一个远程健康炼计划,以改善中风患者的认知能力
Gregory Thielman1, Margaret Roos2
1Department of Physical Therapy, Saint Joseph's University, 5600 City Avenue, Philadelphia, PA, 19131-1395, USA. gthielman@sju.edu.
Scientific reports
|July 1, 2025
概括
这项研究表明,远程医疗运动计划有效地改善了中风后个人的功能能力和双重任务技能. 该计划结合了认知挑战,提供了一种安全有效的康复方法.
科学领域:
- 神经康复疗法 神经康复疗法
- 老年学是一门学科.
- 物理疗法物理治疗
背景情况:
- 脑卒中后的认知障碍在急性物理治疗中经常被忽视,因为身体限制.
- 在康复过程的后期需要认知强化策略.
- 远程医疗为远程提供康复提供了可行的解决方案.
研究的目的:
- 通过使用运动来研究远程医疗提供的认知强化培训计划的好处.
- 为了比较该计划在中风后的个体与健康的老年人中的有效性.
- 评估功能成果和双重任务能力的改善.
主要方法:
- 采用了测试前/测试后横截面研究设计.
- 参与者包括健康的老年人 (n=9) 和中风后的个人 (n=8).
- 一个为期5周的项目包括15个为期1小时的远程健康物理治疗师领导的小组炼课程,以音乐为背景的认知挑战 (双重任务).
主要成果:
- 在两组的2分钟步行测试和30秒坐立测试 (30STS) 中都观察到显著的改善 (p < .013和p < .002).
- 当30STS测试与认知口语流利测试相结合时,也显示出显著的改善 (p < .002).
- 远程医疗练习计划证明了对中风幸存者增强双重任务功能活动的安全性和效率.
结论:
- 结合认知挑战的基于远程健康的炼计划对于中风后的个人来说是安全有效的.
- 这种方法可以显著提高功能移动性和认知双重任务能力.
- 这些发现支持将此类计划纳入中风康复的后期阶段.
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