Hemiparetic gait following stroke. Part II: Recovery and physical therapy
Hemiparetic gait following stroke. Part II: Recovery and physical therapy
复制标题
中风后偏瘫步态。
DOI：
10.1016/0966-6362(96)01064-8
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发表时间：
1996
期刊：
影响因子：
2.4
通讯作者：
S. Olney
中科院分区：
文献类型：
--
作者：
C. Richards;S. Olney
这一部分首先回顾了中风后运动恢复的临床措施。这些描述了一个恢复曲线，当主动康复程序补充自然恢复时，在前6周内快速上升，随后在卒中后约6个月逐渐上升至平台。由于步态速度和其他定量EMG和运动变量揭示了中风后2年内恢复的变化指标，因此这些临床指标的灵敏度在更晚期的恢复阶段受到质疑。然后，从传统的到最近的物理治疗方法，以促进运动恢复的审查。治疗选择不同类型的干扰电机控制简要讨论。强调需要在当前科学的基础上开发新的治疗策略，并使用敏感的结局指标和适当的研究设计来评价治疗疗效。
This part begins with a review of locomotor recovery following stroke as revealed by clinical measures. These describe a recovery curve with a rapid rise within the first 6 weeks when active rehabilitation procedures supplement natural recovery, followed by a more gradual rise thereafter to plateau at about 6 months after stroke. The sensitivity of these clinical measures is questioned for more advanced stages of recovery since gait velocity and other quantitative EMG and movement variables reveal changes indicative of recovery up to 2 years after stroke. A review is then made, from the traditional to the most recent, of physical-therapy approaches used to promote locomotor recovery. Therapy choice for different types of disturbed motor control is briefly discussed. The need for the development of new therapeutic strategies based on current science is emphasized as is the use of sensitive outcome measures and appropriate study designs to evaluate therapy efficacy.