CAJ | 학술논문

目的：探讨偏瘫患者在进行姿势控制训练后足底压力的变化及对平衡功能的影响。方法将24例偏瘫患者随机分为传统组和平衡组并进行姿势控制训练。使用Novel Zebris平板式足底压力系统测试患者训练后足底的压力峰值、平均压力、压力中心偏移的椭圆轨迹长度，以及椭圆轨迹包络面积。结果经过姿势训练后，①平衡组较传统组的健侧前半足和后半足压力峰值均明显下降（P＜0．05）；患侧前半足压力峰值明显下降（P＜0．05），后半足压力峰值下降不明显（P＞0.05）。②平衡组较传统组的健侧前半足平均压力明显下降（P＜0．05），后半足平均压力明显提高（P＜0．05），但患侧前半足和后半足平均压力变化不大（ P＞0．05）。③平衡组较传统组椭圆面积、椭圆轨迹长度、椭圆轨迹长度与椭圆面积比值均明显减少（ P＜0．05）。结论①两种训练方法下，足部与地面接触的模式和足部压力分布情况未发生显著变化，训练后机体保持平衡的方式未改变。②两组姿势控制训练后的偏瘫患者的足底压力平衡能力均得到提高，说明两种训练方法对于提高偏瘫患者的平衡功能都是有效的。③平衡训练组增加了静态稳定性和动态稳定性训练，促进整体平衡功能和协调能力的改善。④平衡仪训练对恢复前庭器官调节平衡的功能比传统训练方法有着明显的优势。
목적：탐토편탄환자재진행자세공제훈련후족저압력적변화급대평형공능적영향。방법장24례편탄환자수궤분위전통조화평형조병진행자세공제훈련。사용Novel Zebris평판식족저압력계통측시환자훈련후족저적압력봉치、평균압력、압력중심편이적타원궤적장도，이급타원궤적포락면적。결과경과자세훈련후，①평형조교전통조적건측전반족화후반족압력봉치균명현하강（P＜0．05）；환측전반족압력봉치명현하강（P＜0．05），후반족압력봉치하강불명현（P＞0.05）。②평형조교전통조적건측전반족평균압력명현하강（P＜0．05），후반족평균압력명현제고（P＜0．05），단환측전반족화후반족평균압력변화불대（ P＞0．05）。③평형조교전통조타원면적、타원궤적장도、타원궤적장도여타원면적비치균명현감소（ P＜0．05）。결론①량충훈련방법하，족부여지면접촉적모식화족부압력분포정황미발생현저변화，훈련후궤체보지평형적방식미개변。②량조자세공제훈련후적편탄환자적족저압력평형능력균득도제고，설명량충훈련방법대우제고편탄환자적평형공능도시유효적。③평형훈련조증가료정태은정성화동태은정성훈련，촉진정체평형공능화협조능력적개선。④평형의훈련대회복전정기관조절평형적공능비전통훈련방법유착명현적우세。
Objective To explore the influence of postural control training on plantar pressure and balance function of hemip -aralysis patient .Methods Twenty-four cases of hemiparalysis patients were selected and divided into two groups of traditional group ( TG) and balance group ( BG) and had been taken postural control trainings .Novel Zebris pressure test platform was used to examine the pressure peak value (PPV),average pressure (AP),ellipse track length (ETL) of pressure center deviation including ellipse area ( EA) after postural control trainings .Results After two different training methods:①Compared with TG ,PPVs of front half foot and back half foot of unaffected side were both decreased significantly (P<0.05) in BG.The pressure peak value of affected side de-creased significantly while the affected side front half decreased significantly (P<0.05) and back decreased not significantly in this group (P>0.05).②Compared with TG,AP of front half foot in unaffected side decreased significantly and that in back half foot in-creased significantly (P<0.05) in BG.But,there was no great change in both the front and back half feet in affected feet (P>0.05).③Compared BG with TG,EA,ETL and ratio between ETL and EA decreased significantly (P<0.05).Conclusion ①After two pos-tural control trainings ,there is no significant alteration on contact mode between feet and ground ,and feet pressure distribution condi-tion.Body’s methods to maintain balance have not been changed .②Both feet pressure balance abilities of hemiparalysis patients have been improved after two postural control trainings that indicate they are effective to increase hemiparalysis patients ’ balance function .③Steady trainings in BG promote the improvement of balance function and coordination ability .④BG had obvious advantages than TG in regaining balance adjustment function .