The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial

被引:3
作者
Shen, Jie [1 ]
Ma, Lianjie [1 ]
Gu, Xudong [1 ]
Fu, Jianming [1 ]
Yao, Yunhai [1 ]
Liu, Jia [1 ]
Li, Yan [1 ]
机构
[1] Jiaxing Univ, Affiliated Hosp 2, Ctr Rehabil Med, Jiaxing, Zhejiang, Peoples R China
关键词
Dynamic motion; instability; motor function; balance; stroke; VIRTUAL-REALITY; ISCHEMIC-STROKE; POST STROKE; INDIVIDUALS; RECOVERY; CAPACITY; FALLS; GAIT;
D O I
10.3233/NRE-230008
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: The balance and postural control of humans is related to the coordination of dynamic perception and movement. Multiple senses, such as vision, vestibular sense, proprioception, and/or a single sensory disorder, would lead to its integration disorder and induce imbalance and abnormal gait. OBJECTIVE: The present study aimed to determine the effects of dynamic motion instability system training (DMIST) on the balance and motor function of hemiplegic patients after stroke. METHODS: In this assessor-blinded, randomized controlled trial, the participants allocated to the intervention group (n = 20) received 30 minutes of conventional treatment and 20 minutes of DMIST training. Participants randomized to the control group (n = 20) received the same dose of conventional therapy and 20 minutes of general balance training. Rehabilitation was performed 5 times per week for 8 weeks. The primary outcome was the Fugl-Meyer assessment for the lower extremity (FMA-LE), and the secondary outcomes were the Berg balance scale (BBS) and gait function. Data were collected at baseline and immediately after the intervention. RESULTS: After 8 weeks (t1), both groups showed significant post-intervention improvements in BBS, FMA-LE, gait speed and stride length (P < 0.05); there were significant positive correlations between the increase in FMA-LE and gait speed and stride length. Compared with the control group, the DMIST group showed significant post-intervention improvements in FMA-LE, gait speed and stride length (P < 0.05). However, no significant differences between the groups were found over time with respect to BBS (P > 0.05). The experiences of patients with DMIST were positive, and no serious adverse events were related to the interventions. CONCLUSION: Supervised DMIST could be highly effective in treating lower-limb motor function in patients with stroke. Frequent (weekly) and medium-term (8 weeks) dynamic motion instability-guided interventions might be highly effective in enhancing motor function, and subsequently improving gait in stroke patients.
引用
收藏
页码:121 / 130
页数:10
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