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物理治疗中风后的频繁错误增强培训

Sinead Farrelly1,2, Andrea D Boan3, John Hartnett2

  • 1College of Health Professions, Medical University of South Carolina, Charleston, SC, USA.

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此摘要是机器生成的。

与标准护理相比,频繁错误增强物理治疗 (F-EA-PT) 在急性中风患者中显著改善了功能移动性和残疾. 这种方法证明了安全性和增强的恢复结果.

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科学领域:

  • 神经学 神经学
  • 康复医学 康复医学 康复医学
  • 物理疗法物理治疗

背景情况:

  • 急性中风经常导致显著的功能性移动性缺陷和残疾.
  • 标准的物理治疗干预可能并不总是优化所有中风幸存者的康复.
  • 需要新的治疗方法来增强中风后的功能结果.

研究的目的:

  • 评估增加物理治疗会话的频率与错误增强对急性中风患者的功能移动性和残疾的影响.
  • 为了比较频繁错误增强物理治疗 (F-EA-PT) 与标准护理物理治疗 (SOC-PT) 的疗效.

主要方法:

  • 一个试点试验分配了100个人到F-EA-PT或SOC-PT.
  • F-EA-PT涉及每天两次的会议,在最初的住院日内增加错误,然后是每天的会议.
  • SOC-PT包括每天一次的会议,每周3-5天.
  • 结果使用NIHSS,mRS,AM-PAC和PASS进行评估,并使用重复测量混合模型进行分析.

主要成果:

  • 与SOC-PT相比,F-EA-PT组在90天的随访中显示了NIHSS (-1.34) 和mRS (-0.81) 的显着更大的减少.
  • F-EA-PT导致AM-PAC分数在第3天 (2.12) 和排放 (2.75) 的更大改善.
  • 在F-EA-PT组在第3天 (4.08) 和退院 (4.45) 观察到PASS的更大改善.

结论:

  • 增加频率的物理治疗与误差增大是急性中风患者的安全干预.
  • 这种疗法显著改善了功能结果,包括移动性和残疾,超过了标准护理.
  • 在改善中风后康复方面,F-EA-PT显得有前途.