物理治疗干预在多种神经疾病中的分类和量化:意大利多中心网络
Thomas Bowman1, Fabiola Giovanna Mestanza Mattos2, Silvia Salvalaggio3,4
1IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Journal of clinical medicine
|October 28, 2023
概括
神经系统疾病的物理治疗目标通常集中在走路上. 虽然干预措施改善了许多人的步态和平衡,但认知和教育方面的重视不足.
科学领域:
- 神经康复疗法 神经康复疗法
- 神经学 神经学
- 物理疗法物理治疗
背景情况:
- 物理治疗 (PT) 的目标和干预措施在神经康复中描述得很差.
- 这种缺乏细节,阻碍了在临床实践中对PT有效性的理解.
研究的目的:
- 描述在神经系统疾病中PT目标和干预的流行程度.
- 分析参与者的临床特征,临床单位设置和PT对结果的影响.
主要方法:
- 意大利的一项多中心纵向观察性研究.
- 招募患有中风,多发性硬化症和帕金森病的患者.
- 通过与物理治疗师的半结构面试和临床结果评估收集的数据.
主要成果:
- 主要的PT目标是提高"行走"能力,与ICF活动保持一致.
- 干预的重点是步行表现和身体系统功能.
- 认知情感和教育方面的注意力有限.
- 83名参与者在步态和平衡方面显著改善.
结论:
- 神经康复中的物理治疗优先考虑运动功能,特别是行走.
- 当前的做法可能忽略了认知和教育的组成部分.
- 进一步的研究应该探索优化PT干预措施,以全面恢复患者.
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