可穿戴式智能足底压力视觉反馈技术对脑卒中患者平衡功能的影响
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摘要
目的:研究可穿戴式智能足底压力视觉反馈技术对脑卒中患者平衡功能的影响,并探讨此技术在临床平衡功能训练中的应用方式和价值。方法:选择病程为8个月内的脑卒中患者30例,随机分配到试验组和对照组,每组15例。对照组接受常规平衡训练,试验组在可穿戴式智能足底压力视觉反馈技术配合下进行平衡训练,每次30min,每周5次,共训练4周。比较训练前及训练4周后两组患者的平衡功能评分,包括Berg平衡量表(BBS),"起立—行走"计时测试(TUG)和采用可穿戴式智能足底压力视觉反馈鞋垫记录的睁眼和闭眼静态平衡率,以评估训练的有效性和对照组与试验组间训练效果的差异。结果:训练前两组患者的一般资料、BBS及TUG评分和静态平衡率均无显著性差异(P>0.05);训练后,试验组和对照组患者各观察指标与训练前相比均有显著改善(P<0.05)。试验组的训练后与训练前各平衡功能评分差值与对照组相较更大,且有显著性差异(P<0.05)。结论:应用可穿戴式智能足底压力视觉反馈技术进行平衡功能训练可以改善偏瘫患者的平衡功能,且较常规方法更有效。
Objective: To observe the effect of wearable intelligent plantar pressure visual feedback technique in the balance training for post-stroke patients. To discuss the application method and value of this technique in clinical balance training as well.Method: Thirty hemiplegic patients with stroke less than 8 months were randomly allocated to experimental(n=15) or control group(n=15). The control group received the traditional balance training, while the experimental group participated in the balance training with the wearable intelligent plantar pressure visual feedback technique, for 30 min once daily,5 days per week for 4 weeks. BBS score,TUG score and balance ratio were evaluated twice: one day before and 4 weeks after training to compare the difference in efficacy between two groups.Result: Before training, there were no significant differences in general information, BBS score, TUG score and balance ratio between two groups(P>0.05). After training, all the parameters show significant differences in both groups(P<0.01). In addition, the difference between post-training and pre-training of the groups were significant(P<0.05) with the bigger difference in the experimental group.Conclusion: Applying wearable intelligent plantar pressure visual feedback technique in balance training can improve the balance function of stroke patients and was more effective than the traditional training.
Objective: To observe the effect of wearable intelligent plantar pressure visual feedback technique in the balance training for post-stroke patients. To discuss the application method and value of this technique in clinical balance training as well.Method: Thirty hemiplegic patients with stroke less than 8 months were randomly allocated to experimental(n=15) or control group(n=15). The control group received the traditional balance training, while the experimental group participated in the balance training with the wearable intelligent plantar pressure visual feedback technique, for 30 min once daily,5 days per week for 4 weeks. BBS score,TUG score and balance ratio were evaluated twice: one day before and 4 weeks after training to compare the difference in efficacy between two groups.Result: Before training, there were no significant differences in general information, BBS score, TUG score and balance ratio between two groups(P>0.05). After training, all the parameters show significant differences in both groups(P<0.01). In addition, the difference between post-training and pre-training of the groups were significant(P<0.05) with the bigger difference in the experimental group.Conclusion: Applying wearable intelligent plantar pressure visual feedback technique in balance training can improve the balance function of stroke patients and was more effective than the traditional training.
引文
[1]Forster A,Young J.Incidence and consequences of falls due to stroke:a systematic inquiry[J].BMJ,1995,311(6997):83-86.
[2]Mackintosh SF,Hill KD,Dodd KJ,et al.Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation[J].Arch Phys Med Rehabil,2006,87(12):1583-1589.
[3]Kavounoudias A,Roll R,Roll JP.The plantar sole is a'dynamometric map'for human balance control[J].Neuroreport,1998,9(14):3247-3252.
[4]Barclay-Goddard R,Stevenson T,Poluha W,et al.Force platform feedback for standing balance training after stroke[J].Cochrane Database Syst Rev,2004,(4):CD004129.
[5]Wang MC,Zheng LN,Yang HD,et al.Foot Pressure Intelligent Analysis System[C]//Applied Mechanics and Materials.Trans Tech Publications,2015,713:581-584.
[6]Tyson SF,Hanley M,Chillala J,et al.Balance disability after stroke[J].Phys Ther,2006,86(1):30-38.
[7]Srivastava A,Taly AB,Gupta A,et al.Post-stroke balance training:role of force platform with visual feedback technique[J].J Neurol Sci,2009,287(1-2):89-93.
[8]In TS,Cha YR,Jung JH,et al.Effects of visual feedback with a mirror on balance ability in patients with stroke[J].J Phys Ther Sci,2016,28(1):181-185.
[9]Santos FMKD,Mendes FV,Woellner SS,et al.Use of visual feedback for balance training in hemiparetic Stroke patients[J].Fisioter Mov,2015,28(2):241-249.
[10]Mulder T,Hulstyn W.Sensory feedback therapy and theoretical knowledge of motor control and learning[J].Am JPhys Med,1984,63(5):226-244.
[11]Chen IC,Cheng PT,Chen CL,et al.Effects of balance training on hemiplegic stroke patients[J].Chang Gung Med J,2002,25(09):583-590.
[12]Ko Y,Ha H,Bae YH,et al.Effect of space balance 3Dtraining using visual feedback on balance and mobility in acute stroke patients[J].J Phys Ther Sci,2015,27(5):1593-1596.
[13]段春兴,李宝,谢仁明,等.以任务为导向的康复治疗改善脑卒中患者平衡及步行功能的疗效观察[J].中国康复,2011,26(4):256-258.
[14]Cheng PT,Liaw MY,Wong MK,et al.The sit-to-stand movement in stroke patients and its correlation with falling[J].Arch Phys Med Rehabil,1998,79(9):1043-1046.
[15]Patterson KK,Parafianowicz I,Danells CJ,et al.Gait asymmetry in community-ambulating stroke survivors[J].Arch Phys Med Rehabil,2008,89(2):304-310.
[16]Lewek MD,Bradley CE,Wutzke CJ,et al.The relationship between spatiotemporal gait asymmetry and balance in individuals with chronic stroke[J].J Appl Biomech,2014,30(1):31-36.
[17]Hendrickson J,Patterson KK,Inness EL,et al.Relationship between asymmetry of quiet standing balance control and walking post-stroke[J].Gait&Posture,2014,39(1):177-181.
[18]Shumway-Cook A,Anson D,Haller S.Postural sway biofeedback:its effect on reestablishing stance stability in hemiplegic patients[J].Arch Phys Med Rehabil,1988,69(6):395-400.
[19]Walker C,Brouwer BJ,Culham EG.Use of visual feedback in retraining balance following acute stroke[J].Phys Ther,2000,80(9):886-895.
[2]Mackintosh SF,Hill KD,Dodd KJ,et al.Balance score and a history of falls in hospital predict recurrent falls in the 6 months following stroke rehabilitation[J].Arch Phys Med Rehabil,2006,87(12):1583-1589.
[3]Kavounoudias A,Roll R,Roll JP.The plantar sole is a'dynamometric map'for human balance control[J].Neuroreport,1998,9(14):3247-3252.
[4]Barclay-Goddard R,Stevenson T,Poluha W,et al.Force platform feedback for standing balance training after stroke[J].Cochrane Database Syst Rev,2004,(4):CD004129.
[5]Wang MC,Zheng LN,Yang HD,et al.Foot Pressure Intelligent Analysis System[C]//Applied Mechanics and Materials.Trans Tech Publications,2015,713:581-584.
[6]Tyson SF,Hanley M,Chillala J,et al.Balance disability after stroke[J].Phys Ther,2006,86(1):30-38.
[7]Srivastava A,Taly AB,Gupta A,et al.Post-stroke balance training:role of force platform with visual feedback technique[J].J Neurol Sci,2009,287(1-2):89-93.
[8]In TS,Cha YR,Jung JH,et al.Effects of visual feedback with a mirror on balance ability in patients with stroke[J].J Phys Ther Sci,2016,28(1):181-185.
[9]Santos FMKD,Mendes FV,Woellner SS,et al.Use of visual feedback for balance training in hemiparetic Stroke patients[J].Fisioter Mov,2015,28(2):241-249.
[10]Mulder T,Hulstyn W.Sensory feedback therapy and theoretical knowledge of motor control and learning[J].Am JPhys Med,1984,63(5):226-244.
[11]Chen IC,Cheng PT,Chen CL,et al.Effects of balance training on hemiplegic stroke patients[J].Chang Gung Med J,2002,25(09):583-590.
[12]Ko Y,Ha H,Bae YH,et al.Effect of space balance 3Dtraining using visual feedback on balance and mobility in acute stroke patients[J].J Phys Ther Sci,2015,27(5):1593-1596.
[13]段春兴,李宝,谢仁明,等.以任务为导向的康复治疗改善脑卒中患者平衡及步行功能的疗效观察[J].中国康复,2011,26(4):256-258.
[14]Cheng PT,Liaw MY,Wong MK,et al.The sit-to-stand movement in stroke patients and its correlation with falling[J].Arch Phys Med Rehabil,1998,79(9):1043-1046.
[15]Patterson KK,Parafianowicz I,Danells CJ,et al.Gait asymmetry in community-ambulating stroke survivors[J].Arch Phys Med Rehabil,2008,89(2):304-310.
[16]Lewek MD,Bradley CE,Wutzke CJ,et al.The relationship between spatiotemporal gait asymmetry and balance in individuals with chronic stroke[J].J Appl Biomech,2014,30(1):31-36.
[17]Hendrickson J,Patterson KK,Inness EL,et al.Relationship between asymmetry of quiet standing balance control and walking post-stroke[J].Gait&Posture,2014,39(1):177-181.
[18]Shumway-Cook A,Anson D,Haller S.Postural sway biofeedback:its effect on reestablishing stance stability in hemiplegic patients[J].Arch Phys Med Rehabil,1988,69(6):395-400.
[19]Walker C,Brouwer BJ,Culham EG.Use of visual feedback in retraining balance following acute stroke[J].Phys Ther,2000,80(9):886-895.