背景:肌肉力量损失,balance,步态在慢性卒中(CS)患者中很常见。踝关节运动在该人群中起着关键作用,以维持足够的功能活动水平。这项研究的目的是研究距下关节(STJ)运动动员(MWM)技术对肌肉力量的影响,balance,功能性能,CS患者的步态速度(GS)。
方法:将28例CS患者随机分为对照组(n=14)和STJMWM组(n=14)。两组均采用30分钟的神经发育治疗方案和骨轮关节MWM。此外,STJMWM应用于STJMWM组。患者每周治疗3天,共4周。踝关节背屈和足屈肌力,Berg平衡量表,计时和测试,治疗前后进行GS评价。
结果:Berg平衡量表和TimedUpandGo考试成绩,背屈和前屈肌肉力量,两组治疗后GS均有改善(P<0.05),但与对照组相比,STJMWM组的改善更大(P<0.05)。
结论:根据这些结果,STJMWM与神经发育治疗和骨周关节MWM一起可以增加踝关节的肌力,balance,功能性能,CS患者患肢的GS。
BACKGROUND: Losses in muscle strength, balance, and gait are common in patients with chronic stroke (CS). Ankle joint movements play a key role in this population to maintain a sufficient level of functional activity. The aim of this
study was to investigate the effects of the subtalar joint (STJ) mobilization with movement (MWM) technique on muscle strength, balance, functional performance, and gait speed (GS) in patients with CS.
METHODS: Twenty-eight patients with CS were randomly divided into the control group (n = 14) and the STJ MWM group (n = 14). A 30-min neurodevelopmental treatment program and talocrural joint MWM were applied to both groups. Also, STJ MWM was applied to the STJ MWM group. The patients were treated 3 days a week for 4 weeks. Ankle dorsiflexion and plantarflexion muscle strength, Berg Balance Scale, Timed Up and Go test, and GS were evaluated before and after treatment.
RESULTS: Berg Balance Scale and Timed Up and Go test scores, dorsiflexion and plantarflexion muscle strength, and GS improved in both groups after the treatment sessions (P < .05), but the improvements were greater in the STJ MWM group compared with the control group (P < .05).
CONCLUSIONS: According to these results, STJ MWM together with neurodevelopmental treatment and talocrural joint MWM can increase ankle muscle strength, balance, functional performance, and GS on the affected leg in patients with CS.