Effects of perceptual learning exercises on standing balance using a hardness discrimination task in hemiplegic patients following stroke: a randomized controlled pilot trial
Effects of perceptual learning exercises on standing balance using a hardness discrimination task in hemiplegic patients following stroke: a randomized controlled pilot trial
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DOI：
10.1191/0269215503cr654oa
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发表时间：
2003-09-01
影响因子：
3
通讯作者：
Yagi, F
中科院分区：
文献类型：
--
作者：
Morioka, S;Yagi, F
目的：探讨足底硬度辨别知觉学习训练对脑卒中偏瘫患者站立平衡的影响。对象：将28名受试者随机分为实验组和对照组，进行康复训练。干预：实验组接受为期10天的3种不同硬度的橡胶海绵硬度辨别知觉学习练习。主要测量：进入研究时和10天后用稳定器测量姿势摆动参数的长度、包络面积和矩形面积。结果：26名受试者完成了研究。数据显示，与对照组相比，实验组有更多的姿势摆动参数显著降低。此外，两组在长度和包络面积的变化分数(运动前减去运动后)也有显著差异。结论：足底知觉练习作为本研究的一种方法被认为是一种有效的站立平衡补充练习。因此，建议将橡胶硬度辨别任务作为平衡练习在临床上应用的可能性。
Objective: To investigate the effect of perceptual learning exercises for hardness discrimination by the soles on standing balance in stroke patients with hemiplegia.Subjects: Twenty-eight subjects were randomly assigned to an experimental or a control group and participated in a rehabilitation programme.Intervention: The experimental group received perceptual learning exercises on hardness discrimination using three different levels of hardness of a rubber sponge for 10 days.Main measures: Length, enveloped area and rectangular area of the parameter of postural sway were measured by a stabilometer on entry into the study and after 10 days.Results: Twenty-six subjects completed the study. Data indicate that more parameters indicating postural sway were significantly decreased in the experimental group than in the control group. Also, there was a significant difference between the groups in change scores (pre-exercise minus post-exercise) of length and enveloped area.Conclusion: The plantar perception exercise used as a method in this study is considered to be effective as a supplemental exercise for standing balance. The possibility of clinical application using the hardness discrimination task with rubber as a balance exercise is therefore suggested.