核心稳定性炼对早期亚急性中风恢复的功能结果的有效性:一项随机对照试验
Rosa Cabanas-Valdés1, Lídia Boix-Sala2, Marta Ferrer-Solà3
1Physiotherapy Department, Faculty of Medicine, and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
Topics in stroke rehabilitation
|January 1, 2025
概括
将核心稳定性练习添加到传统的物理治疗中,可以显著改善动态的坐姿平衡,干部功能,并减少早期中风康复患者的下肢动.
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:
- 核心对于日常活动中的局部强度,平衡和动力链至关重要.
- 有效的康复策略对于早期亚急性中风恢复至关重要.
研究的目的:
- 为了评估额外的核心稳定练习 (CSE) 与常规物理治疗 (CP) 结合的疗效,而不是单独使用CP.
- 主要结果包括动态的坐姿平衡,协调,干功能和步行.
- 二次结果评估功能性坐姿平衡,姿势控制,站立平衡,跌倒风险,性,ADL,残疾和生活质量.
主要方法:
- 一个多中心,并行,随机,受控,评估者盲目的试验.
- 87名早期中风幸存者 (中风后≤30天) 被随机分配到实验组 (EG) 和对照组 (CG).
- EG接受了CSE+CP;CG接受了单独的CP,每周5天,持续5周. 结果在基线,5周和12周评估.
主要成果:
- 83名个人 (40个EG,43个CG) 完成了这项研究.
- 与CG相比,EG显示出动态坐姿平衡,干部协调/功能 (西班牙干部损伤量表),下肢性 (修改的阿什沃思量表) 和平衡 (西班牙姿势评估量表) 的显著改善.
- 对于其他评估结果,没有发现显著差异.
结论:
- 将核心稳定练习与常规物理治疗相结合,可以在早期中风恢复过程中增强动态的坐姿平衡和干部功能.
- 这种综合方法还有效地减少下肢动,并改善中风后的整体平衡.
- CSE为标准物理治疗提供了有价值的补充,以优化亚急性中风幸存者的功能恢复.
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