的结果表明,踝关节本体感觉控制程序的可行性和适用性的慢性中风患者。
[Purpose] Balance and gait ability determine to a large degree the level of independence of daily living which is an important goal of rehabilitation. This study was conducted in order to examine the effectiveness of an ankle proprioceptive control program on ankle muscle strength, balance, and gait of chronic stroke patients. [Methods] Thirteen chronic stroke patients more than six months post-stroke were recruited. All subjects received ankle proprioceptive control training for 30 minutes per session, two days per week, over a period of six weeks. Outcome measures were ankle strength (BTE-Primus), the Timed Up and Go test (TUG), and spatiotemporal parameters measured by a GAITRite instrument. [Results] Significant improvements in ankle dorsiflexor strength, TUG, gait speed and cadence, step length, and stride length were observed on the paretic side. [Conclusion] The results of this study provide evidence in support of incorporation of an ankle proprioceptive control program for effective improvement of both balance and gait ability of chronic stroke patients. The findings of this study suggest the feasibility and suitability of an ankle proprioceptive control program for chronic stroke patients.
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