Inpatient Rehabilitation Outcomes of Patients With Apraxia After Stroke
Inpatient Rehabilitation Outcomes of Patients With Apraxia After Stroke
复制标题
中风后失用症患者的住院康复结果
DOI：
10.1310/tsr2103-211
复制
发表时间：
2014
影响因子：
2.2
通讯作者：
J. Radel
中科院分区：
文献类型：
--
作者：
A. Wu;Emily Burgard;J. Radel
背景：脑卒中性轻瘫在康复治疗中备受关注；其他与中风相关的后果很少得到考虑。失用症是一种中风障碍，可能对康复和恢复有重要影响。目的：探讨脑卒中住院康复期间失用症与康复结果的关系。方法：本队列研究比较了首次左半球卒中后有无失用症的患者。所有研究患者都接受了标准治疗。临床测量是功能独立性测量（FIM）和Fugl-Meyer评估（FMA）上肢部分在入院和出院时进行。停留时间也有记录。采用佛罗里达失用症系列亚测试对失用症患者进行分类。结果：本研究纳入15例患者，其中10例有失用症。数据分析显示，临床测量显示失用症患者从入院到出院均有改善；然而，入院时FIM评分明显低于无失用症患者。两组之间在FMA评分、住院时间或临床测量变化量方面没有统计学上的显著差异。结论：这项对急性失用患者的研究发现，与无失用患者相比，有失用症的患者在住院康复时的独立性明显较差。虽然两组在康复期间的改善程度相似，但失用症患者出院时的独立性水平与入院时无失用症患者相当。这种独立性的差异值得关注，失用症作为卒中康复和恢复的一个因素值得进一步关注。
Abstract Background: Stroke-induced paresis commands much attention during rehabilitation; other stroke-related consequences receive less consideration. Apraxia is a stroke disorder that may have important implications for rehabilitation and recovery. Objective: To investigate association of apraxia with stroke rehabilitation outcomes during inpatient rehabilitation. Methods: This cohort study compared patients with and without apraxia after a first left hemispheric stroke. All study patients received standard of care. Clinical measures were the Functional Independence Measure (FIM) and the upper extremity section of the Fugl-Meyer Assessment (FMA) administered upon admission and at discharge. Length of stay was also documented. Florida Apraxia Battery subtests were used to classify patients with apraxia. Results: Fifteen patients were included in this study, 10 of whom had apraxia. Data analysis revealed that patients with apraxia exhibited improvement from admission to discharge in clinical measures; however, admission FIM score was significantly lower compared to patients without apraxia. There was no statistically significant difference between groups on FMA score, length of stay, or amount of change on clinical measures. Conclusions: This study of acute patients found those with apraxia to be significantly less independent upon admission to inpatient rehabilitation compared to patients without apraxia. Although both groups improved a similar amount during rehabilitation, patients with apraxia discharged at a level of independence comparable to patients without apraxia upon admission. Such disparity in independence is of concern, and apraxia as a factor in stroke rehabilitation and recovery deserves further attention.
影响因子：
14.5
作者：
Haaland, KY;Harrington, DL;Knight, RT
通讯作者：
Knight, RT
失用症的三维计算机图形分析。
DOI：
10.1093/brain/113.1.85
发表时间：
1990
期刊：
Brain : a journal of neurology
影响因子：
--
作者：
Poizner,H;Mack,L;Verfaellie,M;Rothi,LJ;Heilman,KM
通讯作者：
Heilman,KM
中风后身心结合练习改善功能：偏瘫失用症一例。
DOI：
10.5014/ajot.2011.000786
发表时间：
2011
期刊：
The American journal of occupational therapy : official publication of the American Occupational Therapy Association
影响因子：
--
作者：
Wu,AndyJ;Radel,Jeff;Hanna-Pladdy,Brenda
通讯作者：
Hanna-Pladdy,Brenda