Abstract
Effect of gaze stabilization training on balance function and lower extremity motor function in hemiplegic patients with stroke
  
DOI:
EN KeyWords: gaze stabilization training  vestibular training  stroke  balance function  lower extremity motor function
Fund Project:深圳市龙岗区经济与科技发展专项资金医疗卫生科技计划项目(LGKCYCWS2020059)
作者单位
程攀 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
王本国 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
李威 自贡市第一人民医院康复医学科四川 自贡643000 
郑杰 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
秦艳霞 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
李创国 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
孟庆天 香港中文大学(深圳)附属第二医院&深圳市龙岗区人民医院康复医学科深圳518172 
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EN Abstract:
  Objective: To observe the effect of gaze stabilization training on balance function and lower extremity motor function in hemiplegic patients with stroke. Methods: A total of 58 stroke patients were randomly divided into an observation group (n=29) and a control group (n=29). Two groups were given conventional rehabilitation training, and the observation group received gaze stabilization training additionally. Berg Balance Scale (BBS) for static and dynamic balance function, dynamic gait index (DGI) for dynamic balance function, balance-B balance assessment and training system for static balance function and fall risk, Fugl-Meyer motor assessment (FMA-LE) for the lower extremity, functional ambulation classification (FAC) for walking function and modified Barthel index (MBI) for activities of daily living (ADL) were evaluated at the beginning and at the end of the 6th week of treatment course respectively. Results: After treatment of 6 weeks, BBS, DGI, FMA-LE, FAC and MBI were significantly improved as compared with those pre-treatment in both groups after treatment (P<0.01), and those in the observation group were higher than in the control group (P<0.01,0.05); X-axis and Y-axis center of gravity deviation, average velocity of X-axis and Y-axis center of gravity movement, total trajectory length of center of gravity movement and fall risk coefficient significantly decreased compared to those before treatment (P<0.01), and those in the observation group were lower than in the control group (P<0.01, 0.05). Conclusion: Gaze stabilization training in the treatment for stroke patients can improve the static and dynamic balance function, reduce the fall risk, improve the motor function of lower extremity, walking function and activities of daily living.
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