A SYNTHESIS OF STUDIES ON STROKE REHABILITATION
A SYNTHESIS OF STUDIES ON STROKE REHABILITATION
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DOI：
10.1016/0021-9681(82)90114-x
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发表时间：
1982-01-01
期刊：
影响因子：
--
通讯作者：
LIND, K
中科院分区：
文献类型：
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作者：
LIND, K
脑卒中患者的功能康复是医院和长期护理机构提供的一项常见服务。关于治疗有效性的研究很少进行，研究结果往往相互矛盾。采用不同的研究设计和样本人群的7项研究的结果进行了描述。三项观察性研究发现，康复是有效的，而三项实验研究发现没有效果。一项观察性研究不仅没有发现积极的效果，而且还发现物理治疗与肩手综合征有关。对这7项研究的结果进行综合，试图解决明显相互矛盾的结果并得出一致的结论。中风患者经历的功能增益主要归因于自发恢复。在自然恢复中，80%发生在6个月内。在中风发作后。年龄似乎不是改善的重要因素，尽管老年患者往往有更严重的中风。社会经济地位和家庭参与与改善呈正相关。康复治疗对大多数脑卒中患者的功能进展影响甚微。然而，对于具有中等功能能力的患者来说，康复可能会提高日常生活活动的独立性。这种独立性的获得可能对这些患者所需的护理量至关重要。
The functional rehabilitation of stroke patients is a frequent service provided in hospitals and long-term care settings. Research regarding the effectiveness of therapy has been conducted infrequently and the results of studies often conflict. The results of 7 studies which employed different study designs and sample populations are described. Three observational studies found that rehabilitation is effective while 3 experimental studies found no effect. One observational study not only failed to find a positive effect but also found that physical therapy was associated with shoulder-hand syndrome. The findings of these 7 studies are synthesized in an attempt to resolve apparently conflicting results and arrive at conclusions which are consistent. Functional gains experienced by stroke patients are primarily attributable to spontaneous recovery. In spontaneous recovery, 80% occurs within 6 mo. after the onset of stroke. Age does not appear to be an important factor in improvement although older patients tend to have more severe strokes. Socioeconomic status and family involvement correlate positively with improvement. Rehabilitation has a negligible effect on the functional progress of most stroke patients. However, rehabilitation may result in increased independence in the performance of activities of daily living for patients who have intermediate levels of functional ability. This gain in independence may have critical importance for the amount of nursing care required by these patients.