Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study.
Clinical Predictors for Upper Limb Recovery after Stroke Rehabilitation: Retrospective Cohort Study.
复制标题
DOI：
10.3390/healthcare11030335
复制
发表时间：
2023-01-23
期刊：
影响因子：
2.8
通讯作者：
Turolla, Andrea
中科院分区：
文献类型：
--
作者：
Salvalaggio, Silvia;Cacciante, Luisa;Maistrello, Lorenza;Turolla, Andrea
卒中后上肢(UL)运动功能的恢复通过大剂量的康复治疗得到促进，并被认为是注意力功能的支持。然而，他们在康复过程中的相互影响还不是很清楚。这项回顾性观察队列研究的目的是调查UL运动康复期间康复剂量与运动和认知功能之间的关系。入选首次单侧卒中住院患者，从发病起无时间限制，康复时间至少15h。收集关于接受康复的剂量和方式的数据，以及治疗前和治疗后的运动和认知结果。上肢的Fugl-Meyer值是主要的结果衡量标准。Logistic回归模型被用来检测UL运动改善与接受康复剂量时的运动和认知-语言特征之间的任何联系。入选患者35例，平均康复时间为80.57±30.1h。康复后患者的手部灵活性、独立性水平和UL运动功能均有改善，注意功能恢复不受影响。康复治疗的总次数是影响卒中后上肢运动功能恢复的最强因素(p=0.031)，而认知-语言特征并不影响上肢运动能力的恢复。
After stroke, recovery of upper limb (UL) motor function is enhanced by a high dose of rehabilitation and is supposed to be supported by attentive functions. However, their mutual influence during rehabilitation is not well known yet. The aim of this retrospective observational cohort study was to investigate the association between rehabilitation dose and motor and cognitive functions, during UL motor recovery. Inpatients with first unilateral stroke, without time restrictions from onset, and undergoing at least 15 h of rehabilitation were enrolled. Data on dose and modalities of rehabilitation received, together with motor and cognitive outcomes before and after therapy, were collected. Fugl–Meyer values for the Upper Extremity were the primary outcome measure. Logistic regression models were used to detect any associations between UL motor improvement and motor and cognitive-linguistic features at acceptance, regarding dose of rehabilitation received. Thirty-five patients were enrolled and received 80.57 ± 30.1 h of rehabilitation on average. Manual dexterity, level of independence and UL motor function improved after rehabilitation, with no influence of attentive functions on motor recovery. The total amount of rehabilitation delivered was the strongest factor (p = 0.031) influencing the recovery of UL motor function after stroke, whereas cognitive-linguistic characteristics were not found to influence UL motor gains.
登录
查看更多内容
影响因子：
4.2
作者：
Kundert, Robinson;Goldsmith, Jeff;Luft, Andreas R.
通讯作者：
Luft, Andreas R.
影响因子：
3.7
作者：
Marwaa, Mille Nabsen;Kristensen, Hanne Kaae;Ytterberg, Charlotte
通讯作者：
Ytterberg, Charlotte
影响因子：
2.2
作者：
Kiaer, Camilla;Lundquist, Camilla Biering;Brunner, Iris
通讯作者：
Brunner, Iris
影响因子：
2.9
作者：
MATHIOWETZ, V;VOLLAND, G;WEBER, K
通讯作者：
WEBER, K
影响因子：
4.2
作者：
Bernhardt, Julie;Hayward, Kathryn S.;Cramer, Steven C.
通讯作者：
Cramer, Steven C.