三维运动平台训练对脑卒中患者平衡与步行功能的效果

doi:10.3969/j.issn.1006-9771.2023.04.015

Abstract

Abstract:

Objective To explore the clinical efficacy of three-dimensional motion platform training on balance and walking function of stroke patients.
Methods From August, 2021 to August, 2022, 80 stroke patients from Second Affiliated Hospital of Guangzhou Medical University were selected and randomly divided into control group (n = 40) and experimental group (n = 40). The control group received routine rehabilitation training, and the experimental group received three-dimensional motion platform training on the basis of routine rehabilitation training. Before and four weeks after treatment, the Berg Balance Scale (BBS), Functional Ambulation Category (FAC) and 3D gait analysis (step speed, step frequency, percentage of standing phases on the affected side, percentage of double support phase) were used to assess the balance and walking function of patients.
Results Four weeks after treatment, the scores of BBS, FAC, and step speed, step frequency, percentage of standing phases on the affected side and percentage of double support phase significantly improved in both groups (|t| > 4.423, |Z| > 5.292, P < 0.001), and they were better in the experimental group than in the control group (|t| > 3.748, |Z| = 2.646, P < 0.05).
Conclusion Three-dimensional motion platform training could facilitate to improve the balance and walking function of stroke patients.

Key words: stroke, three-dimensional motion platform, balance function, walking function

CLC Number:

R743.3

WANG Lu, CHEN Yan, SU Jiulong, DU Zhiwei, YU Rui, HU Nan, ZENG Yiming, YU Mianxuan, HONG Jing. Effect of three-dimensional motion platform training on balance and walking function of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 485-490.

Figures/Tables 4

References 35

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组别	n	性别/n		年龄/岁	病程/d	病变性质/n		偏瘫侧别/n		Brunnstrom分期/n
组别	n	男	女	年龄/岁	病程/d	脑出血	脑梗死	左	右	Ⅳ	Ⅴ
对照组	40	22	18	61.45±6.78	92.68±7.55	17	23	16	24	25	15
观察组	40	20	20	60.76±7.12	92.12±8.49	19	21	17	23	27	13
t/χ²/Z值		0.201		0.444	0.312	0.202		0.052		-1.414
P值		0.654		0.658	0.756	0.653		0.820		0.157

组别	n	治疗前	治疗后	t值	P值
对照组	40	34.68±4.45	43.83±3.34	-10.401	< 0.001
观察组	40	35.21±4.23	49.17±3.21	-16.627	< 0.001
t值		-0.546	-7.291
P值		0.587	< 0.001

组别	n	治疗前						治疗后						Z值	P值
组别	n	0级	1级	2级	3级	4级	5级	0级	1级	2级	3级	4级	5级	Z值	P值
对照组	40	0	0	0	29	11	0	0	0	0	5	31	4	-5.292	< 0.001
观察组	40	0	0	0	29	11	0	0	0	0	3	28	9	-5.916	< 0.001
Z值		0						-2.646
P值		1.000						0.008

步态参数	对照组(n = 40)		观察组(n = 40)		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
步态参数	治疗前	治疗后	治疗前	治疗后	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
步速/m·s^-1	0.43±0.09	0.78±0.07	0.45±0.08	1.01±0.08	-19.415	< 0.001	-31.305	< 0.001	-1.050	0.297	-13.684	< 0.001
步频/min^-1	35.26±2.12	51.18±2.67	34.89±2.64	59.42±2.55	-29.533	< 0.001	-42.268	< 0.001	0.691	0.492	-14.115	< 0.001
患侧支撑期百分比/%	47.76±2.76	55.14±2.53	48.02±3.02	59.91±2.91	-12.466	< 0.001	-17.931	< 0.001	-0.402	0.689	-7.824	< 0.001
双支撑期百分比/%	26.53±3.36	23.28±3.21	26.76±3.27	20.56±3.28	4.423	< 0.001	8.466	< 0.001	-0.310	0.757	3.748	< 0.001

Effect of three-dimensional motion platform training on balance and walking function of stroke patients

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