CAJ | 학술논문

目的探讨稳定极限训练的踝关节策略对脑卒中偏瘫恢复期患者平衡及步态的影响.方法将符合入选条件的脑卒中偏瘫恢复期患者40例按随机数字表法随机分为观察组和对照组,每组各20例.观察组采用动态姿势平衡仪(Smart Equitest Balance Master,SEBM)的静态长平台进行视觉追踪下的踝关节策略稳定极限训练；对照组在平行杠内利用镜面视觉反馈采用常规姿势平衡训练.2组患者每天均训练平衡和姿势控制1次,每次30 min,每周练习6d,持续2周.2组患者均同时予以常规药物治疗及其它康复治疗,治疗前后分别用Berg平衡量表(BBS)评定平衡功能,用徒步走测试评定步态变化.结果治疗前2组患者一般资料及各项指标比较,差异均无统计学意义(P＞0.05),具有可比性.2组治疗前、后比较,BBS评分及徒步走测试的步长、步速均有提高,差异均有统计学意义(P＜0.05)；且治疗后2组患者上述三项指标比较,观察组优于对照组,且差异有统计学意义(P＜0.05)；而步宽比较,2组间的差异无统计学意义(P＞ 0.05).结论进行针对性的踝关节策略稳定极限训练可有效促进患足负重、平衡和对称性迈步.
목적 탐토은정겁한훈련적과관절책략대뇌졸중편탄회복기환자평형급보태적영향.방법 장부합입선조건적뇌졸중편탄회복기환자40례안수궤수자표법수궤분위관찰조화대조조,매조각20례.관찰조채용동태자세평형의(Smart Equitest Balance Master,SEBM)적정태장평태진행시각추종하적과관절책략은정겁한훈련；대조조재평행강내이용경면시각반궤채용상규자세평형훈련.2조환자매천균훈련평형화자세공제1차,매차30 min,매주연습6d,지속2주.2조환자균동시여이상규약물치료급기타강복치료,치료전후분별용Berg평형량표(BBS)평정평형공능,용도보주측시평정보태변화.결과 치료전2조환자일반자료급각항지표비교,차이균무통계학의의(P＞0.05),구유가비성.2조치료전、후비교,BBS평분급도보주측시적보장、보속균유제고,차이균유통계학의의(P＜0.05)；차치료후2조환자상술삼항지표비교,관찰조우우대조조,차차이유통계학의의(P＜0.05)；이보관비교,2조간적차이무통계학의의(P＞ 0.05).결론 진행침대성적과관절책략은정겁한훈련가유효촉진환족부중、평형화대칭성매보.
Objective To explore the effect of ankle strategy stability limit training on balance and gait in recovering stroke patients with hemiplegia. Methods Forty recovering stroke patients were randomized into an intervention group and a control group.The patients in the intervention group were given ankle strategy stability limit training using visual feedback on the static long sets of a Smart Equitest Balance Master (SEBM) machine.Those in the control group practiced routine postural balance training using mirror visual feedback in parallel bars.Both groups of patients practiced balance and posture control for 30 minutes,once daily,6 days a week for two weeks. Both groups were also given routine therapy and other rehabilitation.The patients' balance function was evaluated using the Berg Balance Scale (BBS),and their gait was assessed using the walk across technique (WA). Results There was no significant difference between the two groups with regard to general information,BBS scores or WA results before treatment.After 2 weeks of treatment,BBS scores as well as the step length and pace in the WA improved significantly in both groups,but all improved significantly more in the intervention group.There was no significant difference in width of gait. Conclusion Ankle strategy stability limit training can enhance weight-bearing on stroke patients' affected foot as well as their balance and the symmetry of their steps.