模拟马术训练对脑卒中后共济失调的效果

doi:10.3969/j.issn.1006-9771.2022.11.015

Abstract

Abstract:

Objective To explore the effects of horse-riding simulator exercise on posture control, balance, walking and activities of daily living (ADL) in patients with ataxia after posterior circulation stroke.

Methods From September, 2018 to August, 2021, 49 stroke inpatients in Beijing Bo'ai Hospital were randomly divided into control group (n = 27) and exercise group (n = 22). Both groups accepted routine medicine and rehabilitation, while the exercise group accepted horse-riding exercise in addition, for four weeks. They were assessed with International Cooperative Ataxia Rating Scale (ICARS), Fugl-Meyer Assessment-Balance (FMA-B), Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), Timed 'Up and Go' Test (TUGT) and modified Barthel Index (MBI) before and after treatment.

Results All the indexes improved after treatment in both groups (|t| > 6.019, P < 0.001), while the scores of BBS and PASS, and timed of TUGT were better in the exercise group than in the control group (|t| > 2.212, P < 0.05).

Conclusion Horse-riding simulator exercise can further improve the postural control, balance and walking abilities for patients with ataxia after stroke.

Key words: stroke, ataxia, horse-riding exercise

CLC Number:

R743.3

CHI Qianqian,ZHANG Yue,ZHANG Xiaonian. Effects of horse-riding simulator exercise on post-stroke ataxia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(11): 1349-1354.

Figures/Tables 7

References 54

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项目	对照组 (n = 27)	治疗组 (n = 22)	χ²/t值	P值
性别(男/女)/n	25/2	20/2	0.000	1.000
年龄/岁	58.81±11.17	54.45±11.66	1.333	0.189
病程/d	90.15±93.89	88.73±85.82	0.055	0.957
性质(梗死/出血)/n	22/5	17/5	0.000	0.994

组别	n	治疗前	治疗后	t值	P值
对照组	27	34.59±9.13	24.04±8.35	17.845	< 0.001
治疗组	22	35.86±12.34	21.59±11.27	13.553	< 0.001
t值		0.414	-0.873
P值		0.681	0.387

组别	n	治疗前	治疗后	t值	P值
对照组	27	9.09±1.72	10.50±1.57	-6.019	< 0.001
治疗组	22	8.48±2.06	10.07±1.71	-9.465	< 0.001
t值		1.107	0.901
P值		0.274	0.372

组别	n	治疗前	治疗后	t值	P值
对照组	27	24.09±12.21	41.73±9.11	-13.906	< 0.001
治疗组	22	20.26±10.02	32.52±10.06	-21.011	< 0.001
t值		1.207	3.323
P值		0.234	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	27	24.14±4.59	29.73±2.66	-10.487	< 0.001
治疗组	22	22.70±4.57	27.74±3.12	-15.406	< 0.001
t值		1.089	2.366
P值		0.282	0.022

Effects of horse-riding simulator exercise on post-stroke ataxia

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组别	n	治疗前	治疗后	t值	P值
对照组	27	50.13±6.25	38.14±8.79	10.555	< 0.001
治疗组	22	51.34±5.06	42.66±5.87	23.826	< 0.001
t值		-0.749	-2.212
P值		0.457	0.031

组别	n	治疗前	治疗后	t值	P值
对照组	27	57.73±16.81	76.36±13.47	-7.847	< 0.001
治疗组	22	59.07±11.35	73.33±13.80	-15.046	< 0.001
t值		-0.334	0.773
P值		0.740	0.443

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