Effects of intensive gait-oriented physiotherapy during early acute phase of stroke.
Effects of intensive gait-oriented physiotherapy during early acute phase of stroke.
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中风早期急性期强化步态导向物理治疗的效果。
DOI：
10.1682/jrrd.2006.05.0039
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发表时间：
2007
影响因子：
--
通讯作者：
J. Sivenius
中科院分区：
文献类型：
--
作者：
S. Peurala;O. Airaksinen;P. Jäkälä;I. Tarkka;J. Sivenius
我们评估了中风后早期开始的强化步态康复的效果和强度。还分析了评估的治疗内容和评估者间信度。22例患者中，19例（平均卒中后8.0天）完成了研究。康复前13例患者不能行走或需要两名助手行走，6例患者需要一名助手。患者每天最多花费1小时的治疗时间以获得20分钟的步行。在3周治疗期间还提供了额外的物理治疗。在康复治疗前后和康复治疗后6个月，记录了7项结构性运动测试，并在物理治疗期间随访了运动感知。康复后16例患者可独立行走，3例需一人辅助行走。平均+/-标准差运动步行距离为10，784 +/-4，446 m，运动被评为轻微剧烈。治疗3 wk后，患者10 m步行时间、踝关节痉挛、下肢肌力及运动量表评分均较治疗前明显改善（P < 0.05）。早期强化康复耐受良好，只有3例患者退出。所有中风患者的运动能力均得到改善。
We assessed the effects and strenuousness of intensive gait-oriented inpatient rehabilitation initiated very early after stroke. Therapy content and interrater reliability of the assessments were also analyzed. Of 22 patients, 19 (average 8.0 d poststroke) completed the study. Before rehabilitation, 13 patients were unable to walk or needed two assistants to walk and 6 patients needed one assistant. Patients spent a daily maximum of 1 h therapy time to obtain 20 min of walking. Additional physiotherapy was also provided during the 3 wk therapy period. Seven structured motor tests were recorded before and after rehabilitation and at 6 months postrehabilitation, and perceived exertion was followed during physiotherapy. After rehabilitation, 16 patients could walk unassisted and 3 needed one assistant to walk. Mean +/- standard deviation exercise walking distance was 10,784 +/- 4,446 m and exercise was ranked as slightly strenuous. After 3 wk, the patients' 10 m walking time, ankle spasticity, lower-limb muscle force, and motor scale scores improved (p < 0.05). The early intensive rehabilitation was well tolerated and only three patients dropped out. Improved motor abilities were seen in all stroke patients.