Effects of ankle perturbation training on dynamic balance and gait characteristics during walking in hemiplegic patients with stroke
10.3969/j.issn.1001-1242.2025.09.010
- VernacularTitle:踝关节扰动训练对脑卒中偏瘫患者步行时动态平衡和步态特征的影响
- Author:
Jianping LI
1
;
Chao LIU
;
Shaopeng ZOU
Author Information
1. 滨州医学院特殊教育与康复学院,山东省 烟台市,264003
- Publication Type:Journal Article
- Keywords:
stroke;
ankle perturbation training;
ankle functional training;
walking;
balance;
gait cycle;
center of pressure
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(9):1351-1359
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of ankle perturbation training(APT)on dynamic balance and gait characteristics in hemiplegic stroke patients.Method:From August 2023 to May 2024,32 hemiplegic stroke patients who met the inclusion criteria were recruited from the Department of Rehabilitation Medicine of the Affiliated Hospital of Binzhou Medical univer-sity.Participants were randomly assigned to two groups:the control group received conventional rehabilitation training(CRT)supplemented with ankle functional training(AFT)for 30 minutes per day,5 days per week,for 4 weeks,the experimental group underwent APT in addition to the control group regimen.Dynamic bal-ance and gait parameters,including spatio-temporal gait parameters,center of pressure(COP),and movement trajectory were collected by Berg balance scale(BBS),time up and go test(TUGT)and Zebris plantar pres-sure plate before and after 4 weeks of treatment,respectively.COP was used to assess the dynamic balance.Result:Before treatment,there was no significant difference between the two groups(P>0.05).After 4 weeks of treatment,the dynamic balance and related gait parameters in both group were significantly improved in BBS score,TUGT,gait line length on the affected side,single-support line length on the affected side and medi-al-lateral displacement were significantly different between the groups(P<0.05).However,no significant differ-ences were found between the groups for step length,stride length,stride speed,or stride frequency(P>0.05).Conclusion:Ankle perturbation training can effectively improve balance function and walking ability in hemi-plegic patients with stroke,and is superior to ankle functional training in improving balance function parame-ters.
