在住院康复后,中风幸存者的上肢恢复和功能结果
Keng He Kong1, Anna Rosiana1, Shuen Loong Tham1
1Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.
Singapore medical journal
|January 12, 2026
概括
脑卒中康复显著改善上肢 (UE) 损伤和日常生活活动. 诸如认知和平衡等因素会影响中风后的最初的UE功能.
科学领域:
- 神经康复疗法 神经康复疗法
- 临床结果研究研究
- 脑中风恢复 脑中风恢复
背景情况:
- 上肢损伤是中风幸存者经常面临的挑战.
- 了解康复后的UE功能变化对于患者护理至关重要.
- 关联UE损伤与日常活动,并确定影响因素是必不可少的.
研究的目的:
- 评估中风幸存者的康复前后上肢损伤.
- 将UE障碍与日常生活中依赖于UE的活动 (ADL) 的表现相关联.
- 确定与中风患者UE损伤相关的临床因素.
主要方法:
- 一年来,在新加坡康复中心住院的中风幸存者的回顾性审查.
- 使用Fugl-Meyer上肢评估 (FMA-UE) 和功能独立性测量-ADL (FIM-ADL) 来测量结果.
- 根据FMA-UE得分对上肢功能进行分类,分为"不差","有限","显著"或"充分"的能力.
主要成果:
- 研究了259名中风幸存者 (平均年龄62.9岁),显示FMA-UE和FIM-ADL康复后显著改善 (P <0.01).
- 在那些最初手臂能力较差的人中 (52.1%),只有23.7%的人取得了良好的UE结果.
- 较高的入院FMA-UE得分与更好的认知,不太严重的中风和改善的干部平衡有关.
结论:
- 住院康复导致UE损伤和UE依赖ADL表现的显著改善.
- 结果可以指导中风幸存者和护理人员对预期的UE结果和释放后的护理需求.
- 早期识别影响UE恢复的因素可以优化康复策略.
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