Observation of amounts of movement practice provided during stroke rehabilitation.
Observation of amounts of movement practice provided during stroke rehabilitation.
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DOI：
10.1016/j.apmr.2009.04.005
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发表时间：
2009-10
影响因子：
4.3
通讯作者：
Scheets, Patricia L.
中科院分区：
文献类型：
--
作者：
Lang, Catherine E.;MacDonald, Jillian R.;Reisman, Darcy S.;Boyd, Lara;Kimberley, Teresa Jacobson;Schindler-Ivens, Sheila M.;Hornby, T. George;Ross, Sandy A.;Scheets, Patricia L.
调查在中风康复过程中进行了多少运动练习，以及哪些因素可能会影响所提供的练习剂量。中风治疗疗程的观察性调查。7个住院和门诊康复站点。我们为中风患者观察了312次物理和职业治疗的便利样本。NA我们记录了特定运动类别的重复次数和潜在修改因素的数据(患者年龄、患侧、中风以来的时间、功能独立性测量项目分数和治疗师经验)。描述性统计被用来描述实践的数量。相关和回归分析被用来确定潜在因素是否与上肢功能运动和步态这两个重要类别的练习量有关。在涉及上肢康复的会话中，51%的患者练习特定任务的功能性上肢运动，平均重复次数为32次(95%CI=20-44)。在涉及下肢康复的会议中，84%的患者出现了步态练习，平均步数为357步(95%CI=296-418)。上面列出的潜在因素都不能解释这两个类别中任何一个类别的实践数量的显著差异。与动物模型相比，中风后康复期间提供的练习数量较少。目前康复期间的特定任务练习剂量可能不足以推动中风后最佳促进功能所需的神经重组。
To investigate how much movement practice occurred during stroke rehabilitation, and what factors might influence doses of practice provided. Observational survey of stroke therapy sessions. 7 inpatient and outpatient rehabilitation sites. We observed a convenience sample of 312 physical and occupational therapy sessions for people with stroke. NA We recorded numbers of repetitions in specific movement categories and data on potential modifying factors (patient age, side affected, time since stroke, Functional Independence Measure item scores, and years of therapist experience). Descriptive statistics were used to characterize amounts of practice. Correlation and regression analyses were used to determine if potential factors were related to the amount of practice in the two important categories of upper extremity functional movements and gait steps. Practice of task-specific, functional upper extremity movements occurred in 51% of the sessions that addressed upper limb rehabilitation and the average number of repetitions/session was 32 (95% CI = 20–44). Practice of gait occurred in 84% of sessions that addressed lower limb rehabilitation and the average number of gait steps/session was 357 (95% CI = 296–418). None of the potential factors listed above accounted for significant variance in the amount of practice in either of these two categories. The amount of practice provided during post-stroke rehabilitation is small compared to animal models. It is possible that current doses of task-specific practice during rehabilitation are not adequate to drive the neural reorganization needed to optimally promote function post stroke.
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影响因子：
2.2
作者：
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通讯作者：
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影响因子：
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发表时间：
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