The effect of quadrato motor training on balance function:a single and dual-task condition study in stroke patients
10.3969/j.issn.1001-1242.2025.04.009
- VernacularTitle:四方形运动训练对脑卒中患者平衡功能的影响
- Author:
Cunshu WU
1
;
Yun YANG
;
Xiang GONG
Author Information
1. 南京医科大学康复医学院,江苏省南京市,210029
- Publication Type:Journal Article
- Keywords:
stroke;
motor-cognitive dual-task training;
quadrato motor training;
dual-task performance;
balance function
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(4):534-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of quadrato motor training(QMT)training on the balance of stroke patients under two conditions(single and dual-task).Method:The eligible stroke patients were randomly divided into three groups:the control group(n=15),the gait training group(n=15),and the QMT group(n=15).All groups received routine rehabilitation training.The gait training group received additional gait training,while the QMT group received QMT training.The Prokin Balance Assessment System,Berg balance scale,timed up and go test(TUGT),仃ail making test(TMT),dual-task cost,and specific activity balance confidence scale were used to evaluate the static and dy-namic balance function,attention and executive function,dual-task performance,and self-efficacy of balance before and after treatment in the three groups.Result:Before treatment,there were no significant differences in the assessment indicators among the three groups(P＞0.05).After treatment,only the TUGT test showed a significant difference compared to before treat-ment in the control group,while the other indicators showed no significant differences(P＞0.05).In the gait training group,only the average swing speed in the ML direction during the eyes-open test,the average swing speed in the AP direction during the eyes-closed test,and the movement length did not improve com-pared to before treatment,while the other indicators showed significant differences compared to before treat-ment(P＜0.05).In the QMT group,all indicators showed improvement compared to before treatment(P＜0.05).The QMT group showed significantly better results than the control group in terms of the average swing speed in the AP direction during the eyes-open test,the movement ellipse area,and ABC(P＜0.01).In the eyes-closed test,the QMT group showed better results than both the control group and the gait training group in terms of the average swing speed in the ML direction,the movement length,the average swing speed in the AP direction,the movement ellipse area,Berg Balance Scale,TUG,TUGT cognitive,DTC,TMTA,TMTB,and TMTB-A(P＜0.05).Conclusion:As an interactive exercise cognitive training,QMT training was found to be more effective in im-proving attention and executive function,dynamic and static balance function,and reducing dual-task costs than single exercise training in stroke patients.
