共查询到20条相似文献,搜索用时 15 毫秒
1.
Luciana Barcala Luanda André Collange Grecco Fernanda Colella Paulo Roberto Garcia Lucareli Afonso Shiguemi Inoue Salgado Claudia Santos Oliveira 《Journal of Physical Therapy Science》2013,25(8):1027-1032
[Purpose] The aim of the present study was to investigate the effect of balance training
with visual biofeedback on balance, body symmetry, and function among individuals with
hemiplegia following a stroke. [Subjects and Methods] The present study was performed
using a randomized controlled clinical trial with a blinded evaluator. The subjects were
twenty adults with hemiplegia following a stroke. The experimental group performed balance
training with visual biofeedback using Wii Fit® together with conventional
physical therapy. The control group underwent conventional physical therapy alone. The
intervention lasted five weeks, with two sessions per week. Body symmetry (baropodometry),
static balance (stabilometry), functional balance (Berg Balance Scale), functional
mobility (Timed Up and Go test), and independence in activities of daily living
(Functional Independence Measure) were assessed before and after the intervention.
[Results] No statistically significant differences were found between the experimental and
control groups. In the intragroup analysis, both groups demonstrated a significant
improvement in all variables studied. [Conclusion] The physical therapy program combined
with balance training involving visual biofeedback (Wii Fit®) led to an
improvement in body symmetry, balance, and function among stroke victims. However, the
improvement was similar to that achieved with conventional physical therapy alone.Key words: Postural balance, Stroke, Visual biofeedback 相似文献
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Yeon-Gyo Nam Jin Won Lee Jin Woo Park Ho Jun Lee Ki Yeun Nam Jun Hyung Park Chang Seon Yu Myong Ryol Choi Bum Sun Kwon 《Archives of physical medicine and rehabilitation》2019,100(1):26-31
Objective
To assess the efficacy of electromechanical exoskeleton-assisted gait training on walking ability of stroke patients based on ambulatory function, muscle strength, balance, gait speed, and capacity.Design
Randomized controlled trial.Setting
University rehabilitation hospital.Participants
Individuals (N=40) with stroke who could stand alone.Interventions
Patients were randomly assigned to control and experimental groups. The control group underwent physical therapist-assisted gait training by conventional method. The experimental group underwent electromechanical gait training assisted by an exoskeleton device. Both types of gait training were performed for 30 minutes each day. The therapeutic interventions were provided for 5 days a week for a period of 4 weeks in both groups.Main Outcome Measures
Functional ambulatory category (FAC) before and after gait training. Changes in FAC were the primary outcomes to evaluate the efficacy of electromechanical exoskeleton-assisted gait training. Changes in mobility, walking speed, walking capacity, leg muscle strength, daily activity, and balance were secondary outcomes.Results
FAC in the control group was 2.44±1.55 in the pretraining and 2.75±1.53 in the post-training. FAC in the experimental group was 3.22±1.31 in the pretraining and 3.78±1.44 in the post-training. Although FAC between pre- and post-training sessions improved in both groups, the changes in FAC were statistically significant in the experimental group alone. Most secondary outcomes in both groups also showed improvement after gait training. However, the differential outcomes were not varied between the 2 groups after adjusting the data for age and stroke duration. We did not exclude patients based on time since stroke onset. The average stroke duration was 530.11±389.21 days in the experimental group. The changes in FAC of the experimental group were negatively correlated with stroke duration. No adverse events were noticed during gait training in either group.Conclusions
Electromechanical exoskeleton-assisted gait training is as effective as conventional gait training by a physical therapist when administered by a gait trainer. As an overground walking system without harness, electromechanical exoskeleton replaced a physical therapist in assisted gait training for patients who stand alone. Because the ambulatory function of stroke patients was affected negatively by stroke duration, the effect of electromechanical-assisted gait training might decline with increased stroke duration. 相似文献4.
《Journal of manipulative and physiological therapeutics》2020,43(9):922-929
ObjectiveThe purpose of this study was to determine the immediate effects of ankle non-elastic taping on balance and gait ability in patients with chronic stroke.MethodsThirty patients (inpatients and outpatients) with stroke were randomly assigned to 2 groups: the non-elastic taping group (n = 15) and the placebo-taping group (n = 15). Patients in the non-elastic taping group received Endura sports taping for their ankle joint, and patients in the placebo-taping group received Endura fix tape for their ankle joint. The Balance System SD assessed balance, and the GAITRite system assessed gait ability. We recorded measurements before and after intervention.ResultsThe non-elastic taping group showed a significant improvement in static and dynamic standing balance (P ≤ .001) after intervention; in addition, this group showed significant increases in the velocity, cadence, step length, and stride length of gait (P ≤ .001) after intervention. However, the placebo-taping group showed no significant improvements in standing balance and gait ability after intervention (P >.05). Furthermore, significant differences in static and dynamic standing balance, cadence, and velocity were observed between the 2 groups after intervention (P ≤ .001).ConclusionsOur results demonstrate that the application of ankle non-elastic taping is effective at improving balance and gait abilities in patients with stroke. Ankle non-elastic taping appears to be an effective method to facilitate active rehabilitation in patients with hemiplegia. 相似文献
5.
[Purpose] The aim of this study was to understand the effects of task-oriented gross
motor group exercise based on motor development on chronic stroke patients’ joint, bone,
muscle, and motor functions and activities of daily living. [Subjects] Twenty-eight stroke
patients hospitalized at P municipal nursing facility for the severely handicapped were
randomly assigned to the gross motor group exercise group (experimental group, n=14) or
the control group (n=14). [Methods] The two groups performed morning exercise led by a
trainer for 30 minutes a day, 5 times a week for 6 weeks in total. The experimental group
performed a gross motor group exercise in addition to this exercise for 50 minutes a day,
3 times a week for 6 weeks in total. Before the experiment, all subjects were measured
with the Modified Barthel Index (MBI) and for their neuromuscular skeletal and
motor-related functions according to the International Classification of Functioning,
Disability and Health. [Results] Significant improvements were found in the experimental
group’s neuromusculoskeletal and motor-related functions and MBI test, except for the
stability of joint functions. The control group showed no significant difference from the
initial evaluation. [Conclusion] The gross motor group exercise based on motor development
is recommended for chronic stroke patients with severe handicaps. 相似文献
6.
Ho-Jung An Jae-Ic Kim Yang-Rae Kim Kyoung-Bo Lee Dai-Joong Kim Kyung-Tae Yoo Jung-Hyun Choi 《Journal of Physical Therapy Science》2014,26(8):1287-1291
[Purpose] This study examined the effects of various dual task gait training methods
(motor dual task gait training, cognitive dual task gait training, and motor and cognitive
dual task gait training) on the balance and gait abilities of chronic stroke patients.
[Subjects and Methods] Thirty-three outpatients performed dual task gait training for 30
minutes per day, three times a week, for eight weeks from June to August, 2012. Balance
ability was measured pre-and posttest using the stability test index, the weight
distribution index, the functional reach test, the timed up and go test, and the four
square step test. Gait ability was measured by the 10 m walk test and a 6 min walk test
before and after the training. The paired t-test was used to compare measurements before
and after training within each group, and ANOVA was used to compare measurements before
and after training among the groups. [Results] Comparisons within each group indicated
significant differences in all variables between before and after the training in all
three groups. Comparison between the groups showed that the greatest improvements were
seen in all tests, except for the timed up and go test, following motor and cognitive dual
task gait training. [Conclusion] In a real walking environment, the motor and cognitive
dual task gait training was more effective at improving the balance and gait abilities of
chronic stroke patients than either the motor dual task gait training or the cognitive
dual task gait training alone.Key words: Stroke, Dual task, Balancing 相似文献
7.
Ju-hyeon Jung Je-myung Shim Hae-yeon Kwon Ha-roo Kim Bo-in Kim 《Journal of Physical Therapy Science》2014,26(1):73-76
[Purpose] The purpose of the present study was to verify a new method for improving
respiratory functions by applying both abdominal stimulation and inspiratory muscle
training (IMT) to train the inspiratory muscle and the expiratory muscle simultaneously,
to improve the efficiency of IMT of chronic stroke patients. [Subjects] Eighteen stroke
patients were randomly assigned to an experimental group (n = 9) and a control group (n =
9). [Methods] The experimental group was administered IMT with abdominal stimulation, and
the control group was administered only IMT. During the intervention period, the
experimental group and control group received training 20 min/day, 3 times/wk, for 4
weeks. To examine the lung functions of the subjects, FVC, FEV1, PEF, and
FEF25–75 were measured using an electronic spirometer. The diaphragm
thickness ratio was calculated from measurements made with a 7.5-MHz linear probe
ultrasonic imaging system. [Result] The experimental group and the control group showed
significant increases in diaphragm thickness ratio on the paretic side, but not on the
non-paretic side. With regard to lung function, the experimental group showed significant
increases in FEV1, PEF, and FEF25–75. The changes between before and
after the intervention in the two groups were compared with each other, and the results
showed significant differences in FEV1 and PEF. [Conclusion] The present study
identified that IMT accompanied by abdominal stimulation improved the pulmonary function
of chronic stroke patients.Key words: Abdominal stimulation, Inspiratory muscle training, Stroke 相似文献
8.
Sang-Goo Ji Hyun-Gyu Cha Myoung-Kwon Kim Chang-Ryeol Lee 《Journal of Physical Therapy Science》2014,26(4):497-499
[Purpose] The aim of the present study was to examine whether mirror therapy in
conjunction with FES in stroke patients can improve gait ability. [Subjects] This study
was conducted with 30 subjects who were diagnosed with hemiparesis due to stroke.
[Methods] Experimental group I contained 10 subjects who received mirror therapy in
conjunction with functional electrical stimulation, experimental group II contained 10
subjects who received mirror therapy, and the control group contained 10 subjects who
received a sham therapy. A gait analysis was performed using a three-dimensional motion
capture system, which was a real-time tracking device that delivers data in an infrared
mode via reflective markers using six cameras. [Results] The results showed a significant
difference in gait velocity between groups after the experiment, and post hoc analysis
revealed significant differences between experimental group I and the control group and
between experimental group II and the control group, respectively. There were also
significant differences in step length and stride length between the groups after the
experiment, and post hoc analysis revealed significant differences between experimental
group I and control group. [Conclusion] The present study showed that mirror therapy in
conjunction with FES is more effective for improving gait ability than mirror therapy
alone.Key words: Mirror therapy, Functional electrical stimulation, Gait analysis 相似文献
9.
目的研究功能性电刺激(FES)对早期脑卒中偏瘫患者步行功能的影响。方法采用随机数字表法将41例脑卒中偏瘫患者随机分成治疗组(n=21)和对照组(n=20)。两组采用常规康复训练方法及减重平板训练,治疗组在此基础上给予FES。共8周。治疗前后采用综合痉挛量表(CSS)、功能性步行分级(FAC)、Berg平衡量表(BBS)对两组患者进行评定。结果治疗前两组CSS评分、FAC分级及BBS评分组间差异均无显著性差异(P0.05)。治疗后,两组上述指标均较治疗前显著改善(P0.001),治疗组改善优于对照组(P0.05)。结论 FES能促进早期脑卒中偏瘫患者步行功能的恢复。 相似文献
10.
[Purpose] The purpose of this study was to assess the effect of horseback
riding simulation machine training on trunk balance and gait of patients with chronic
stroke. [Subjects and Methods] The subjects were 20 patients hospitalized for treatment
after being diagnosed with stroke. Horseback riding simulation training was provided for
30 minutes, 5 times a week, for 6 weeks. Trunk balance was assessed using the Trunk
Impairment Scale (TIS) and a balance measuring device (Biorescue, RM ingenierie, France),
and gait ability was measured using the Functional Gait Assessment (FGA) and a gait
analyzer (GAITRite, CIR system Inc., USA). [Results] There were significant changes in
movement area, distance and velocity of body sway as measured by the TIS and the balance
measuring device, and in gait velocity, cadence, stride length and double limb support as
measured by the FGA and gait analyzer. [Conclusion] Horseback riding simulation training
improved the trunk balance and gait of chronic stroke patients. This present study
provides preliminary objective data for future research, and useful clinical information
for physical therapists using horseback riding simulation machines as a treatment modality
for patients with chronic stroke.Key words: Horseback riding simulation machine training, Trunk balance, Gait 相似文献
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[Purpose] The aim of this study was to examine the the effects of hippotherapy on gait
and balance ability in patients with stroke. [Subjects and Methods] Thirty stroke patients
were randomly divided into a hippotherapy group and a treadmill group and they conducted
exercise for eight weeks. [Results] Berg Balance Scale score, gait velocity, and step
length asymmetry ratio were significantly improved in the group receiving hippotherapy
training. However, in the group receiving treadmill training, only step length asymmetry
ratio was significantly improved. In the comparison between the hippotherapy group and
treadmill group, there was no significant difference in Berg Balance Scale score, but a
significant difference was found in gait velocity and step length asymmetry ratio.
[Conclusion] The results of this study indicated that hippotherapy is a helpful treatment
for stroke patients.Key words: Stroke, Balance, Hippotherapy 相似文献
13.
《Archives of physical medicine and rehabilitation》2023,104(2):188-194
ObjectiveTo observe the effect of strength training of the nonhemiplegic side (NHS) on balance function, mobility, and muscle strength of patients with stroke.DesignA single-blinded (evaluator) randomized controlled trial.SettingA tertiary hospital rehabilitation center.Participants139 patients with first stroke (N=139) were recruited and randomly separated into a trial (n=69) or control group (n=70).InterventionsThe control group underwent usual rehabilitation training, including step training and trunk control training in standing position. The trial group underwent strength training of NHS on the basis of usual rehabilitation training. The strength training of NHS included lower limb stepping training with resisting elastic belt and upper limb pulling elastic belt training in standing position. The training for both groups was 45 min, once a day, 5 days a week for 6 weeks.Main Outcome MeasuresBalance evaluation was done with the Berg Balance Scale (BBS); mobility assessment with the 6-minute walk test (6-MWT); activities of daily life was examined via the modified Barthel Index (MBI); muscle strengths of the biceps brachii, iliopsoas, and quadriceps were measured via the isokinetic muscle strength testing system. All assessments were performed at baseline (T0) and after intervention (T1).ResultsThe trial group performed better than control group in BBS scores (adjusted mean difference: 6.83; 95% confidence interval [CI]: 4.71-8.94) and 6-MWT (adjusted mean difference: 50.32; 95% CI: 40.58-60.05) after intervention. In terms of muscle strength of the hemiplegic side, the trial group displayed greater gains in biceps brachii, iliopsoas, and quadriceps than control group after intervention.ConclusionStrength training of the NHS can promote recovery of balance, mobility, and muscle strength of the paretic side of patients with stroke. 相似文献
14.
Young-Bin Oh Gi-Wook Kim Kap-Soo Han Yu Hui Won Sung-Hee Park Jeong-Hwan Seo Myoung-Hwan Ko 《Archives of physical medicine and rehabilitation》2019,100(8):1400-1408
ObjectiveTo investigate the efficacy of real instrument training in virtual reality (VR) environment for improving upper-extremity and cognitive function after stroke.DesignSingle-blind, randomized trial.SettingMedical center.ParticipantsEnrolled subjects (N=31) were first-episode stroke, assessed for a period of 6 months after stroke onset; age between 20 and 85 years; patients with unilateral paralysis and a Fugl-Meyer assessment upper-extremity scale score >18.InterventionsBoth groups were trained 30 minutes per day, 3 days a week, for 6 weeks, with the experimental group performing the VR combined real instrument training and the control group performing conventional occupational therapy.Main Outcome MeasuresManual Muscle Test, modified Ashworth scale, Fugl-Meyer upper motor scale, hand grip, Box and Block, 9-Hole Peg Test (9-HPT), Korean Mini-Mental State Examination, and Korean-Montreal Cognitive Assessment.ResultsThe experimental group showed greater therapeutic effects in a time-dependent manner than the control group, especially on the motor power of wrist extension, spasticity of elbow flexion and wrist extension, and Box and Block Tests. Patients in the experimental group, but not the control group, also showed significant improvements on the lateral, palmar, and tip pinch power, Box and Block, and 9-HPTs from before to immediately after training. Significantly greater improvements in the tip pinch power immediately after training and spasticity of elbow flexion 4 weeks after training completion were noted in the experimental group.ConclusionsVR combined real instrument training was effective at promoting recovery of patients’ upper-extremity and cognitive function, and thus may be an innovative translational neurorehabilitation strategy after stroke. 相似文献
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16.
目的 观察脑机接口控制的功能性电刺激对脑卒中后上肢运动功能障碍的影响。 相似文献
17.
对32例中风软瘫期继发肩关节半脱位患者随机分为对照组和实验组各16例,以评价功能性电刺激(FES)疗法对肩关节半脱位和上臂功能的作用效果。2组接受常规物理治疗后,实验组再接受2个疗程的FES治疗。结果显示实验组肌张力的增加、上臂功能的恢复及肩关节半脱位缓解程度较对照组有显著性差异。表明FES能有效地减轻肩关节半脱位和促进上臂功能的恢复。 相似文献
18.
Suzie Mudge PhD P. Alan Barber PhD N. Susan Stott PhD 《Archives of physical medicine and rehabilitation》2009,90(12):1989-1996
Mudge S, Barber PA, Stott NS. Circuit-based rehabilitation improves gait endurance but not usual walking activity in chronic stroke: a randomized controlled trial.
Objective
To determine whether circuit-based rehabilitation would increase the amount and rate that individuals with stroke walk in their usual environments.Design
Single-blind randomized controlled trial.Setting
Rehabilitation clinic.Participants
Sixty participants with a residual gait deficit at least 6 months after stroke originally enrolled in the study. Two withdrew in the initial phase, leaving 58 participants (median age, 71.5y; range, 39.0–89.0y) who were randomized to the 2 intervention groups.Interventions
The exercise group had 12 sessions of clinic-based rehabilitation delivered in a circuit class designed to improve walking. The control group received a comparable duration of group social and educational classes.Main Outcome Measures
Usual walking performance was assessed using the StepWatch Activity Monitor. Clinical tests were gait speed (timed 10-meter walk) and endurance (six-minute walk test [6MWT]), confidence (Activities-Based Confidence Scale), self-reported mobility (Rivermead Mobility Index [RMI]), and self-reported physical activity (Physical Activity and Disability Scale).Results
Intention-to-treat analysis revealed that the exercise group showed a significantly greater distance for the 6MWT than the control group immediately after the intervention (P=.030) but that this effect was not retained 3 months later. There were no changes in the StepWatch measures of usual walking performance for either group. The exercise and control groups had significantly different gait speed (P=.038) and scores on the RMI (P=.025) at the 3-month follow-up. These differences represented a greater decline in the control group compared with the exercise group for both outcome measures.Conclusions
Circuit-based rehabilitation leads to improvements in gait endurance but does not change the amount or rate of walking performance in usual environments. Clinical gains made by the exercise group were lost 3 months later. Future studies should consider whether rehabilitation needs to occur in usual environments to improve walking performance. 相似文献19.
Byeong-mu Mun Tae-ho Kim Jin-hwan Lee Jin-youg Lim Dong-kwon Seo Dong-jin Lee 《Journal of Physical Therapy Science》2014,26(4):563-566
[Purpose] This study sought to identify the gait aspects according to the FES
stimulation position in stroke patients during gait training. [Subjects and Methods] To
perform gait analysis, ten stroke patients were grouped based on 4 types of gait
conditions: gait without FES stimulation (non-FES), gait with FES stimulation on the
tibialis anterior (Ta), gait with FES stimulation on the tibialis anterior and quadriceps
(TaQ), and gait with FES stimulation on the tibialis anterior and gluteus medius (TaGm).
[Results] Based on repeated measures analysis of variance of measurements of gait aspects
comprised of gait speed, gait cycle, and step length according to the FES stimulation
position, the FES stimulation significantly affected gait aspects. [Conclusion] In
conclusion, stimulating the tibialis anterior and quadriceps and stimulating the tibialis
anterior and gluteus medius are much more effective than stimulating only the tibialis
anterior during gait training in stroke patients using FES.Key words: Stroke, FES, Gait 相似文献
20.
目的:观察针刺穴位联合康复训练治疗急性脑梗死上肢运动功能障碍的疗效,并借助功能磁共振探讨对神经功能重塑的影响。方法:选取急性脑梗死上肢运动功能障碍患者60例,随机分为对照组及治疗组,各30例。对照组行常规药物治疗和运动康复训练,治疗组在对照组的基础上给予针刺穴位治疗;均治疗3个月。于治疗前、后,对2组患者行美国国立卫生院脑卒中量表(NIHSS)评分、Fugl-Meyer上肢运动量表(FMA-UE)评分、患肢的食指轻叩试验检查、握力测量及运动任务态的功能磁共振扫描。结果:治疗后,2组的NIHSS评分、FMA-UE评分、患肢食指轻叩试验及握力测量均较治疗前改善(均P<0.01),且治疗组改善程度较对照组明显(均P<0.01)。治疗前,2组患者左手握拳运动可稳定激活对侧初级运动区(M1)及辅助运动区(SMA);治疗后,2组患者左手握拳运动时,对侧M1区及双侧SAM区较治疗前激活增强(P<0.01),且治疗组较对照组激活增强明显(P<0.01)。结论:针刺穴位联合康复训练治疗急性脑梗死上肢运动功能障碍疗效肯定,促进对侧M1及双侧SAM脑区的激活、调节神经功能重塑可能是其机制之一。 相似文献