普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响
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摘要
目的探讨普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响。方法 2016年11月至2017年12月,60例老年脑卒中患者分为对照组(n=30)和普拉提组(n=30),两组均进行内科常规治疗及常规康复,普拉提组在此基础上再进行普拉提系列运动训练,共10周。训练前、训练5周和10周后,采用Berg平衡量表(BBS)、10米最大步行速度(MWS)测试、3米计时起立-行走测试(TUGT)及Fugl-Meyer评定量表下肢部分(FMA-LE)进行评定。结果训练10周后,两组BBS评分、MWS、TUGT时间和FMA-LE评分均改善(t>2.122, P<0.05),普拉提组改善更多(t>2.264, P<0.05)。结论较长期普拉提运动可进一步改善老年脑卒中患者平衡功能、步行能力和下肢运动功能。
Objective To observe the effects of Pilates on balance, walking and lower limbs motor function in older patients after stroke.Methods From November, 2016 to December, 2017, 60 older patients after stroke were divided into control group(n=30) and Pilates group(n=30). The control group received routine medicine and rehabilitation, the Pilates group accepted Pilates training in addition, for ten weeks. They were evaluated with Berg Balance Scale(BBS), 10-metre Maximum Walking Speed(MWS), Timed 'Up and Go' Test(TUGT) and Fugl-Meyer Assessment-Lower Extremity(FMA-LE) before, and five weeks and ten weeks after training.Results The BBS score, MWS, TUGT and FMA-LE score all improved ten weeks after training in both groups(t>2.122,P<0.05), and improved more in the Pilates group than in the control group(t>2.264, P<0.05).Conclusion Pilates can improve the balance, walking and lower limbs motor function in older patients after stroke.
Objective To observe the effects of Pilates on balance, walking and lower limbs motor function in older patients after stroke.Methods From November, 2016 to December, 2017, 60 older patients after stroke were divided into control group(n=30) and Pilates group(n=30). The control group received routine medicine and rehabilitation, the Pilates group accepted Pilates training in addition, for ten weeks. They were evaluated with Berg Balance Scale(BBS), 10-metre Maximum Walking Speed(MWS), Timed 'Up and Go' Test(TUGT) and Fugl-Meyer Assessment-Lower Extremity(FMA-LE) before, and five weeks and ten weeks after training.Results The BBS score, MWS, TUGT and FMA-LE score all improved ten weeks after training in both groups(t>2.122,P<0.05), and improved more in the Pilates group than in the control group(t>2.264, P<0.05).Conclusion Pilates can improve the balance, walking and lower limbs motor function in older patients after stroke.
引文
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[4]Byrnes K,Wu PJ,Whillier S.Is Pilates an effective rehabilitation tool?A systematic review[J].J Bodyw Mov Ther,2018,22(1):192-202.
[5]樊贤进,李月红.普拉提运动降低老年女性跌倒次数的作用机制[J].中国老年学杂志,2015,35(7):1800-1801.
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[14]Amiri B,Sahebozamani M,Sedighi B.The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale:a single-blinded randomized controlled trial[J].Eur J Phys Rehabil Med,2018,2:S1973-S9087.
[15]Stivala A,Hartley G.The effects of a Pilates-based exercise rehabilitation program on functional outcome and fall risk reduction in an aging adult status-post traumatic hip fracture due to a fall[J].J Geriatr Phys Ther,2014,37(3):136-145.
[16]Rossi DM,Morcelli MH,Marques NR,et al.Antagonist coactivation of trunk stabilizer muscles during Pilates exercises[J].J Bodyw Mov Ther,2014,18(1):34-41.
[17]Wells C,Kolt GS,Bialocerkowski A.Defining Pilates exercise:a systematic review[J].Complement Ther Med,2012,20(4):253-262.
[18]Patterson SL,Forrester LW,Rodgers MM,et al.Determinants of walking function after stroke:differences by deficit severity[J].Arch Phys Med Rehabil,2007,88(1):115-119.
[19]Dos Santos AN,Serikawa SS,Rocha NA.Pilates improves lower limbs strength and postural control during quite standing in a child with hemiparetic cerebral palsy:a case report study[J].Dev Neurorehabil,2016,19(4):226-230.
[20]Awad LN,Reisman DS,Wright TR,et al.Maximum walking speed is a key determinant of long distance walking function after stroke[J].Top Stroke Rehabil,2014,21(6):502-509.
[21]Marinda F,Magda G,Ina S,et al.Effects of a mat pilates program on cardiometabolic parameters in elderly women[J].Pak J Med Sci,2013,29(2):500-504.
[22]Balasubramanian CK,Li CY,Bowden MG,et al.Dimensionality and item-difficulty hierarchy of the lower extremity fugl-meyer assessment in individuals with subacute and chronic stroke[J].Arch Phys Med Rehabil,2016,97(4):582-589.
[23]卢寨瑶.Fugl-Meyer量表在脑卒中康复评定中的应用分析[J].临床医药文献杂志,2016,3(11):2032-2034.
[24]王盛,王翔,王彤,等.渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响[J].中国康复医学杂志,2017,32(3):297-300.
[25]Bian ZJ,Sun HM,Lu CB,et al.Effect of pilates training on alpha rhythm[J].Comput Math Methods Med,2013,21(9):1042-1051.
[2]赵越,张晶,王晓羽,等.急性脑卒中患者生存质量及其影响因素研究[J].中华脑科疾病与康复杂志(电子版),2014,4(6):12-18.
[3]Pinter M,Brainin M.Rehabilitation after stroke in older people[J].Maturitas,2012,71(2):104-108.
[4]Byrnes K,Wu PJ,Whillier S.Is Pilates an effective rehabilitation tool?A systematic review[J].J Bodyw Mov Ther,2018,22(1):192-202.
[5]樊贤进,李月红.普拉提运动降低老年女性跌倒次数的作用机制[J].中国老年学杂志,2015,35(7):1800-1801.
[6]中华神经科学会,中华神经外科学会.各类脑血管病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[7]Sullivan KJ,Tilson JK,Cen SY,et al.Fugl-Meyer assessment of sensorimotor function after stroke:standardized training procedure for clinical practice and clinical trials[J].Stroke,2011,42(2):427-432.
[8]Wüest S,van de Langenberg R,de Bruin ED.Design considerations for a theory-driven exergame-based rehabilitation program to improve walking of persons with stroke[J].Eur Rev Aging Phys Act,2014,11(2):119-129.
[9]郝川.不稳定支撑面躯干稳定性训练对脑卒中偏瘫早期患者平衡功能和步行能力的影响[J].中国康复医学杂志,2018,33(1):72-75.
[10]Brunkhorst R,Vutukuri R,Pfeilschifter W.Fingolimod for the treatment of neurological diseases-state of play and future perspectives[J].Front Cell Neurosci,2014,12,8:283.
[11]Miller KJ,Hunt MA,Pollock CL,et al.Protocol for a randomized controlled clinical trial investigating the effectiveness of Fast muscle Activation and Stepping Training(FAST)for improving balance and mobility in sub-acute stroke[J].BMC Neurol,2014,14(1):187.
[12]Kim TW,Kim YW.Treadmill sideways gait training with visual blocking for patients with brain lesions[J].J Phys Ther Sci,2014,26(9):1415-1418.
[13]Shea S,Moriello G.Feasibility and outcomes of a classical Pilates program on lower extremity strength,posture,balance,gait,and quality of life in someone with impairments due to a stroke[J].J Bodyw Mov Ther,2014,18(3):332-360.
[14]Amiri B,Sahebozamani M,Sedighi B.The effects of 10-week core stability training on balance in women with multiple sclerosis according to Expanded Disability Status Scale:a single-blinded randomized controlled trial[J].Eur J Phys Rehabil Med,2018,2:S1973-S9087.
[15]Stivala A,Hartley G.The effects of a Pilates-based exercise rehabilitation program on functional outcome and fall risk reduction in an aging adult status-post traumatic hip fracture due to a fall[J].J Geriatr Phys Ther,2014,37(3):136-145.
[16]Rossi DM,Morcelli MH,Marques NR,et al.Antagonist coactivation of trunk stabilizer muscles during Pilates exercises[J].J Bodyw Mov Ther,2014,18(1):34-41.
[17]Wells C,Kolt GS,Bialocerkowski A.Defining Pilates exercise:a systematic review[J].Complement Ther Med,2012,20(4):253-262.
[18]Patterson SL,Forrester LW,Rodgers MM,et al.Determinants of walking function after stroke:differences by deficit severity[J].Arch Phys Med Rehabil,2007,88(1):115-119.
[19]Dos Santos AN,Serikawa SS,Rocha NA.Pilates improves lower limbs strength and postural control during quite standing in a child with hemiparetic cerebral palsy:a case report study[J].Dev Neurorehabil,2016,19(4):226-230.
[20]Awad LN,Reisman DS,Wright TR,et al.Maximum walking speed is a key determinant of long distance walking function after stroke[J].Top Stroke Rehabil,2014,21(6):502-509.
[21]Marinda F,Magda G,Ina S,et al.Effects of a mat pilates program on cardiometabolic parameters in elderly women[J].Pak J Med Sci,2013,29(2):500-504.
[22]Balasubramanian CK,Li CY,Bowden MG,et al.Dimensionality and item-difficulty hierarchy of the lower extremity fugl-meyer assessment in individuals with subacute and chronic stroke[J].Arch Phys Med Rehabil,2016,97(4):582-589.
[23]卢寨瑶.Fugl-Meyer量表在脑卒中康复评定中的应用分析[J].临床医药文献杂志,2016,3(11):2032-2034.
[24]王盛,王翔,王彤,等.渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响[J].中国康复医学杂志,2017,32(3):297-300.
[25]Bian ZJ,Sun HM,Lu CB,et al.Effect of pilates training on alpha rhythm[J].Comput Math Methods Med,2013,21(9):1042-1051.