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頁籤選單縮合
題名 | Effects of Balance Training on Hemiplegic Stroke Patients=腦中風後偏癱病患平衡訓練之成效 |
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作 者 | 陳怡君; 鄭寶釵; 陳嘉玲; 陳適卿; 鍾佳英; 葉篤學; | 書刊名 | 長庚醫學 |
卷期 | 25:9 2002.09[民91.09] |
頁次 | 頁583-590 |
分類號 | 418.996 |
關鍵詞 | 平衡訓練; SMART平衡儀; 視覺回饋; 腦中風; Balance training; SMART balance master; Visual feedback; Stroke; |
語文 | 英文(English) |
中文摘要 | 背景:本篇研究之目的為評估腦中風後偏癱病患接受平衡訓練之長期成效。 方法: 本篇研究共收集了四十一位腦中風後偏癱、可以行走的病患,隨機分為控制組及訓練組;以SMART平衡儀對訓練組提供視覺回饋之平衡訓練,每位病患之患側肢體用Bruunstrom分期做評估,日常生活功能用功能獨立量表記錄,定量化之平衡功能則採用SMART平衡儀進行施測,所有的評估及測試分別於訓練計畫前以及訓練計劃結束六個月後進行。 結果:研究中顯示訓練組之病患的動態平衡功能在訓練計劃結束六個月後追蹤下有明顯進步,同時生活自理及排便功能控制方面的能力也有所進步。另一方面,在訓練計劃結束六個月後的追蹤下,我們發現在靜態平衡功能評估上,兩組病患之間並無顯著的差別,而且在行動能力及移行功能上,兩組間的進步也沒有顯著的差異。 結論:以上的結果顯示與控制組病患相較,接受視覺回饋訓練的患者於動態平衡功能有較明顯的進步,於訓練後六個月的追蹤下也發現訓練組病患在日常生活之自理功能方面也有明顯進步,此一結果可提供腦中風後偏癱病患平衡訓練之方針。 |
英文摘要 | .Background: The purpose of this study was to evaluate the delayed effects of balance training program on hemiplegic stroke patients. Methods: A total of 41 ambulatory hemiplegic stroke patients were recruited into this study and randomly assigned into two groups, the control group and trained group, the control group and trained group. Visual feedback balance training with the SMART balance master was used in the trained group. Bruunstrom staging of affected limb scores and Functional Independent Measure (FIM) scores of each patient were recorded. Quantitative balance function was evaluated using the SMART Balance Master. Data were collected before training and 6 months after completing the training program. Results: Significant improvements in dynamic balance function measurements were found for patients in the trained group at 6 months after completing the training program. The ability of self-care and sphincter control also improved for patients in the trained group. On the other hand , no significant difference were found in static balance functions between the trained group and control group at 6 months of follow up. The locomotion and mobility scoring of FIM also revealed no differences between the groups. Conclusion: Dynamic balance function of patients in the visual feedback training group had significant improvements when compared with the control group. Activities of daily living (ADL) function in self-care also had significant improvements at 6 months of follow up in the trained group. The results showed that balance training was beneficial for patients after hemiplegic stroke. |
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