| 胡泽威,汤洋,邓冰莹,等.下肢离心训练联合全身振动训练对老年2型糖尿病周围神经病变患者平衡及步行功能的影响[J].中华物理医学与康复杂志,2026,48(8):709-714 |
| 下肢离心训练联合全身振动训练对老年2型糖尿病周围神经病变患者平衡及步行功能的影响 |
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| DOI：10.3760/cma.j.cn421666-20251106-00989 |
| 中文关键词: 下肢离心训练 全身振动训练 平衡功能 步行功能 糖尿病周围神经病 |
| 英文关键词: Lower extremity eccentric training Whole-body vibration training Balance function Gait function Diabetic peripheral neuropathy |
| 基金项目:浙江省中医药科学研究基金项目（2019ZB002） |
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| 中文摘要: |
| 目的 探究下肢离心训练联合全身振动训练（WBVT）对老年2型糖尿病周围神经病变（DPN）患者平衡及步行功能的影响。 方法 采用随机数字表法将124例老年2型糖尿病DPN患者分为对照组、离心组、WBVT组及联合组，每组31例。4组患者均维持日常生活习惯不变并给予常规康复训练，在此基础上离心组、WBVT组分别辅以下肢离心训练或全身振动训练，联合组在常规康复训练后则依次进行下肢离心训练及全身振动训练。于训练前、训练4周后采用PK254型平衡测试仪及Berg平衡量表（BBS）评估患者平衡功能情况，采用GaitWatch三维步态动作捕捉系统采集患者步态数据，并对各项步态参数（包括步长、步速及步频）进行分析对比。 结果 训练后4组患者各项静态平衡参数、BBS评分以及步态指标结果均较训练前明显改善（P＜0.05）。通过组间比较发现，训练后离心组、WBVT组各项静态平衡参数、BBS评分以及步态指标结果均显著优于对照组水平（P＜0.05）；联合组上述各项疗效指标结果亦显著优于其他3组水平（P＜0.05）。 结论 下肢离心训练联合WBVT训练能有效改善老年2型糖尿病DPN患者的平衡及步行功能，该联合疗法值得临床推广、应用。 |
| 英文摘要: |
| Objective To investigate the effects of lower extremity eccentric training combined with whole-body vibration training (WBVT) on balance and gait function in elderly patients with type 2 diabetic peripheral neuropathy (DPN). Methods A total of 124 elderly patients with type 2 DPN were randomly divided into four groups using a random number table: a control group, an eccentric training group, a WBVT group and a combined group, with 31 patients in each group. All groups maintained their daily living habits and received conventional rehabilitation training. Additionally, the eccentric training group underwent lower extremity eccentric training, the WBVT group received whole-body vibration training, and the combined group received both interventions sequentially. Balance function was evaluated using the PK254 Balance Tester and the Berg Balance Scale (BBS) before training and after 4 weeks of intervention. Gait data were collected using the GaitWatch three-dimensional gait motion capture system, and various gait parameters (including stride length, gait speed, and cadence) were analyzed. Results After 4 weeks of training, static balance parameters, BBS scores, and gait indicators improved significantly in all four groups compared to baseline (P<0.05). Intergroup comparisons revealed that the eccentric training group and the WBVT group showed significantly better outcomes in static balance parameters, BBS scores, and gait indicators than the control group (P<0.05). Notably, the combined group achieved significantly superior results in all aforementioned indicators compared to the other three groups (P<0.05). Conclusions Lower extremity eccentric training combined with WBVT can effectively improve balance and gait function in elderly patients with type 2 DPN. This combined therapeutic approach warrants clinical promotion and application. |
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