Abstract：
This paper a novel core-strengthening intervention (CSI) delivered using the AllCore360°, a device that targets trunk muscles through a systematic, high-intensity rotating-plank exercise. Three individuals (age: 61.7 ± 3.2 years; range: 58-64 years) with post-stroke hemiplegia participated in 12-sessions of the CSI. The participants completed up to 142 rotating planks at inclination angles (IAs) that ranged from 40° to 65°, over 12 sessions. The interventional effects on the functional outcomes of trunk performance, balance and mobility were assessed using the Trunk Impairment Scale (TIS), the Berg Balance Scale (BBS), the Timed-Up and Go (TUG) test, the 10-m walk test (10MWT), and the 6-min walk test (6MWT). Postural outcomes were assessed using the center of pressure (CoP) data recorded during quiet standing on a balance platform, and neuromuscular outcomes were assessed using electromyography (EMG) during AllCore360° rotations. All participants completed the CSI (minimum of 120 rotations), demonstrating the feasibility of the CSI in chronic stroke. The CoP data suggested improved lateral control of posture during standing across participants (averaging an over 30% reduction in lateral sway), while the EMG data revealed the ability of the CSI to systematically modulate trunk muscle responses. In summary, the current investigation presents the feasibility of a novel delivery method for core strengthening to maximize rehabilitation outcomes in the chronic phase of stroke.
摘要：
本文使用AllCore360°提供了一种新颖的核心增强干预（CSI），一种通过系统瞄准躯干肌肉的装置，高强度旋转木板运动。3名中风后偏瘫患者（年龄：61.7±3.2岁；范围：58-64岁）参加了CSI的12次会议。参与者以40°至65°的倾角（IAs）完成了多达142个旋转木板，超过12个会议。对躯干性能功能结局的干预作用，平衡和流动性使用躯干损伤量表(TIS)进行评估，伯格平衡量表(BBS)，定时和去（TUG）测试，10米步行测试(10MWT)，和6分钟步行测试（6MWT）。使用在平衡平台上安静站立期间记录的压力中心（CoP）数据评估姿势结果。在AllCore360°旋转期间使用肌电图（EMG）评估神经肌肉结果。所有参与者都完成了CSI（至少120次轮换），证明CSI在慢性中风中的可行性。CoP数据表明，参与者站立时姿势的横向控制有所改善(横向摇摆平均减少30%以上)。而EMG数据揭示了CSI系统调节躯干肌反应的能力。总之,本研究提出了一种新的强化核心给药方法的可行性,以最大限度地提高脑卒中慢性期的康复效果.
