A randomized controlled trial of the effects of intensive sit-to-stand training after recent traumatic brain injury on sit-to-stand performance
A randomized controlled trial of the effects of intensive sit-to-stand training after recent traumatic brain injury on sit-to-stand performance
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DOI：
10.1191/0269215503cr620oa
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发表时间：
2003-07-01
影响因子：
3
通讯作者：
White, A
中科院分区：
文献类型：
--
作者：
Canning, CG;Shepherd, RB;White, A
目的：探讨强化坐立练习对颅脑损伤患者住院康复早期运动性能、运动能力和运动效率的影响。设计：单盲随机对照试验。单位：脑损伤康复科。受试者：24例近期遭受严重创伤性脑损伤（TBI）的受试者随机分为实验组（n = 13）和对照组（n = 11）。干预措施：除了常规的康复计划外，实验组的受试者还参加了为期四周的坐立强化训练和加强练习，目的是提高坐立的表现。对照组没有进行额外的坐立或强化训练。主要观察指标：3分钟内从坐到站的总次数，以衡量运动表现；最大3分钟坐立测试期间的峰值耗氧量（VO(2)峰值）作为运动能力的衡量指标；3分钟等效工作量坐立测试（VO(2)当量）期间的耗氧量作为运动效率的衡量标准。进行训练前和训练后的测量。结果：与对照组的18%相比，实验组的运动能力（3分钟内从坐到站的重复次数）提高了62% （p < 0.05）。两组之间在运动能力和效率方面没有显著差异。实验组VO(2)峰从测试前到测试后的增加与坐立重复次数的增加相关（p < 0.05）。结论：强化专项训练是重度颅脑损伤后早期康复的重要组成部分。
Objective: To examine the effectiveness of intensive practice of sit-to-stand on motor performance, exercise capacity and exercise efficiency in traumatic brain-injured patients during early inpatient rehabilitation.Design: Single-blind randomized controlled pilot study.Setting: Brain injury rehabilitation unit.Subjects: Twenty-four subjects who had recently sustained a severe traumatic brain injury (TBI) were randomized into an experimental (n = 13) and a control (n = 11) group.Interventions: In addition to their usual rehabilitation programme, subjects in the experimental group participated in four weeks of intensive training of sit-to-stand and step-up exercises with the aim of improving performance of sit-to-stand. The control group did no additional sit-to-stand or step-up training.Main outcome measures: Total number of sit-to-stands in 3 min as a measure of motor performance; peak oxygen consumption during a maximal 3-min sit-to-stand test (VO(2)peak) as a measure of exercise capacity; oxygen consumption during a 3-min equivalent workload sit-to-stand test (VO(2)equiv) as a measure of exercise efficiency. Pre- and post-training measurements were made.Results: The exercise programme resulted in a 62% improvement in motor performance (number of repetitions of sit-to-stand in 3 min) for the experimental group compared with the control group's 18% improvement (p < 0.05). There was no significant difference between groups for changes in exercise capacity or efficiency. In the experimental group, the increase in VO(2)peak from pre-test to post-test correlated with the increase in sit-to-stand repetitions (p < 0.05).Conclusions: Intensive task-specific training is recommended as an important component of rehabilitation early following severe traumatic brain injury.