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炼和特定任务训练用于手臂衰弱中风后:一个随机对照试验.

Erin C King1, Jacob M Schauer2, Shyam Prabhakaran3

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概括
此摘要是机器生成的。

在慢性中风幸存者中,双边上肢运动启动 (BUMP) 与任务特定训练 (TST) 结合时,并没有比控制启动更多地改善上肢功能. 这两种干预都显示出显著的收益,突出显示了TST.

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科学领域:

  • 神经康复疗法 神经康复疗法
  • 脑中风恢复 脑中风恢复
  • 发动机控制器的控制器

背景情况:

  • 上肢损伤是中风后的常见挑战.
  • 特定任务培训 (TST) 是中风康复的关键组成部分.
  • 新的启动技术旨在增强运动恢复.

研究的目的:

  • 为了调查双边上肢运动原始化 (BUMP) 是否与慢性中风中的控制原始化 (CP) 相比,提高了TST结果.
  • 评估BUMP+TST与CP+TST对上肢运动功能的影响.

主要方法:

  • 一个单盲,随机对照试验,涉及76名患有慢性中风和中度至严重上肢半的成年人.
  • 参与者接受了BUMP或CP,然后在6周内进行30小时的TST.
  • 主要结局是8周随访后Fugl-Meyer上肢 (FMUE) 评分的变化.

主要成果:

  • 无论是BUMP + TST还是CP + TST组,FMUE得分均显著改善,超过了临床重要差异的最低值.
  • 在BUMP和CP组之间没有观察到FMUE变化的显著差异 (平均差异为-0.20).
  • 临床上有意义的应答率 (≥6点的FMUE变化) 类似:46%的BUMP和50%的CP.

结论:

  • 在慢性中风中,BUMP并没有为TTT提供额外的好处,用于上肢运动恢复.
  • 观察到的改善主要归因于TST,证明了它的有效性.
  • 单独的TST,即使持续时间较短,也取得了显著和临床上有意义的结果,与更密集的干预措施相美.