Improvement in walking speed in poststroke spastic hemiplegia after intrathecal baclofen therapy: A preliminary study
Improvement in walking speed in poststroke spastic hemiplegia after intrathecal baclofen therapy: A preliminary study
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DOI：
10.1016/s0003-9993(03)00134-5
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发表时间：
2003-08-01
影响因子：
4.3
通讯作者：
Boake, C
中科院分区：
文献类型：
--
作者：
Francisco, GE;Boake, C
目的：探讨鞘内注射巴氯芬(ITB)是否能改善卒中存活者的步行能力。设计：病例系列。背景：三级护理中心。参与者：10例卒中后偏瘫患者，在泵植入时处于活动状态。干预：在其他干预措施控制痉挛不充分的情况下，植入ITB泵。从中风发病到植入的时间平均28.6个月(范围9-55个月)。主要观察指标：习惯步行速度是根据以自己选择的步速步行50英尺(15米)所需的时间来测量的。结果：在行走速度、功能活动度分级和痉挛状态方面均有统计学意义的改善(P
Objective: To explore whether intrathecal baclofen (ITB) therapy improves ambulation in stroke survivors.Design: Case series.Setting: Tertiary care center.Participants: Ten adults with poststroke hemiparesis who were ambulatory at the time of pump implantation.Interventions: Implantation of ITB pump after inadequate control of spasticity with other interventions. Time from stroke onset to implantation averaged 28.6 months (range, 9-55mo).Main Outcome Measures: Customary walking speed was measured from the time required to walk 50ft (15m) at a self-selected pace. Evaluators rated spastic hypertonia and functional mobility.Results: Statistically significant improvements occurred in walking speed, functional mobility ratings, and spasticity (P