后期冲动解决方案和中风后一年的结果:一个前性的纵向队列研究
Jessica Nolan1,2,3, Angela Jacques4,5, Erin Godecke1,6,7
1School of Medical and Health Sciences, Edith Cowan University, Joondalup, Australia.
Topics in stroke rehabilitation
|March 25, 2024
概括
脑卒中后的晚期脉冲恢复持续长达一年,并接受康复物理治疗. 早期解决改善了结果,但住院护理可能导致功能下降.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床研究 临床研究
背景情况:
- 脑卒中后的晚期冲动是常见的,并且与不良的康复结果有关.
- 有限的数据存在于lateropulsion的长期功能影响.
研究的目的:
- 为了调查中风后12个月后的晚期冲动解决方案.
- 检查横向推进,功能结果和跌倒之间的关联.
主要方法:
- 144名中风幸存者的前性纵向队列研究.
- 使用了四点推力得分 (4PPS) 和功能独立度量 (FIM).
- 使用通用线性混合效应模型分析的纵向数据.
主要成果:
- 晚期冲动在56.9%的参与者中通过释放得到解决.
- 物理治疗显著增加了后脉冲解决的几率 (p<0.001).
- 在3个月 (p=0.022) 患有持续后推力 (4PPS=1) 的患者中,跌倒的可能性更高.
结论:
- 后期冲动解决可能发生在中风后长达一年.
- 持续的物理治疗对于后期冲动解决至关重要.
- 在那些被送回家的患者中,功能性收益保持不变,而不是在住院护理中的患者.
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