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Clinical Leadership Perspectives: Advancements in Manual Physical Therapy Practice with the Pakistani Context 临床领导视角:结合巴基斯坦国情推进手法理疗实践
Pub Date : 2023-12-05 DOI: 10.32350/ihr.31.05
Maheen Sarfraz, Syed Shakil ur Rehman, Mehwish Ikram, Maryam Ikram
Physical therapy is a healthcare discipline that is dedicated to help individuals and patients in maintaining their health while optimizing their strength, function, and movements. Pakistan being a developing country, experiences a slower pace in the establishment of advancements in the medical professions. Whereas physical therapy is significantly improving day by day in Pakistan; additionally, this study aims to discuss the advances, in manual therapy concerning the physical therapy profession in Pakistan. This study aimed to evaluate the perception of clinical leadership and its recent advancements concerning the manual physical therapy practice in Pakistan for the preceding year. For this purpose, semi-structured interviews were conducted with 10 physical therapists from 5 different cities in Pakistan. Physical therapists with at least 10 years of clinical practice were included in the data collection. The interviews were audio/video recorded, data verbatim transcribed, and analyzed manually by open coding and in-vivo coding.  Furthermore, thematic analysis was done to identify different elements of recent advancements concerning manual physical therapy by finding the appropriate patterns in the gathered data. The results showed that advancements occurred in the last decade, such as international certifications, workshops, hands-on practice and master programs. There is lack of awareness, gender barriers, and financial constraints in adopting new advancements. The focus was shifted more toward muscle energy technique and myofascial release. Modalities were preferred in the past for pain relief; however, in the recent decade, they have been replaced by manual therapy techniques. Pain management and prognosis are better with manual therapy. These advancements will be cost-effective for the patient. This study concluded that manual therapy in Pakistan has undergone a significant transformation during the last preceding years. There is still great potential for more advancement in manual therapy techniques in Pakistan.
理疗是一门医疗保健学科,致力于帮助个人和病人保持健康,同时优化他们的力量、功能和运动。巴基斯坦作为一个发展中国家,在医疗行业的发展方面步伐较慢。而物理治疗在巴基斯坦的发展日新月异;此外,本研究旨在讨论与巴基斯坦物理治疗专业相关的徒手治疗进展。本研究旨在评估临床领导力及其最近一年在巴基斯坦徒手物理治疗实践中取得的进步。为此,研究人员对来自巴基斯坦 5 个不同城市的 10 名物理治疗师进行了半结构式访谈。参与数据收集的理疗师至少有 10 年的临床实践经验。对访谈进行了录音/录像,逐字记录数据,并通过开放式编码和活体编码进行人工分析。 此外,还进行了主题分析,通过在收集到的数据中找到适当的模式,来确定有关徒手物理治疗的最新进展的不同要素。结果表明,在过去十年中,国际认证、研讨会、实践练习和硕士课程等都取得了进步。在采用新的先进技术方面,还存在认识不足、性别障碍和经济限制等问题。重点更多地转向肌肉能量技术和肌筋膜松解术。过去,人们更倾向于采用各种方式来缓解疼痛;但近十年来,这些方式已被徒手治疗技术所取代。手法治疗对疼痛的控制和预后效果更好。这些进步将为患者带来成本效益。这项研究认为,巴基斯坦的徒手疗法在过去几年中经历了重大转变。巴基斯坦的手法治疗技术仍有很大的发展潜力。
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引用次数: 0
Effectiveness of Kinesio Taping versus Mulligan's Mobilization with Movement in Sub-acute Lateral Ankle Sprain in Footballers: A Randomized Controlled Trial Kinesio Taping 与 Mulligan's Mobilization with Movement 对足球运动员亚急性外侧踝关节扭伤的疗效对比:随机对照试验
Pub Date : 2023-06-15 DOI: 10.32350/ihr.31.02
Abdul Qadeer Khan, Samraiz Mughal, Tooba Asif, Maira Muneer, Hurri y a Sehar, Umema Tariq
The current study aimed to compare the effectiveness of Kinesio Taping (KT) and Mulligan Mobilization with Movement (MWM) in conjunction with conventional physical therapy for sub-acute lateral ankle sprain in football players. For this purpose, a total number of 30 participants were randomly assigned to either the KT group or the MWM group. Furthermore, pain, disability, and functional capabilities were assessed using the Numeric Pain Rating Scale (NPRS) and the Foot and Ankle Ability Measure (FAAM) before and after a 4-week intervention. The results showed that MWM with conventional physical therapy was more effective in relieving pain and improving mobility, strength, and functional status as compared to KT with conventional physical therapy. The study also suggested that MWM is a more beneficial treatment for footballers with a sub-acute lateral ankle sprain.
本研究旨在比较 Kinesio Taping(KT)和 Mulligan Mobilization with Movement(MWM)结合传统物理疗法治疗足球运动员亚急性外侧踝关节扭伤的效果。为此,30 名参与者被随机分配到 KT 组或 MWM 组。此外,在为期 4 周的干预前后,使用数字疼痛评分量表(NPRS)和足踝能力测量(FAAM)对疼痛、残疾和功能能力进行了评估。结果显示,与传统物理疗法中的 KT 相比,MWM 配合传统物理疗法能更有效地缓解疼痛,改善活动能力、力量和功能状态。研究还表明,MWM 对亚急性外侧踝关节扭伤的足球运动员更有益。
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引用次数: 0
Comparing Prognosis of Hip Replacement Outcomes with and without Post-Operative Physiotherapy Sessions: A Five-Year Retrospective Review (2018-2022) 有无术后物理治疗环节的髋关节置换术预后比较:五年回顾性研究(2018-2022年)
Pub Date : 2023-06-15 DOI: 10.32350/ihr.31.01
Rimsha Ijaz, Saba Riaz, Sania Maqbool
The hip joint is a ball and socket joint that supports body weight and is responsible for locomotion. Hip replacement surgery is mostly performed when hip pain significantly impedes daily life activities and when non-surgical treatments are ineffective in certain cases. The most common cause of hip replacement is damaged hip joint, which can cause arthritis. Therefore, physical therapy after the replacement surgery of major joints is generally considered helpful for a good prognosis. However, if the patients are given the usual care recommended by the surgeons, the patients recover in the same manner as they do with the physical therapy sessions or the physical therapy usually accelerates the recovery process and prevents future complications. Thus, the current study provides a comprehensive of the recovery of patients who have undergone hip arthroplasty, with or without physical therapy training programs.
髋关节是一个球窝关节,支撑身体重量并负责运动。髋关节置换手术大多在髋关节疼痛严重妨碍日常生活活动,以及非手术治疗在某些情况下无效时进行。髋关节置换手术最常见的原因是髋关节受损,而受损的髋关节会引起关节炎。因此,一般认为大关节置换手术后的物理治疗有助于获得良好的预后。但是,如果患者接受外科医生建议的常规护理,患者的恢复情况与接受物理治疗的情况相同,或者物理治疗通常会加快患者的恢复进程,并预防未来的并发症。因此,本研究对接受过髋关节置换术的患者在是否接受物理治疗训练计划的情况下的恢复情况进行了综合分析。
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引用次数: 0
A Comparative Study to Analyze the Perspectives, Interests, and Barriers Towards Research Project Among Undergraduate Students in The Universities of Faisalabad 分析费萨拉巴德大学本科生对研究项目的看法、兴趣和障碍的比较研究
Pub Date : 2023-06-15 DOI: 10.32350/ihr.31.04
Muhammad Shoaib, Anam Fatima, Kaiynat Shafique, Zamin Abbas Syed, Hafiz Muhammad Almas Sabir, Iqra Tahir, Urooj Manzoor
Research plays a vital role in evaluating a nation's scientific progress, especially in the field of medical science. The purpose of the study was to analyze and compare the perspectives, interests, and barriers encountered by undergraduate students in Physical Therapy and Human Nutrition and Dietetics concerning research. It was a cross-sectional study. Study settings included GCUF, UAF and TUF. The study was conducted from September 2019 to February 2020. 148 participants were recruited according to the defined selection criteria. Employing a simple random sampling methodology, data was gathered exclusively from final-year undergraduate students pursuing DPT and HND, using a modified questionnaire. From 148 students (66 HND, 82 DPT), 38.5% of participants acknowledged the constructive and beneficial nature of research. Additionally, 36.49% strongly expressed their desire to delve into the intricacies of research. The Chi-square test demonstrated no statistically significant differences in perspectives, interests, and barriers toward research projects between HND and DPT students (p>0.05). The students' perspectives and interests in research were predominantly positive, reflecting their enthusiasm and curiosity. However, they also faced notable barriers and challenges including inadequate time and monetary support, insufficient training for research, and lack of supervision that hindered their engagement in research projects.
科研在评价一个国家的科学进步方面发挥着至关重要的作用,尤其是在医学科学领域。本研究旨在分析和比较物理治疗学和人类营养与饮食学专业的本科生对科研的看法、兴趣和遇到的障碍。这是一项横断面研究。研究地点包括 GCUF、UAF 和 TUF。研究时间为 2019 年 9 月至 2020 年 2 月。根据规定的选择标准,共招募了 148 名参与者。研究采用简单随机抽样方法,使用修改过的问卷从攻读 DPT 和 HND 的应届本科生中收集数据。在 148 名学生(66 名 HND,82 名 DPT)中,38.5% 的参与者承认研究的建设性和有益性。此外,36.49%的学生强烈表示希望深入研究研究的复杂性。卡方检验表明,高职高专学生和直博生在对研究项目的看法、兴趣和障碍方面没有明显的统计学差异(P>0.05)。学生们对研究的看法和兴趣主要是积极的,反映了他们的热情和好奇心。然而,他们也面临着明显的障碍和挑战,包括时间和金钱支持不足、研究培训不足以及缺乏监督,这些都阻碍了他们参与研究项目。
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引用次数: 0
Examining Medial Longitudinal Arch: A Review of Symptom among the Multiparous Pregnant Women 检查内侧纵弓:多产孕妇症状回顾
Pub Date : 2023-06-15 DOI: 10.32350/ihr.31.03
Zil e huma, Mehwish Khalid, Arooj Fatima, Hassan bin Akram, Zehra Zaman, Mehran Basat
To evaluate the changes in the medial longitudinal arch of the foot in the third trimester of pregnancy among multiparous women, A Cross-sectional observational study was conducted. Women of age 18-30 in 34-38 gestational weeks were included. Those women who were nulliparous, primiparous, flat foot prior to pregnancy, and had undergone through abortion were excluded from the study. The sample was collected by using non-probability purposive sampling and analyzed by SPSS (Statistical Package for Social Sciences).  Navicular drop test of the left foot was 36.4% negative and 63.6% positive, whereas for the right foot it was 52.7% negative and 47.3% positive. The study results indicated that the changes in the medial longitudinal arch of the left foot were more evident as compared to the right foot.
为了评估多产妇在妊娠三个月内足部内侧纵弓的变化,我们进行了一项横断面观察研究。研究对象包括年龄在 18-30 岁、孕周在 34-38 周的妇女。空腹、初产妇、妊娠前扁平足和人工流产的妇女不在研究范围内。样本通过非概率目的性抽样收集,并使用 SPSS(社会科学统计软件包)进行分析。 左脚的脐带脱落试验结果为 36.4% 阴性,63.6% 阳性;右脚的脐带脱落试验结果为 52.7% 阴性,47.3% 阳性。研究结果表明,与右脚相比,左脚内侧纵弓的变化更为明显。
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引用次数: 0
Association of use of different type of manual therapy approach with upper extremity pain in manual therapists of Lahore” 拉合尔手工治疗师使用不同类型的手法治疗方法与上肢疼痛的关系
Pub Date : 2022-12-15 DOI: 10.32350/ihr.22.02
Hafiz Muneeb ur Rehman, Hunza Zulfiqar, Hajira Anwer, Nayab Naina
This study was conducted to assess the upper limb pain in manual physiotherapists by using different manual therapy techniques.There was no such type of study in Pakistan and also there was less literature found  on this study internationally.It was a cross sectional study . Data was collected from the manual physiotherapists of Lahore from different clinical settings. The data collection was done by using Non probability convenient sampling technique. The Sample size was 126, calculated from (“Raosoft” software). The questionnaire used to assess pain was the Standard Nordic musculoskeletal questionnaire. For the statistical analysis, SPSS 20 software was used to find the association of use of a different type of manual therapy approach with upper extremity pain in the manual therapist. The mean age of physiotherapists was 34.6 (SD = 5.996). Out of 126, male physiotherapist 66 and 60 were female. Mostly Physiotherapists who were included in this study had working experience of more than 5 years and practicing more than 3 hours a day had upper limb pain. Physiotherapists using manual therapy techniques Kalterborn technique had more pain in the neck, shoulder, elbow,wrist and hand than physiotherapists using Mulligan and Maitland. There was no association of any technique used by physiotherapists with shoulder, elbow, wrist/hand and neck pain (p>0.05). This study concluded that physiotherapists using Kalternborn technique reported more upper limb pain than therapists using the maitland and mulligan techniques. There was no association of any technique used by  hysiotherapists with shoulder, elbow, wrist/hand and neck pain.
本研究通过不同的手法治疗技术来评估手工物理治疗师的上肢疼痛。在巴基斯坦没有这种类型的研究,在国际上也很少有关于这一研究的文献。这是一个横断面研究。数据收集自拉合尔不同临床环境的手工物理治疗师。数据采集采用非概率方便抽样技术。样本量为126,由(“饶软”软件)计算得出。用于评估疼痛的问卷是标准北欧肌肉骨骼问卷。使用SPSS 20软件进行统计分析,发现不同类型的手法治疗方法与手法治疗师上肢疼痛的关系。物理治疗师平均年龄为34.6岁(SD = 5.996)。在126名男性物理治疗师中,66名是男性,60名是女性。大多数参与这项研究的物理治疗师都有超过5年的工作经验,每天工作超过3个小时,都有上肢疼痛。使用Kalterborn手法的物理治疗师比使用Mulligan和Maitland手法的物理治疗师在颈部、肩部、肘部、手腕和手部有更多的疼痛。物理治疗师使用的任何技术与肩、肘、腕/手和颈部疼痛无关(p>0.05)。本研究得出结论,使用Kalternborn技术的物理治疗师比使用maitland和mulligan技术的理疗师报告更多的上肢疼痛。物理治疗师使用的任何技术与肩、肘、腕/手和颈部疼痛无关。
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引用次数: 0
Association of Cerebral Palsy (CP) Child Behavior with Caregiver Stress Level 脑性麻痹儿童行为与照顾者压力水平的关系
Pub Date : 2022-12-15 DOI: 10.32350/ihr.22.01
Hafiz Muhammad Asim Raza, Hira Jabeen, Atiq Ijaz, Binash Afzal, S. Mumtaz, Hafiz Muhammad Bilal Hanif
The disability which occurs frequently in children is known as cerebral palsy (CP). Its prevalence in Pakistan is much higher and about 2 to 3 out of every 1000 children are diagnosed with CP, which affectstheirfunctional status of life to a greater extent. The objective of the current study was to determine the association of CP child's behavior with caregiver's stress level. The current study was based on a cross sectional design and itcomprised 159 caregivers of CP child. Among them 100 were males and 59 were females. The study was conducted within the time period from December 2016 to May 2017. A convenience sampling technique was used and subjects were selected from different hospitals and rehabilitation centers of Lahore, Pakistan on the basis of inclusion and exclusion criteria after taking informed consent. The two standardized “parental stress scale” and “strength difficulty questionnaire” helped to determine the level of stress and caregiver' burden. The data was analyzed using SPSS v20. The frequency was calculated to obtain mean values of caregiver stress and behavior of CP child using PSS and SDQ. P value ≤ .05 was considered statistically significant. The Pearson correlation (r) between PSS and SDQ data was r₌ 0.63, which showed a strong positive linear correlation between the two variables, that is, CP child behavior & caregiver stress level. It indicated that both variables increased or decreased together. The behavior of CP child affects the quality of life of parents and caregivers. The study concluded that there is a strong relationship between the CP child's behavior with the caregiver’s stress level.
儿童中常见的残疾被称为脑瘫(CP)。其在巴基斯坦的患病率要高得多,每1000名儿童中约有2至3名被诊断患有CP,这在更大程度上影响了他们的生活功能状态。本研究的目的是确定CP儿童的行为与照顾者压力水平的关系。目前的研究是基于横断面设计,包括159名CP儿童的照顾者。其中男性100人,女性59人。该研究在2016年12月至2017年5月期间进行。采用便利抽样技术,根据知情同意后的纳入和排除标准,从巴基斯坦拉合尔的不同医院和康复中心选择受试者。标准化的“父母压力量表”和“力量困难问卷”有助于确定压力水平和照顾者负担。采用SPSS v20对数据进行分析。使用PSS和SDQ计算频率,得到照顾者压力和CP儿童行为的平均值。P值≤0.05认为有统计学意义。PSS与SDQ数据的Pearson相关(r)为r±0.63,表明CP儿童行为与照顾者压力水平两个变量之间存在较强的线性正相关。它表明这两个变量同时增加或减少。CP儿童的行为影响父母和照顾者的生活质量。研究得出结论,CP儿童的行为与照顾者的压力水平有很强的关系。
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引用次数: 0
Comparison of Functional Disability in Patients of Knee Osteoarthritis (KOA), among Rural and Urban KOA Patients 城乡膝骨关节炎(KOA)患者功能障碍的比较
Pub Date : 2022-12-15 DOI: 10.32350/ihr.22.03
Zubairuddin Ahmad, Ahsan ilyas, Salman Latif, Umer Maqsood, Jurat Ali
Osteoarthritis (OA) is a chronic multifactorial disease that leads to progressive functional disability. The objective of the current research was to compare the functional disability in patients of Knee Osteoarthritis (KOA), among rural and urban KOA patients. A total of n=104 participants were recruited through non-probability convenient sampling technique from different rural and urban areas of Lahore, Pakistan. Participants with diagnosed osteoarthritis of both genders with age range 40-55 were included in the study. Those who had medical issues other than KOA or recent history of trauma or any fracture were excluded from thisstudy. Knee Injury and Osteoarthritis Outcome Score (KOOS) was used as data collection tool. The data was analyzed by using SPSS. 22. The mean age of participants was 47±3.45 years And 3.45. In the current study, 24% participants were male and 76% were females. The study showed 2.23±1.07 in difficulty of life in rural areas and 2.28±.99 in urban areas. The rate of KOA in urban populations was determined to be higher. They showed significantly more symptom severity as compared to rural patients with KOA. Symptom severity tends to affect their activities, such as sports, daily living activities, and also compromises the quality of life significantly more than the rural targeted population.
骨关节炎(OA)是一种慢性多因素疾病,可导致进行性功能障碍。本研究的目的是比较农村和城市膝骨关节炎(KOA)患者的功能障碍。通过非概率方便抽样技术,从巴基斯坦拉合尔不同的农村和城市地区共招募了n=104名参与者。年龄在40-55岁之间的诊断为骨关节炎的男女参与者都被纳入研究。除KOA、近期创伤史或骨折外有其他医疗问题的患者被排除在本研究之外。采用膝关节损伤和骨关节炎结局评分(oos)作为数据收集工具。数据采用SPSS统计软件进行分析。22. 参与者的平均年龄分别为47±3.45岁和3.45岁。在目前的研究中,24%的参与者是男性,76%是女性。农村生活困难指数为2.23±1.07,农村生活困难指数为2.28±1.07。市区99人。城市人群的KOA率较高。与农村KOA患者相比,他们明显表现出更严重的症状。症状严重程度往往影响其运动、日常生活等活动,对生活质量的影响也明显大于农村目标人群。
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引用次数: 0
Role of Electrotherapy in Treating Chronic Musculoskeletal Conditions: A Narrative Review of the Last 5 Years 电疗在慢性肌肉骨骼疾病治疗中的作用:近5年的述评
Pub Date : 2022-12-15 DOI: 10.32350/ihr.22.05
Chronic musculoskeletal conditions encompass a variety of disorders and impairments, some of which include chronic low back pain, carpal tunnel syndrome, arthritis, fibromyalgia, tendonitis, osteoporosis, and so on. Electrotherapy refers to the use of electrical modalities in order to treat such conditions in physiotherapy. This non-pharmacological treatment equipment, such as, transcutaneous electrical stimulation, interferential therapy, shortwave diathermy, and LASER (light amplification by stimulated emission of radiation), may or may not have profound effects on the aforementioned conditions. The purpose of this review article was to investigate and summarize the role of electrotherapy in order to manage chronic disorders and hence, try to quantify its magnitude while updating previous relevant knowledge on this particular topic. The design of the current study was based on a narrative review. A total of 58 studies were consulted. According to the inclusion criteria of the current research, studies published within last five years treating chronic musculoskeletal diseases, using electrotherapy modalities were included. However, any study more than five years’ time period was excluded. The primary hypothesis of this study suggested that the electrotherapy carries significant effect to treat chronic musculoskeletal conditions. According to the secondary hypothesis, there exists no  relationship between electrotherapy modalities and chronic musculoskeletal conditions.
慢性肌肉骨骼疾病包括各种疾病和损伤,其中一些包括慢性腰痛、腕管综合征、关节炎、纤维肌痛、肌腱炎、骨质疏松症等。电疗是指在物理治疗中使用电模式来治疗这种情况。这种非药物治疗设备,如经皮电刺激、干扰治疗、短波透热和激光(通过受激辐射的光放大),可能会或可能不会对上述条件产生深远的影响。这篇综述文章的目的是调查和总结电疗的作用,以管理慢性疾病,因此,试图量化其重要性,同时更新之前关于这一特定主题的相关知识。本研究的设计基于叙述性回顾。总共参考了58项研究。根据当前研究的纳入标准,纳入了过去五年内发表的使用电疗方式治疗慢性肌肉骨骼疾病的研究。然而,任何超过五年的研究都被排除在外。本研究的初步假设提示电疗对慢性肌肉骨骼疾病有显著的治疗效果。根据第二假说,电疗方式和慢性肌肉骨骼疾病之间没有关系。
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引用次数: 0
Association of Balance Self-efficacy with Activity and Participation in Chronic Stroke Patients of Lahore, Pakistan 巴基斯坦拉合尔慢性脑卒中患者平衡自我效能与活动和参与的关系
Pub Date : 2022-06-15 DOI: 10.32350/ihr.21.03
Muhammad Bilal Sajjad, S. Khan, Sarah Mumtaz
Stroke is a major cause of disability and causes a number of impairments including balance issues, gait impairments, and loss of daily life activities. The incidence of stroke is increasing in developing countries like Pakistan because of the increasing life stresses. The purpose of this research is to analyze the association of balance self-efficacy with activity and participation in chronic stroke patients. This was a cross-sectional studyconducted in Lahore; Pakistan in 2017. The population of the current study was chronic stroke patients. The study was completed within 3 months after the approval of the synopsis. Non-probability convenient sampling technique was employed to conduct this study. A Sample of 135 stroke patients was taken from a population of 3500 from the stroke care unit of above-mentioned hospital. Ischemic stroke patients and patients with 6months of stroke were included in this study. Unstable patients with other systemic diseases and with psychological issues were excluded from this study. ABC scale was used for the evaluation of balance self-efficacy and the Modified Barthel index was used for assessment activity and participation in stroke patients. The data was analyzed using SPSS v20. The result showed that the P value of balance self-efficacy is 0.000. As the P value is less than 0.05 so the association is significant. P value ≤ .05 was considered statistically significant. There is a significant association of balance self-efficacy with activity and participation in chronic stroke patients.
中风是导致残疾的一个主要原因,它会导致许多损害,包括平衡问题、步态障碍和日常生活活动的丧失。在巴基斯坦等发展中国家,由于生活压力的增加,中风的发病率正在上升。本研究旨在分析慢性脑卒中患者平衡自我效能感与活动和参与的关系。这是在拉合尔进行的一项横断面研究;2017年的巴基斯坦。目前的研究对象是慢性中风患者。该研究在大纲批准后3个月内完成。本研究采用非概率方便抽样技术。从上述医院卒中护理部门3500名患者中抽取135名卒中患者作为样本。本研究纳入缺血性脑卒中患者和脑卒中6个月患者。伴有其他全身性疾病和有心理问题的不稳定患者被排除在本研究之外。采用ABC量表评估卒中患者的平衡自我效能,采用改良Barthel指数评估卒中患者的活动性和参与性。采用SPSS v20对数据进行分析。结果表明,平衡自我效能感的P值为0.000。由于P值小于0.05,因此相关性显著。P值≤0.05认为有统计学意义。慢性脑卒中患者平衡自我效能与活动和参与有显著关联。
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引用次数: 0
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