Effects of trunk stabilization exercises on balance, functionality and abdominal muscle thickness in hemiplegic patients.

IF 1.1 4区 医学 Q3 REHABILITATION
Ecem Pelin Kaymaz, Duygu Geler Külcü, Nilgün Mesci
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引用次数: 0

Abstract

Objectives: This study aims to investigate the effects of trunk stabilization exercises (TSEs) in addition to conventional exercises in patients with stroke on balance, functionality and abdominal muscle thickness as measured by ultrasonography (USG) and to compare the patients' non-paretic side abdominal muscle thickness with healthy population.

Patients and methods: Between April 2019 and June 2019, a total of 26 hemiparesis/hemiplegic patients with stroke (15 males, 11 females; mean age: 62.3±7.8 years; range, 52 to 71 years) confirmed by neurological examination or computed tomography (CT) / magnetic resonance imaging (MRI) and 20 age-matched healthy volunteers (12 males, 8 females; mean age: 62.3±7.2 years; range, 53 to 70 years) were included in the study. The patients were randomized into two groups. In the first group (n=13), TSE were performed in addition to conventional neurorehabilitation program, five times/week for a total of four weeks. The second group (n=13) was given conventional neurorehabilitation program, five times/week for a total of four weeks. Also, healthy volunteers as the third group were compared with the patient population. The evaluations were made at the beginning and end of the treatment. The Berg Balance Scale (BBS), Barthel Index (BI), Postural Assessment Scale for Stroke Patients (PASS), and Functional Reach Test (FRT) were used. Abdominal muscle thickness at rest and contraction were evaluated using USG.

Results: Ten patients in Group 1 and 10 patients in Group 2 completed study. A significant improvement was observed in all abdominal muscles in both groups (p<0.05), indicating no significant difference between the groups (p>0.05). There was a statistically significant improvement for BBS and FRT in both groups. The PASS and BI scores showed a significant improvement only in TSE group.

Conclusion: Both the TSE and conventional neurorehabilitation program provided significant improvements in abdominal muscle thickness, balance and trunk control. For postural control and functionality, additional TSE seems to be more effective.

躯干稳定运动对偏瘫患者平衡、功能和腹肌厚度的影响。
研究目的本研究旨在探讨除常规锻炼外,躯干稳定锻炼(TSE)对脑卒中患者平衡、功能和超声波检查(USG)测量的腹部肌肉厚度的影响,并将患者非瘫痪侧腹部肌肉厚度与健康人群进行比较:2019年4月至2019年6月期间,共有26名经神经系统检查或计算机断层扫描(CT)/磁共振成像(MRI)证实的脑卒中偏瘫/半身不遂患者(男性15人,女性11人;平均年龄:62.3±7.8岁;范围:52至71岁)和20名年龄匹配的健康志愿者(男性12人,女性8人;平均年龄:62.3±7.2岁;范围:53至70岁)被纳入研究。患者被随机分为两组。第一组(13 人)在常规神经康复计划的基础上进行 TSE,每周五次,共四周。第二组(13 人)接受常规神经康复训练,每周五次,共四周。此外,作为第三组的健康志愿者也与患者进行了比较。评估在治疗开始和结束时进行。采用了伯格平衡量表(BBS)、巴特尔指数(BI)、脑卒中患者姿势评估量表(PASS)和功能性前伸测试(FRT)。使用 USG 评估静止和收缩时的腹肌厚度:第一组和第二组各有 10 名患者完成了研究。两组患者的所有腹部肌肉均有明显改善(P0.05)。两组患者的 BBS 和 FRT 均有明显改善(P0.05)。结论:结论:TSE 和传统神经康复计划都能明显改善腹肌厚度、平衡和躯干控制能力。就姿势控制和功能而言,额外的 TSE 似乎更为有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
2.20
自引率
0.00%
发文量
0
期刊介绍: The Turkish Journal of Physical Medicine and Rehabilitation (Formerly published as Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi) is the official journal of the Turkish Society of Physical Medicine and Rehabilitation. The journal is an international open-access, double-blind peer-reviewed periodical journal bringing the latest developments in all aspects of physical medicine and rehabilitation, and related fields. The journal publishes original articles, review articles, editorials, case reports (limited), letters to the editors. The target readership includes academic members, specialists, residents working in the fields of Physical Medicine and Rehabilitation. The language of the journal is English and it is published quarterly (in March, June, September, and December).
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