Ankle proprioception training can effectively improve the ankle proprioception, balance and gait of patients with thalamic infarction
10.3760/cma.j.cn421666-20250326-00266
- VernacularTitle:踝关节本体感觉训练对丘脑梗死患者踝关节本体感觉、平衡功能及步态的影响
- Author:
Jiaojiao ZHAO
1
;
Yanan ZHAO
;
Jing ZHOU
;
Chengxia LIU
;
Zhizhong ZHU
;
Weihua LI
;
Weijia HOU
Author Information
1. 天津市环湖医院神经康复科，天津 300350
- Publication Type:Journal Article
- Keywords:
Proprioception;
Ankle joint;
Thalamic infarction;
Balance;
Gait
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2025;47(9):799-803
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of ankle joint proprioception training on ankle joint proprioception, balance and gait in patients with thalamic infarction.Methods:Fifty-six patients with thalamic infarction were divided into a control group and a treatment group, each of 28, using a random number table. Both groups were given conventional lower limb rehabilitation training, but the treatment group was additionally provided with ankle joint proprioception training. Before and after 4 weeks of the treatment, the Tecnobody proprioception testing system was used to determine the average trajectory error rate (ATE) and the time taken in the test. The Berg Balance Scale (BBS) and a balance tester were used to assess balance. A gait analyzer was used to collect spatial-temporal measures of the patients′ walking, including the stride amplitude, stride rate, the proportion of the time spent in the swing phase, and foot dorsiflexion and plantarflexion angles.Results:After the treatment, the time used, ATE, ankle proprioception, BBS scores, static balance test scores, stability limits, stride length, stride rate, swing phase time percentage, and foot dorsiflexion and plantarflexion angles had improved in both groups compared with before the treatment ( P≤0.05). Compared with the control group, the treatment group had a smaller average ATE, spent less time on the ankle proprioception test, had higher BBS scores, had lower scores on the static balance test, had larger limits of stability, took longer strides at a faster rate, and spent a greater percentage of time in the swing phase. That group also showed greater ankle dorsiflexion and plantarflexion on average ( P≤0.05). ATE difference of the affected lower limb and the time to complete the ankle proprioception test were positively correlated with the gap in the static balance ability test, and negatively correlated with the gaps in the BBS score, the limits of stability, stride length, stride rate, and the time share of the swing phase, as well as the dorsiflexion and plantarflexion angles of the foot. Conclusions:Ankle proprioception training, in addition to effectively improving ankle proprioception, can improve the balance and gait of persons with thalamic infarction. It is worthy of clinical application and promotion.
