跑步機訓練對慢性期腦中風病人平衡和步行能力的成效

背景和目的：探討跑步機訓練對慢性期腦中風病人平衡和步行能力的成效。方法：徵召慢性期腦中風病人35人，隨機分配於實驗組18人和控制組17人。每位受試者除了接受30分鐘傳統運動治療之外，實驗組再接受跑步機行走訓練，控制組則接受一般平地上行走訓練，皆各30分鐘，為期12週，每週2次，總共24次訓練。療效評估使用伯格氏平衡量表(Berg Balance Scale, BBS)、10公尺行走測試(10-meter walk test, 10MWT)和6分鐘行走測試(6-minute walk test, 6MWT)。受試者分別於接受訓練前、24次訓練結束和訓練完成1個月後追蹤測試評估。結果：兩組訓練結束後以及訓練完成1個月後追蹤測試，實驗組在6MWT得分較控制組為佳(p ＜ 0.05)。實驗組組內比較，BBS和6MWT前測到後測和前測到1個月追蹤測試的改變量皆有顯著進步(p ＜ 0.025)；而10MWT僅前測到追蹤測試的改變量，有顯著進步(p ＜ 0.025)。控制組組內比較前測到後測，BBS和6MWT改變量皆有顯著的進步(p ＜ 0.025)；比較前測到追蹤測，僅BBS分數有顯著進步(p ＜ 0.025)。結論：12週總共24次跑步機行走訓練或一般平地上行走訓練皆可增進慢性期腦中風病人平衡功能和行走耐力。跑步機行走訓練比一般平地上行走訓練對於慢性期腦中風病人行走耐力進步更有療效。

關鍵字

平衡；步行能力；腦中風；跑步機

並列摘要

Background and Purpose: This study aimed to investigate the effects of treadmill training on balance function and walking ability in patients with chronic stroke. Methods: Thirty-five patients with chronic stoke were recruited and randomly assigned into experimental (n = 18) and control group (n = 17). In additional to conventional therapeutic rehabilitation exercises, the experimental group received a further 30-minute treadmill training while the control group received a 30-minute over-ground walking practice. These 30-minute interventions were performed twice a week over a period of 12 weeks totaling 24 training sessions. The outcome measures included the Berg Balance Scale (BBS), 10-meter walk test (10MWT) and the 6-minute walk test (6MWT). All participants were assessed before the intervention (as ＂pre-test＂), after completing 24 training sessions (as ＂post-test＂), and at one month after training (as ＂follow-up test＂). Results: The 6MWT distance of the experimental group was significantly greater than that of the control group (p ＜ 0.05) for the post-test and follow-up test. For the experimental group, the BBS and 6MWT scores showed significant improvements from the pre-test to the post-test (p ＜ 0.025) and from the pre-test to the follow-up test (p ＜ 0.025), whereas the 10MWT distance only showed a significant improvement from the pre-test to the follow-up test (p ＜ 0.025). For the control group, the BBS and 6MWT scores showed significant improvements from the pretest to the post-test (p ＜ 0.025), whereas only the BBS score showed a significant improvement from the pre-test to the follow-up test (p ＜ 0.025). Conclusions: A 12-week 24-session training on either treadmill or over-ground walking showed effects on improving balance function and walking endurance in patients with chronic stroke. For patients with chronic stroke, treadmill training has better therapeutic effect than over-ground walking on walking endurance.

並列關鍵字

Balance ； Walking ability ； Stroke ； Treadmill

國際替代計量

跑步機訓練對慢性期腦中風病人平衡和步行能力的成效

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