Effects of whole body vibration training with different frequencies on lower limb function in stroke pa-tients / 中国康复医学杂志

Objective:To compare the effect of whole body vibration training with different frequencies on lower limb function of stroke patients. Method:A total of 60 stroke patients were randomly divided into 10Hz group(n=20),20Hz group(n=20)and 30Hz group(n=20).Three groups received routine rehabilitation training.In addition the 10Hz group re-ceived 10Hz whole-body vibration training,20Hz group received 20Hz whole-body vibration training and the 30Hz group received 30Hz whole-body vibration training.Before and after 4 weeks training,Fugl-Meyer assess-ment scale-lower extremity(FMA-LE),the Berg balance scale(BBS),timed up and go test(TUGT)and 10-me-ter maximum walking speed(10mMWS)were used to assess the lower limb function of patients. Result:After 4 weeks treatment,The results of FMA-LE,BBS,TUGT and 10mMWS assessment from three groups exhibited significant improvements compared with those before treatment(P＜0.05).Moreover,the im-provements of FMA-LE,BBS,TUGT and 10mMWS assessment in the 30Hz group and the 20Hz group were significantly better than those in the 10Hz group(P＜0.05),and the improvements of various indexes in the 30Hz group were the most significant(P＜0.05). Conclusion:Three groups of whole body vibration training with different frequencies can improve lower limb function,balance and walking ability of stroke patients,and the effect of 30Hz whole body vibration training was the most obvious.

Effect of three-dimensional motion platform training on balance and walking function of stroke patients / 中国康复理论与实践

ObjectiveTo explore the clinical efficacy of three-dimensional motion platform training on balance and walking function of stroke patients. MethodsFrom August, 2021 to August, 2022, 80 stroke patients from Second Affiliated Hospital of Guangzhou Medical University were selected and randomly divided into control group (n = 40) and experimental group (n = 40). The control group received routine rehabilitation training, and the experimental group received three-dimensional motion platform training on the basis of routine rehabilitation training. Before and four weeks after treatment, the Berg Balance Scale (BBS), Functional Ambulation Category (FAC) and 3D gait analysis (step speed, step frequency, percentage of standing phases on the affected side, percentage of double support phase) were used to assess the balance and walking function of patients. ResultsFour weeks after treatment, the scores of BBS, FAC, and step speed, step frequency, percentage of standing phases on the affected side and percentage of double support phase significantly improved in both groups (|t| > 4.423, |Z| > 5.292, P < 0.001), and they were better in the experimental group than in the control group (|t| > 3.748, |Z| = 2.646, P < 0.05). ConclusionThree-dimensional motion platform training could facilitate to improve the balance and walking function of stroke patients.

Training on a three-dimensional motion platform can improve the walking and ability in the activities of daily living of hemiplegic stroke survivors / 中华物理医学与康复杂志

Objective:To explore the ability of training on a three-dimensional motion platform to improve the walking ability and skill in the activities of daily living of hemiplegic stroke survivors.Methods:A total of 70 stroke survivors with hemiplegia were randomly divided into a control group ( n=35) and an intervention group ( n=35). In addition to routine rehabilitation, the control group received 40 minutes of ground balance training, while the intervention group received 40 minutes of training on a three-dimensional motion platform 6 times a week for 4 weeks. Before and after the intervention, step length, speed and frequency were evaluated in both groups using the Gait Watch 3D gait analysis system. Walking ability and ability in the activities of daily living were assessed using the de Morton mobility index (DEMMI) and the modified Barthel index (MBI). Results:Before the treatment, there was no significant difference in average step length, speed or frequency between the two groups. The average standing phase percentage on the affected side, percentage of double support period, DEMMI score, and MBI score also were not significantly different. After the treatment those indicators had improved significantly in both groups. The intervention group′s averages were then all significantly better than those of the control group.Conclusions:Three-dimensional motion platform training can improve the walking ability and skill in the activities of daily living of hemiplegic stroke survivors.