中国康复理论与实践2026，Vol.32Issue(9)：1061-1067,7.DOI:10.3969/j.issn.1006-9771.2026.09.008
座椅前倾对脑卒中患者坐-站转移能力的影响及脑网络研究
Effect of anterior seat inclination on sit-to-stand ability in patients with stroke and related brain network
摘要
Abstract
Objective To observe the clinical effect of anterior seat inclination on sit-to-stand(STS)ability and balance function in patients with stroke,as well as brain functional connectivity based on functional near-infrared spectroscopy(fNIRS). Methods From January,2024 to December,2025,43 patients with stroke were randomly divided into control group(n=21)and experimental group(n=22).The control group received conventional rehabilitation combined with STS training on a flat seat,while the experimental group received conventional rehabilitation plus STS training with a 20° anterior seat inclination,for two weeks.Five-times sit-to-stand test(FTSST)and Berg Balance Scale(BBS)were assessed before and after training.fNIRS was used to detect changes in cerebral blood oxygenation in the prefrontal cortex(PFC),primary motor cortex(M1),primary somatosensory cortex(S1)and premotor cortex(PMC),and to analyze functional connectivity strength. Results After training,FTSST time shortened in both groups(t>3.469,P<0.01),and was shorter in the experimental group than in the control group(t=-2.065,P<0.05);BBS scores increased in both groups(|Z|>4.019,P<0.01),and was higher in the experimental group than in the control group(Z=-2.250,P<0.05).fNIRS showed that after training,the functional connectivity strength between the left M1 and the right PFC increased,as well as between the left M1 and the right S1 in the experimental group(t>3.311,P<0.05). Conclusion STS training with anterior seat inclination can enhance functional connectivity in relevant brain regions,which may contribute to improvements of STS ability and balance function in patients with stroke.关键词
脑卒中/坐-站转移/座椅前倾/功能性近红外光谱/脑功能网络Key words
stroke/sit-to-stand transition/seat inclination/functional near-infrared spectroscopy/brain functional networks分类
医药卫生引用本文复制引用
沈小花,陈芳元,荣积峰,饶彪琴,孔令轩,田威,陈志群,李丽..座椅前倾对脑卒中患者坐-站转移能力的影响及脑网络研究[J].中国康复理论与实践,2026,32(9):1061-1067,7.基金项目
上海市杨浦区科学技术委员会、杨浦区卫生健康委员会面上项目(No.YPM202313 （）
No.YPM202406) Supported by General Project of Science and Technology Commission&Health Commission of Yangpu District,Shanghai(No.YPM202313 （）
No.YPM202406) （）
