视觉反馈平衡训练对脑白质病患者平衡功能及跌倒风险的影响

Abstract
Figure/Table
References (26)
Related Citation (8)

Download: PDF (563 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of visual feedback balance training using Pro-Kin balance system on balance function and the risk of patients with leukoencephalopathy (WMLs). Methods Forty WMLs patients who November hospitalized in the Department of Sino-French Neurological Rehabilitation of Gansu Provincial Hospital from 2018 to November 2019 were selected. According to the random number table method, they were divided into the treatment group and the control group with 20 cases in each group. Both groups were given regular balance training, and the treatment group was additionally given Pro-Kin balance system visual feedback balance training. Before and after treatment, the Berg balance scale (BBS) and Pro-Kin balance system were used to assess balance ability, functional ambulation classification (FAC) was used to assess walking ability, and Barthel index (BI) was used to assess ability of daily living (ADL), and the risk of fall were assessed with the BBS. Results Before treatment, there were no statistically differences in the BBS score, FAC score, BI score, length and area of movement under eyes closed between the two groups (all P ＞ 0.05). After four weeks of treatment, BBS score, FAC score and BI score in both groups were significantly higher than before treatment, and the treatment group was higher than the control group (all P ＜ 0.05). The length and area of movement when opening and closing eyes in both groups were significantly reduced compared with that before treatment, the ereament group was smaller than the control group (all P ＜ 0.05). The risk of fall in treatment group was lower than that in the control group (P ＜ 0.05). Conclusion Pro-Kin balance system visual feedback balance training can more effectively improve the balance ability of patients with WMLs and reduce the risk of falls.

Key words： Visual feedback Leukoencephalopathy Balance function Risk of fall

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Min ZHANG Hongxia LI Yongping WEN Mingming YOU Hong

Cite this article:

ZHANG Min ZHANG Hongxia LI Yongping WEN Mingming YOU Hong. Effects of visual feedback balance training on balance function and fall risk of patients with leukoencephalopathy[J]. 中国医药导报, 2021, 18(5): 65-68.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I5/65

[1] 高亚军，屈永才.缺血性脑白质病的临床研究[J].延安大学学报：医学科学版，2018，16（2）：90-93.
[2] Xiao YL，Wang LQ，Zhang SC，et al. Progress on Influencing Factors of Accidental Falls in Elderly Patients in Department of Neurology [J]. Pract J Cardiac Cereb Pneum Vasc Dis，2017，25（9）：13-16.
[3] Wang XX，Chai XT. Clinical Characteristics and Risk Factors for Ischemic White Matter Lesions [J]. Pract Clin Med，2019，20（4）：10-14.
[4] Morley EJ. White Matter Lesions（Leukoaraiosis）：A Major Cause of Falls [J]. J Am Med Dir Assoc，2015，16（6）：441-443.
[5] 沈慧聪，李正然，常天静，等.老年人脑白质病变相关性跌倒患者的脑弥散张量成像研究[J].磁共振成像，2016， 7（6）：422-427.
[6] Wang R，Liu N，Wang SP，et al. Progress on gait disorders， balance disorders and falls in patients with cerebral small vessel disease [J]. Chin J Contem Neurol Neurosur，2019，19（4）：281-285.
[7] Liu SW. Effect of the Balancing Instrument Training on Balance Function in Stroke Patients [J]. Chin Continu Med Edu，2017，9（26）：131-133.
[8] 伞春红，张宁，尚焦.平衡仪训练对脑卒中患者平衡功能及跌倒风险的影响[J].中国实用医药，2019，14（22）：187-188.
[9] Li GL，Zhu XM，Ma R，et al. Effect of Prokin Balance Trainer on Balance Function of Stroke Patients With Hemiplegia [J]. Chin Health Stand Manag，2019，10（4）：62-64.
[10] 丛海铭，毕可萍.视觉反馈平衡训练对早期帕金森病患者平衡功能恢复的效果探讨[J].临床合理用药杂志，2017， 10（19）：118-119.
[11] 迪晓霞，李鑫铭，翟月萍.平衡仪训练对脑卒中患者平衡功能及跌倒风险的影响[J].中国康复，2017，32（3）：196-198.
[12] 韩婷婷，尤红，张敏，等.视觉反馈平衡训练对早期帕金森病患者平衡功能的影响研究[J].中国康复，2016，31（4）：258-260.
[13] 郭浩明，吕发金.脑白质高信号磁共振成像研究进展[J].磁共振成像，2018，9（7）：539-544.
[14] 李正然，沈慧聪，林梅影，等.脑静息态功能磁共振局部一致性分析在老年人脑白质病变相关性跌倒中的初步研究[J].磁共振成像，2018，9（1）：9-13.
[15] Berg K. Measuring balance in the elderly：validation of an instrument [J]. Can J Public Health，1992，83（Suppl 2）：S7-S11.
[16] Michael HS . Clinical guidelines for psychotherapy for patients with borderline personality disorder [J]. Psychiat Clin N Am，2000，23（1）：193-210.
[17] Mahorney F，Barthel DW. Functional evaluation：the Barthel Index [J]. Maryland State Med J，1965，14（1）：61-65.
[18] 朱镛连，张皓，何静杰.神经康复学[M].北京：人民军医出版社，2010：253.
[19] 李正然，常天静，王子璇，等.老年人脑白质病变相关性跌倒的脑静息态功能磁共振成像[J].中国医学影像技术，2016，32（11）：1659-1663.
[20] 刘福兴，马艳.脑小血管病患者脑微出血与步态障碍的相关性分析[J].现代中西医结合杂志，2019，28（13）：69-71.
[21] 章可循，蒋艳峰，王颖喆，等.脑小血管病与步态异常相关性的研究进展[J].中国临床神经科学，2019，27（4）：466-471.
[22] Zhao WJ，You H，Jiang SR，et al. Effect of Pro-kin visual feedback balance training system on gait stability in patients with cerebral small vessel disease [J]. Medicine，2019，98（7）：e14503.
[23] Mao YR，Chen PM，Li L，et al. Virtual reality training improves balance function [J]. Neural Regen Res，2014，9（17）：1628-1634.
[24] Kreisel SH，Blahak C，Bazner H. Deterioration of Gait and Balance over Time：The Effects of Age-Related White Matter Change-The LADIS Study [J]. Cerebrovasc Dis，2013，35（6）：544-553.
[25] You H，Zhang HX，Liu J，et al. Effect of balance training with Pro-kin System on balance in patients with white matter lesions [J]. Medicine，2017，96（51）：e9057.
[26] Jiang GP，Wu YB，Liu YY，et al. Effects of self-efficacy intervention on activities of daily living and outcomes in patients with acute ischemic stroke complicated with white matter lesions [J]. Int J Cerebrovasc Dis，2019，27（1）：17-20.