一种用于中风后步态和平衡康复的新型体重支持姿势摄动模块:卡塔尔世界杯8强波胆分析初步评估研究%A Meyer,Amanda %A Hrdlicka,Henry Charles %A Cutler,Erica %A Hellstrand,Jill %A Meise,Emily %A Rudolf,Kaitlyn %A Grevelding,Pete %A Nankin,Matthew %+盖洛德专业医疗中心住院职业治疗部，美国康涅狄格州沃灵福德盖洛德农场路50号，1 203 284 2875，ameyer@gaylord.org %K中风康复%K姿势平衡%K步态和步行%K平衡扰动%K姿势扰动%K体重支持系统%K职业治疗%K物理治疗%K长期急性护理医院，Berg平衡量表%K活动-特定平衡信心量表%D 2022 %7 1.3.2022 %9原论文%J JMIR Rehabil辅助技术%G英语%X背景:中风后平衡调节受损使患者和治疗师在康复过程中有受伤的风险。体重支持系统(bwss)将这种风险降到最低，并允许患者在治疗期间安全地练习平衡活动。众所周知，基于跑步机的平衡扰动系统与bwss可以改善年龄或疾病相关障碍患者的平衡能力。然而，这些固定系统不能适应需要更多自由运动的复杂运动。目的:本研究旨在评估一种新的平衡摄动模块，它直接集成到履带式BWSS中，对急性中风继发的平衡障碍的影响。方法:本研究是在康复为重点的长期急症医院进行的非盲准随机对照初步研究。参与者从入院伯格平衡量表(BBS)评分为21分(总分为56分)或更高的中风康复住院患者中招募。 Over a 2-week period, consented participants completed 8 BWSS or BWSS with perturbation (BWSS-P) treatment sessions; study activities were incorporated into regular treatment to avoid disruption of their normal care. Although both groups conducted the same balance and gait activities during their treatment sessions, the BWSS-P sessions included lateral, anterior, and posterior balance perturbations. Pre- and postintervention BBS and Activities-Specific Balance Confidence (ABC) assessments were the primary outcome measures collected. Institutional BBS data from the year before installation of the track-mounted BWSS were retrospectively included as a post hoc historical standard of care comparison. Results: The improved postintervention BBS and ABC assessment scores showed that all participants benefited from therapy (P<.001 for all pre- and postintervention comparisons). The average BBS percent change for the BWSS-P sample (n=14) was 66.95% (SD 43.78%) and that for the BWSS control sample (n=15) was 53.29% (SD 24.13%). These values were greater than those for the standard of care group (n=30; mean 28.31%, SD 17.25%; P=.02 and P=.005 respectively), with no difference among the BWSS groups (P=.67). ABC score changes were also similar among the preintervention and postintervention BWSS groups (P=.94 and P=.92, respectively). Conclusions: Both BWSS groups demonstrated similar BBS and ABC score improvements, indicating that balance perturbations were not detrimental to postacute stroke rehabilitation and were safe to use. These data provide strong rationale and baseline data for conducting a larger follow-up study to further assess if this new perturbation system provides additional benefit to the rehabilitation of gait and balance impairments following stroke. Trial Registration: ClinicalTrials.gov NCT04919161; https://clinicaltrials.gov/ct2/show/NCT04919161 %M 35080495 %R 10.2196/31504 %U https://rehab.www.mybigtv.com/2022/1/e31504 %U https://doi.org/10.2196/31504 %U http://www.ncbi.nlm.nih.gov/pubmed/35080495