【論文摘要】Perturbation-Based Balance Training for Gait Performance in Patients With Cervical Spondylotic Myelopathy After Surgery
Other Title
【論文摘要】干擾式平衡訓練對頸椎退化型脊髓病變患者於術後之步態表現之影響
Journal
物理治療
Journal Volume
43
Journal Issue
2
Start Page
126
End Page
127
Date Issued
2018
Author(s)
鄭亦珊(Yi-Shan Cheng)
鄭智修(Chih-Hsiu Cheng)
王淑芬(Shwu-Fen Wang)
簡溫原(Andy Chien)
賴達明(Dar-Ming Lai)
劉沛怡(PhooiYee Lau)
徐瑋勵(Wei-Li Hsu)
Abstract
Background and Purpose: Cervical spondylotic myelopathy (CSM) is one of the most common degenerative disorders in elderly. Although after the management of surgery, patients may still demonstrate symptoms of clumsy gait, poor functional performance, and increased risk of fall. Thus, these patients might benefit from the perturbation-based balance training, which can improve the gait and functional performance. The purpose of this study was to investigate the effects of perturbation-based balance training using a custom-made treadmill on gait performance for patients with CSM after surgery. Methods: Nine participants aged between 40 to 80 years old, diagnosed with CSM were recruited into the study after six months of the surgery. All participants received the 4-week perturbation-based balance training using a custom-made treadmill once per week. A 3-D motion analysis system (VICON Nexus software, version 1.8.5, Oxford Metrics Ltd., Oxford, UK) was used to collect kinematic and kinetic data. The outcome measures for gait parameters included gait speed, stride length, and cadence; for functional parameters were the Neck Disability Index (NDI), and the Timed Up and Go (TUG) test. Results: Regarding to the gait parameters, only cadence increased significantly (p = 0.027), but the gait speed and stride length did not improve significantly (p = 0.055; p = 0.380). For the functional parameters, the time of TUG test significantly decreased (p = 0.021), but NDI showed no significant changes after the training (p = 0.595). Conclusion: The perturbation-based balance training had shown the potential for improving the gait performance in patients with CSM after surgery. However, insufficient sample size, the large within-group variance, and the rather long duration after surgery might be the limitations to detect statistical significant changes. Clinical Relevance: Our study provided important information about the potential balance intervention for gait impairments in patients with CSM after surgery.
Publisher
社團法人臺灣物理治療學會 & Ainosco Press
Type
journal article