Effects of performing a lateral-reaching exercise while seated on a tilted surface for severe post-stroke pusher behavior: A case series
Effects of performing a lateral-reaching exercise while seated on a tilted surface for severe post-stroke pusher behavior: A case series
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坐在倾斜表面上进行侧向伸展运动对严重中风后推力行为的影响：案例系列
DOI：
10.1080/10749357.2020.1861718
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发表时间：
2020
影响因子：
2.2
通讯作者：
Takahashi Hidetoshi
中科院分区：
文献类型：
--
作者：
Fukata Kazuhiro;Amimoto Kazu;Inoue Mamiko;Shida Kohei;Kurosawa Saki;Inoue Masahide;Fujino Yuji;Makita Shigeru;Takahashi Hidetoshi
背景：对于有严重脑卒中后推搡行为（PB）的患者，获得垂直姿势包括纠正家长侧身体向非家长侧倾斜。主动侧坐训练有助于改善PB患者的体位定位。然而，其对重度PB患者的影响尚不清楚。目的：探讨倾斜体位下重度PB患者行外侧伸展运动的效果。方法：对3例右半脑卒中所致重度PB患者进行研究。采用单例设计，采用应用行为分析方法验证干预效果。在基线和随访时进行常规物理治疗1小时。在干预期间，在倾斜表面上进行侧坐训练，每组40次（共2组）。使用对抗性推压量表和伯克侧推量表评估PB，以及患者报告的跌倒恐惧。进行坐姿功能测试（FIST）和躯干控制测试（TCT）。结果：所有患者的PB均在干预后改善，并在随访中持续存在。在被动坐着的过程中，对跌倒的恐惧在干预后和随访中消失了。2例患者的FIST和TCT评分均有改善。结论：所有患者均可通过侧坐运动减轻重度PB；然而，1例患者的坐位平衡和躯干功能没有改善。需要进一步的研究来检验这项任务的适应性和长期影响。
Background: For patients with severe post-stroke pusher behavior (PB), acquiring a vertical posture involves correcting paretic-sided body tilt to the non-paretic side. Active lateral sitting training may facilitate improvement in postural orientation for patients with PB. However, its effect on patients with severe PB remains unclear.Objective: To determine the effect of performing a lateral-reaching exercise in patients with severe PB seated on a tilted surfaceMethods: Three patients with severe PB due to right hemispheric stroke participated in our study. Using a single-case design, the intervention’s effect was verified using the applied behavior analysis method. Conventional physical therapy was performed for 1 h at baseline and at follow-up. During the intervention, lateral sitting training on a tilted surface was performed 40 times per session (total, 2 sessions). PB was assessed using the Scale for Contraversive Pushing and the Burke Lateropulsion Scale, and patient-reported fear of falling. The Function in Sitting Test (FIST) and the Trunk Control Test (TCT) were administered.Results: PB improved in all patients post-intervention and persisted at follow-up. Fear of falling during the passive sitting task while moving toward the non-paretic side disappeared post-intervention and at follow-up. FIST and TCT scores improved in 2 patients.Conclusion: The lateral sitting exercise reduced severe PB in all patients; however, sitting balance and trunk performance did not improve in 1 patient. Future studies to examine the adaptability of this task and long-term effects are needed.
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影响因子：
2.9
作者：
M. Radomski
通讯作者：
M. Radomski
DOI：
10.1016/s0003-9993(96)90215-4
发表时间：
1996-01-01
影响因子：
4.3
作者：
Pedersen, PM;Wandel, A;Olsen, TS
通讯作者：
Olsen, TS
影响因子：
2.4
作者：
Bergman, Jeannine;Krewer, Carmen;Jahn, Klaus
通讯作者：
Jahn, Klaus
DOI：
10.1016/j.apmr.2014.07.415
发表时间：
2014-12-01
影响因子：
4.3
作者：
Gorman, Sharon L.;Harro, Cathy C.;Greenwald, Cara
通讯作者：
Greenwald, Cara
影响因子：
8.3
作者：
Abe, Hiroaki;Kondo, Takeo;Izumi, Shin-Ichi
通讯作者：
Izumi, Shin-Ichi