Three-Dimensional Balance Training Using Visual Feedback on Balance and Walking Ability in Subacute Stroke Patients: A Single-Blinded Randomized Controlled Pilot Trial
Three-Dimensional Balance Training Using Visual Feedback on Balance and Walking Ability in Subacute Stroke Patients: A Single-Blinded Randomized Controlled Pilot Trial
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DOI：
10.1016/j.jstrokecerebrovasdis.2018.12.016
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发表时间：
2019-04-01
影响因子：
2.5
通讯作者：
Bang, Dae-Hyouk
中科院分区：
文献类型：
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作者：
Noh, Hyeon-Jeong;Lee, Soon-Hyun;Bang, Dae-Hyouk
背景：躯干激活平衡运动很重要，因为躯干无力与中风患者的功能表现有关。本研究旨在探讨视觉反馈三维平衡训练对亚急性脑卒中患者平衡和行走能力的影响。方法：24例亚急性脑卒中患者随机分为实验组和对照组。每组20次（30分钟/天，5天/周，共4周）。在干预前后，采用Berg平衡量表、步态参数（步态速度、节奏、步长和双肢支持期）以及活动特异性平衡置信度评分对患者进行评估。结果：与对照组相比，采用视觉反馈的三维平衡训练在Berg平衡量表、步态速度、节奏、步长、双肢支撑期和特定活动平衡置信度方面表现出更大的变化。统计分析显示,Berg资产规模显著差异(P = .012; 95%置信区间,2.585 - -6.415),步态速度(P =措施;95%置信区间,.079 -。155)、步幅（P = 0.001; 95% CI, 1.622-4.392）、步长（P = 0.003; 95% CI, 1.864-3.908）、双臂支撑期（P = 0.003; 95% CI, -3.259 - -0.761）和活动特异性置信度（P = 0.008; 95% CI, 6.964-14.036）。结论：使用视觉反馈的三维平衡训练可能比传统训练更有效地改善亚急性卒中患者的平衡、行走能力和活动特异性平衡信心。
Background: Trunk-activating exercises for balance are important because trunk weakness is relevant to the functional performance of individuals with stroke. This study aimed to explore the effects of three-dimensional balance training using visual feedback on balance and walking ability in subacute stroke patients. Methods: Twenty-four participants with subacute stroke were randomly assigned to the experimental or control group. Each group underwent twenty sessions (30 min/day, 5 days/week for 4 weeks). Patients were assessed using the Berg balance scale, gait parameters (gait speed, cadence, step length, and double-limb support period) using GAITRite, and activity-specific balance confidence score, before and after the intervention. Results: The three-dimensional balance training using visual feedback exhibited greater changes in the Berg balance scale, gait speed, cadence, step length, double-limb support period, and activity-specific balance confidence compared with the control group. Statistical analyses showed significant differences in Berg balance scale (P =.012; 95% CI, 2.585-6.415), gait speed (P =.001; 95% CI,.079-. 155), cadence (P =.001; 95% CI, 1.622-4.392), step length (P =.003; 95% CI, 1.864-3.908), double-limb support period (P =.003; 95% CI, -3.259 to -0.761) and activity-specific confidence (P =.008; 95% CI, 6.964-14.036) between groups. Conclusion: Three-dimensional balance training using visual feedback may be more effective than conventional training in improving balance, walking ability, and activity-specific balance confidence in patients with subacute stroke.