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Experiences with Holistic Health Practices among Adults with Spinal Cord Injury 成人脊髓损伤的整体健康实践经验
Q1 REHABILITATION Pub Date : 2015-01-01 DOI: 10.4137/RPO.S12363
F. Shroff
Purpose To explore experiences with holistic practices (HP) by people with spinal cord injury (SCI) in British Columbia, Canada, including the types of HP they access and the reasons they utilize these forms of treatment. Method This was a qualitative study of 53 adults with SCI. Participants were engaged in semistructured interviews in focus-group and one-to-one settings. Inductive thematic analysis was used to identify prominent themes. Results Eighty-seven percent of participants had accessed some form of HP. They reported a variety of reasons for accessing HP, such as symptom relief and the desire to avoid side effects of conventional therapy. Caregivers and healthcare providers had important roles in encouraging HP. The perceived benefits of HP included physical, emotional, and spiritual components. Barriers to access included logistics, time, and financial constraints. Participants frequently mentioned the use of marijuana as a form of relaxation and pain relief—this was a surprise finding because marijuana is generally not considered a form of HP. Conclusion Eighty-seven percent of the participants in our study were actively engaged in various efforts to improve their health, including the use of HP. Reasons for accessing HP were based on a desire to improve mental, emotional, and physical health as well as to provide hope. Participants chose HP to alleviate pain, boost the immune system, gain strength, improve physical appearance, enhance relaxation, improve mood, feel empowered, and more. Rehabilitation professionals may wish to inform themselves of the range of products and services incorporated in the HP spectrum, and of their potential benefits for SCI patients.
目的探讨加拿大不列颠哥伦比亚省脊髓损伤(SCI)患者的整体实践(HP)经验,包括他们访问的HP类型以及他们使用这些治疗形式的原因。方法对53例成人脊髓损伤患者进行定性研究。参与者以焦点小组和一对一的方式进行半结构化访谈。归纳主题性分析用于识别突出的主题。结果87%的参与者接触过某种形式的HP。他们报告了使用HP的各种原因,如缓解症状和避免常规治疗副作用的愿望。护理人员和医疗保健提供者在鼓励使用HP方面发挥了重要作用。惠普带来的好处包括身体上、情感上和精神上。进入的障碍包括物流、时间和资金限制。参与者经常提到使用大麻作为一种放松和缓解疼痛的方式——这是一个令人惊讶的发现,因为大麻通常不被认为是一种形式的HP。在我们的研究中,87%的参与者积极参与各种努力来改善他们的健康,包括使用HP。访问惠普的原因是基于改善精神、情感和身体健康以及提供希望的愿望。参与者选择HP来减轻疼痛、增强免疫系统、增强力量、改善外貌、促进放松、改善情绪、感觉更有力量等等。康复专业人员可能希望了解HP频谱中包含的产品和服务的范围,以及它们对脊髓损伤患者的潜在益处。
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引用次数: 2
A Structural and Conceptual Modification of the International Classification of Function, Disability and Health (ICF) 国际功能、残疾和健康分类(ICF)的结构和概念修正
Q1 REHABILITATION Pub Date : 2015-01-01 DOI: 10.4137/RPO.S13340
R. Jahiel
Current criticisms of the International Classification of Function, Disability and Health (ICF) are focused on its activity/participation component and on its conceptual basis. I propose structural and conceptual changes. (1) The components would be body structure, body function, intent, actual environment, and participation. (2) Intent would be linked to the concept of self-agency, and its codes would have two qualifiers associating it with capability and strength of willed activity. (3) All activity/participation codes of the original ICF would be moved to the modified ICF's participation component. This component is based on interaction between intent and environment, and it is linked to the concept of joint agency. (4) A new entity, scene setting, represents the sum total of all components' codes involved in a given act of participation. (5) Additional constructs are suggested to elucidate the relations between intent and environment that allow enactment of a given act of participation. The modified ICF is consistent with current concepts of disability and unambiguous in distinctions between body function, activity, and participation. There are no significant alterations in the original ICF codes.
目前对《国际功能、残疾和健康分类》的批评主要集中在其活动/参与部分及其概念基础上。我建议在结构和概念上进行改变。(1)构成要素为身体结构、身体功能、意图、实际环境和参与。(2)意图将与自我代理的概念联系起来,其代码将有两个限定词将其与意志活动的能力和强度联系起来。(3)原ICF的所有活动/参与代码将移至修改后的ICF的参与组件。该组件基于意图和环境之间的交互作用,并与联合代理的概念相关联。(4)一个新的实体,即场景设置,代表了在一个给定的参与行为中所涉及的所有成分代码的总和。(5)本文还提出了其他的构念来阐明意图和环境之间的关系,从而使特定的参与行为得以实施。修改后的ICF与当前的残疾概念一致,并且明确区分了身体功能、活动和参与。原始的ICF代码没有明显的变化。
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引用次数: 2
Force Plate Assessment of Quiet Standing Balance Control: Perspectives on Clinical Application within Stroke Rehabilitation 静立平衡控制的力板评估:在脑卒中康复中的临床应用
Q1 REHABILITATION Pub Date : 2015-01-01 DOI: 10.4137/RPO.S20363
A. Mansfield, E. Inness
Assessment of balance control is essential to guide physical rehabilitation poststroke. However, current observational assessment tools available to physiotherapists provide limited information about underlying dyscontrol. This paper describes a force plate-based assessment of quiet standing balance control that we have implemented for individuals attending inpatient stroke rehabilitation. The assessment uses two force plates to measure location of ground reaction forces to maintain stability in quiet standing in five conditions (eyes open, eyes closed, standing symmetrically, and maximal loading on the less-affected and more-affected limbs). Measures of interest are variability of the centers of pressure under each foot and both feet combined, weight-bearing asymmetry, and correlation of center of pressure fluctuations between limbs. We present representative values for the above-mentioned measures and case examples to illustrate how the assessment can reveal patient-specific balance control problems and direct treatment. We identify limitations to our current assessment and recommendations for future research.
平衡控制的评估是指导脑卒中后身体康复的必要条件。然而,目前物理治疗师可用的观察性评估工具提供的关于潜在控制障碍的信息有限。本文描述了一种基于力板的静站立平衡控制评估,我们已经实施了个人参加住院中风康复。评估使用两个力板测量地面反作用力的位置,以在五种情况下(睁眼、闭眼、对称站立、受影响较小和受影响较大的四肢上的最大负荷)保持安静站立时的稳定性。感兴趣的测量是每只脚和双脚合起来的压力中心的可变性,负重的不对称性,以及四肢之间压力中心波动的相关性。我们提出了上述措施的代表性值和案例示例,以说明评估如何揭示患者特定的平衡控制问题和直接治疗。我们确定了当前评估的局限性,并对未来研究提出了建议。
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引用次数: 23
Percutaneous Fascia Release for Treating Chronic Recurrent Gluteal Myofascial Pain—A Pilot Study of a New Technique 经皮筋膜松解术治疗慢性复发性臀肌筋膜疼痛——一种新技术的初步研究
Q1 REHABILITATION Pub Date : 2015-01-01 DOI: 10.4137/RPO.S30483
Hsin-Shui Chen, Ming-Ta Lin, C. Hong, Y. Hsieh, L. Chou
Objective To investigate the therapeutic effectiveness of percutaneous fascia release to treat chronic recurrent gluteal myofascial pain related to recurrent tendonitis or bursitis at the attachment sites. Methods Five patients (three males, two females; aged 48.6 ± 8.9 years) with myofascial trigger points in the gluteus medius muscle were treated. Outcome measures, including pain intensity, pressure pain threshold, and the relative strength of hip abduction, were assessed before, immediately after, and six months after the treatment. The data measured before and after treatment (different times) on visual analog scale, pressure pain threshold, and relative hip abduction strength were analyzed by Wilcoxon signed-rank test and paired t-test, respectively, for the comparisons between time points. Results Reduction in pain intensity and increase in the pressure pain threshold and the relative hip abduction strength were found in all five patients after treatment when compared with those of before treatment (P < 0.05). Moreover, all of these improvements existed for at least six months (P > 0.05). Conclusions Percutaneous fascia release of gluteal muscle insertion sites can be used to treat chronic gluteal pain related to subtrochanteric bursitis to avoid recurrence, if other treatment cannot control the recurrence, although this was demonstrated only on a small sample size without control and blind assessment in the pilot study.
目的探讨经皮筋膜松解术治疗附着部位复发性肌腱炎或滑囊炎引起的慢性复发性臀肌筋膜疼痛的疗效。方法5例患者(男3例,女2例;患者年龄48.6±8.9岁,肌筋膜触发点位于臀中肌。结果测量,包括疼痛强度、压痛阈值和髋关节外展的相对强度,在治疗前、治疗后和治疗后6个月进行评估。治疗前后(不同时间)视觉模拟量表、压痛阈值、髋关节相对外展强度数据分别采用Wilcoxon sign -rank检验和配对t检验进行时间点间比较。结果5例患者治疗后疼痛强度均较治疗前减轻,压痛阈值及髋关节相对外展力均升高,差异有统计学意义(P < 0.05)。这些改善至少持续6个月(P < 0.05)。结论经皮筋膜松解臀肌止点可用于治疗与转子下滑囊炎相关的慢性臀痛,如果其他治疗方法不能控制复发,可避免复发,尽管这只是在没有对照和盲评估的小样本量的初步研究中得到证实。
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引用次数: 1
Comparative Effects of Portable and Stationary Traction in the Management of Mechanical Neck Disorders 便携式和固定式牵引治疗机械性颈部疾病的效果比较
Q1 REHABILITATION Pub Date : 2015-01-01 DOI: 10.4137/RPO.S24889
A. Bello, J. Crabbe, Emmanuel Bonney
Objective The purpose of this study was to compare the therapeutic effects of portable and stationary tractions on treatment outcomes in patients with mechanical neck disorders (MNDs). Methods Forty-one participants with MNDs were randomly assigned to either portable traction or stationary traction. Participants' pain level, activity limitation, disability, and neck range of motion were measured before and after 6 weeks of intervention. Inferential statistics for comparing the treatment outcome involved paired t-test and two-way analysis of variance at P < 0.05. Results The mean age of participants was 47.3 ± 10.5 years. After intervention, there were significant improvements in both groups. However, the portable traction group had significantly higher score on neck flexion than the stationary traction group at baseline (portable: 27.1 ± 6.0, stationary: 22.1 ± 6.8; P = 0.009) and after intervention (F-ratio = 15.0; P = 0.001). Conclusion Inclusion of both portable and stationary tractions to usual physiotherapy provided comparable treatment outcomes in patients with MNDs.
目的比较便携式牵引和固定式牵引对机械性颈部疾病(MNDs)患者治疗效果的影响。方法41例老年痴呆患者随机分为固定式牵引组和便携式牵引组。在干预前后6周测量参与者的疼痛程度、活动限制、残疾和颈部活动范围。比较治疗结果的推论统计采用配对t检验和P < 0.05的双向方差分析。结果患者平均年龄为47.3±10.5岁。干预后,两组患者均有显著改善。然而,在基线时,便携式牵引组的颈部屈曲评分明显高于固定式牵引组(便携式:27.1±6.0,固定式:22.1±6.8;P = 0.009)和干预后(f比= 15.0;P = 0.001)。结论将便携式和固定式牵引纳入常规物理治疗可为MNDs患者提供相当的治疗效果。
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引用次数: 1
Cooptation of Peer Support Staff: Quantitative Evidence 同伴支援人员的合作:量化证据
Q1 REHABILITATION Pub Date : 2014-03-01 DOI: 10.4137/RPO.S12343
Anthony J. Alberta, Richard R. Ploski
Objective In 2007, the Centers for Medicare and Medicaid Services (CMS) sent a letter to state Medicaid directors outlining requirements for implementing peer-based recovery support services (P-BRSS) as a Medicaid-funded service. Since then, 30 states have implemented these services. Although the literature describing implementation of P-BRSS has identified the cooptation of peer support staff (PSS) as a barrier to the effective provision of P-BRSS, the evidence for it remains anecdotal. This study attempts to determine if the context of employment in either a treatment organization or peer organization affected cooptation. Methods We conducted a survey of PSS in the fall of 2013. In all, 92 of the 181 respondents were working as PSS at the time, 53 in treatment organizations. Chi-square analysis was used to determine if the context of employment had an effect on the cooptation of peer staff. Results Peer staff working in treatment organizations reported that they were supervised by treatment staff and participated in employment-related training to improve their skills at providing treatment services more frequently than their counterparts in peer organizations. Peer staff working in treatment organizations also participated in training and education to prepare for employment as treatment professionals more frequently than peer staff working in peer organizations. Conclusions and Implications for Practice Peer staff members working in treatment organizations are subject to processes of acculturation into professional cultures that peer staff working in peer organizations are not. Effective implementation of P-BRSS should include specific efforts to minimize the cooptation of peer staff.
2007年,医疗保险和医疗补助服务中心(CMS)致函各州医疗补助主任,概述了将基于同伴的康复支持服务(P-BRSS)作为医疗补助资助服务实施的要求。从那时起,已有30个州实施了这些服务。虽然描述P-BRSS实施的文献已经确定同伴支持人员(PSS)的合作是有效提供P-BRSS的障碍,但证据仍然是轶事。本研究试图确定在治疗组织或同伴组织工作的背景是否影响了合作。方法于2013年秋季对PSS患者进行调查。在181名被调查者中,92人当时是PSS, 53人在治疗机构工作。使用卡方分析来确定就业背景是否对同伴员工的合作有影响。结果在治疗机构工作的同伴人员报告说,他们受到治疗人员的监督,并参加与就业有关的培训,以提高他们提供治疗服务的技能。在治疗机构工作的同伴工作人员也比在同伴组织工作的同伴工作人员更频繁地参加培训和教育,为作为治疗专业人员就业做准备。在治疗机构工作的同伴工作人员要经历适应专业文化的过程,而在同伴组织工作的同伴工作人员则不会。有效执行P-BRSS应包括具体努力尽量减少同级工作人员的配合。
{"title":"Cooptation of Peer Support Staff: Quantitative Evidence","authors":"Anthony J. Alberta, Richard R. Ploski","doi":"10.4137/RPO.S12343","DOIUrl":"https://doi.org/10.4137/RPO.S12343","url":null,"abstract":"Objective In 2007, the Centers for Medicare and Medicaid Services (CMS) sent a letter to state Medicaid directors outlining requirements for implementing peer-based recovery support services (P-BRSS) as a Medicaid-funded service. Since then, 30 states have implemented these services. Although the literature describing implementation of P-BRSS has identified the cooptation of peer support staff (PSS) as a barrier to the effective provision of P-BRSS, the evidence for it remains anecdotal. This study attempts to determine if the context of employment in either a treatment organization or peer organization affected cooptation. Methods We conducted a survey of PSS in the fall of 2013. In all, 92 of the 181 respondents were working as PSS at the time, 53 in treatment organizations. Chi-square analysis was used to determine if the context of employment had an effect on the cooptation of peer staff. Results Peer staff working in treatment organizations reported that they were supervised by treatment staff and participated in employment-related training to improve their skills at providing treatment services more frequently than their counterparts in peer organizations. Peer staff working in treatment organizations also participated in training and education to prepare for employment as treatment professionals more frequently than peer staff working in peer organizations. Conclusions and Implications for Practice Peer staff members working in treatment organizations are subject to processes of acculturation into professional cultures that peer staff working in peer organizations are not. Effective implementation of P-BRSS should include specific efforts to minimize the cooptation of peer staff.","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/RPO.S12343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70714498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
Article Commentary: An Assistance-as-Needed Control Paradigm for Robot-Assisted Ankle Rehabilitation 文章评论:机器人辅助踝关节康复的按需辅助控制范式
Q1 REHABILITATION Pub Date : 2014-03-01 DOI: 10.4137/RPO.S12340
Mingming Zhang, T. C. Davies, Anoop Nandakumar, S. Xie
Robots have been developed for treatment and rehabilitation of ankle injuries. Two reviews have been conducted involving the effectiveness of robot-assisted ankle rehabilitation and ankle assessment techniques respectively to investigate what the optimal therapy is. This study proposes an assistance-as-needed (AAN) control paradigm for potential use in robot-assisted ankle rehabilitation based on the review results. This AAN control strategy will consider real-time ankle assessment and make rehabilitation more effective.
机器人已经被开发用于治疗和康复脚踝损伤。两项综述分别涉及机器人辅助踝关节康复和踝关节评估技术的有效性,以探讨最佳治疗方法。根据综述结果,本研究提出了一种基于机器人辅助脚踝康复的按需辅助(AAN)控制范式。这种AAN控制策略将考虑实时踝关节评估,使康复更有效。
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引用次数: 2
Vision Rehabilitation in Patients with Age-related Macular Degeneration 老年性黄斑变性患者的视力康复
Q1 REHABILITATION Pub Date : 2014-03-01 DOI: 10.4137/RPO.S12364
F. Amore, S. Fortini, V. Silvestri, M. Sulfaro, A. Pacifici, Simona Turco
Background The aim of this study was to investigate the rehabilitative process and visual rehabilitation outcomes in patients with central vision loss due to age-related macular degeneration (AMD). Methods Ninety-five subjects with AMD selected from the attendees of the National Centre of Services and Research for the Prevention of Blindness and Rehabilitation of Low Vision Patients—International Agency for Prevention of Blindness—IAPB Italia Onlus, were evaluated for this retrospective study. Low vision examination included psychological counseling, best corrected visual acuity (BCVA), near visual acuity, Pelli-Robson contrast sensitivity, and fixation stability analysis. Once the clinical assessment was completed, patients attended a low-vision rehabilitative pathway based on visual stimulation, devices training and, if needed, psychological support. Required magnification and reading speed were also evaluated. Results For the whole sample, the mean BCVA of the better eye was 0.7 (±0.2) LogMAR and of the worse eye was 1 (±0.2) LogMAR. Restoring reading ability was the most important focus for the patients examined as it was requested by 85% of the whole sample. Mean power of optical magnifying aids for near activities was 10.6 (±9.1) positive spherical diopters. Mean reading speed for the whole sample was 33.1 (±18.2) words per minute (wpm) before visual rehabilitation sessions and increased to 55.2 (±33.1) wpm after visual rehabilitation path. To cope with distance difficulties, 78 distance refractive correction, 10 Galilean telescopes, and 7 Keplerian telescopes were prescribed. For intermediate distance activities, 22 compensation lenses and 10 Galilean telescopes were suggested. Moreover, PC magnifier softwares were prescribed to nine patients. Sixty-five polarized medical filters were prescribed to reduce glare of sunlight. Because of unstable fixation in their better eye (32.3% (±19.7) within 2° circle and 54.8% (±22.9) within 4° circle) and visual acuity < 1.2 LogMAR in the fellow eye, 38 subjects, before starting the devices training sessions, attended a bio-feedback rehabilitation session with flickering pattern stimulus. In these subjects, fixation stability increased significantly to 75.6 (±14.9) within 2° and 89.4 (±19.5) within 4° (P < 0.05), respectively. Conclusions Attending a customized low-vision intervention based on a multidisciplinary approach seems to be effective for improving visual functions in AMD. Both optical/electronic magnifiers and specific visual stimulation program can enhance visual performances.
本研究的目的是探讨老年性黄斑变性(AMD)导致的中央视力丧失患者的康复过程和视力康复结果。方法从国家低视力患者预防失明和康复服务与研究中心-国际防盲机构-意大利Onlus的参与者中选择95名AMD患者进行回顾性研究。低视力检查包括心理咨询、最佳矫正视力(BCVA)、近视力、Pelli-Robson对比敏感度和注视稳定性分析。一旦临床评估完成,患者参加了基于视觉刺激、设备训练和必要时心理支持的低视力康复途径。还评估了所需的放大倍率和阅读速度。结果全样本中,较好眼的平均BCVA为0.7(±0.2)LogMAR,较差眼的平均BCVA为1(±0.2)LogMAR。对于接受检查的患者来说,恢复阅读能力是最重要的焦点,因为整个样本中有85%的人要求恢复阅读能力。近距离活动的平均光学放大倍数为10.6(±9.1)正球面屈光度。整个样本在视力康复前的平均阅读速度为33.1(±18.2)个单词/分钟(wpm),在视力康复路径后增加到55.2(±33.1)个单词/分钟(wpm)。为了解决距离上的困难,规定了78个距离折射校正,10个伽利略望远镜和7个开普勒望远镜。对于中距离活动,建议使用22个补偿透镜和10个伽利略望远镜。此外,还对9例患者开了PC放大镜软件。65种偏振光医用滤光片被用来减少阳光的眩光。由于好眼固定不稳定(2°圆内32.3%(±19.7),4°圆内54.8%(±22.9)),伴眼视力< 1.2 LogMAR, 38名受试者在设备训练开始前参加了闪烁模式刺激的生物反馈康复训练。这些受试者的固定稳定性在2°和4°范围内分别显著提高至75.6(±14.9)和89.4(±19.5)(P < 0.05)。结论:参加基于多学科方法的定制低视力干预似乎可以有效改善AMD患者的视力功能。光学/电子放大镜和特定的视觉刺激程序都可以提高视觉性能。
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引用次数: 4
Assessment of Quality of Life of People who Stutter: A Cross-sectional Study 口吃者生活质量评估:一项横断面研究
Q1 REHABILITATION Pub Date : 2014-03-01 DOI: 10.4137/RPO.S19058
Gagan Bajaj, A. Varghese, J. Bhat, J. Deepthi
Stuttering is a complex communication disorder that impedes the normal flow and pattern of speech, which is characterized by involuntary audible or inaudible pause, repetitions, prolongations, blocks, etc. Other than the core behaviors, people who stutter experience various other problems such as fear, anxiety, depression, shame, etc., which can in turn affect the quality of life (QOL). The purpose of this study is to develop a questionnaire in order to assess the QOL of people who stutter. A total of 30 participants aged between 18 and 30 years were enrolled for the study. Out of the stutterers included, 15 were employed and 15 were non-employed/students. The study was carried out in two phases. The first phase involved the development of a questionnaire based on literature search and available tests. The second phase involved administering the validated questionnaire on the participants. The questionnaire consisted of six domains targeting (1) speech-related fear and anxiety, (2) interpersonal and social relationships, (3) behavioral reaction to stuttering, (4) educational status, (5) employment and job opportunity, and (6) effect of speech therapy. For each item, response scales were organized (2—almost always, 1—sometime, 0—not at all). Developed questionnaire showed good content validity for all the domains and questions. The result of Cronbach's alpha for each domain indicates moderate internal consistency and excellent internal consistency for the overall questionnaire. Multiple domains were observed to be affected among adults who stutter, and the differences were not found to be significantly different as compared to the available QOL data from other cultural settings.
口吃是一种复杂的交流障碍,它阻碍了正常的语言流动和模式,其特征是不自觉地听到或听不到停顿、重复、延长、阻塞等。除了这些核心行为外,口吃者还会经历各种其他问题,如恐惧、焦虑、抑郁、羞耻等,这些问题反过来会影响生活质量。本研究的目的是开发一份问卷,以评估口吃者的生活质量。共有30名年龄在18至30岁之间的参与者参加了这项研究。在被调查的口吃者中,15人有工作,15人没有工作/学生。这项研究分两个阶段进行。第一阶段涉及在文献检索和现有测试的基础上编制问卷。第二阶段包括对参与者进行有效的问卷调查。问卷包括6个领域,分别针对:(1)言语相关的恐惧和焦虑,(2)人际和社会关系,(3)对口吃的行为反应,(4)教育状况,(5)就业和工作机会,(6)言语治疗效果。对于每个项目,反应量表被组织(2 -几乎总是,1 -有时,0 -根本不)。所编制的问卷在各领域和问题上均显示出良好的内容效度。各域的Cronbach’s alpha检验结果表明,整体问卷的内部一致性为中等,内部一致性为优异。在口吃的成年人中观察到多个领域受到影响,与其他文化背景下的可用生活质量数据相比,差异没有发现显着差异。
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引用次数: 2
Physical Activity and Exercise Engagement in Patients Diagnosed with Transient Ischemic Attack and Mild/Non-disabling Stroke: A Commentary on Current Perspectives 短暂性脑缺血发作和轻度/非致残性脑卒中患者的身体活动和运动参与:对当前观点的评论
Q1 REHABILITATION Pub Date : 2014-03-01 DOI: 10.4137/RPO.S12338
J. Faulkner, Lee Stoner, D. Lambrick
Individuals diagnosed with a transient ischemic attack (TIA) or mild/non-disabling stroke are at high risk of cardiovascular or recurrent cerebrovascular (stroke, TIA) events. Pharmacological intervention (ie anti-platelet and anti-coagulant medication) is considered the cornerstone of secondary prevention care for this population group. However, recent research has explored the utility of non-pharmacological interventions (eg exercise, diet, education) in improving health outcomes and reducing the risk of secondary events in patients with TIA or mild/non-disabling stroke. This commentary discusses the efficacy of implementing exercise interventions as a part of the secondary care program for acute and non-acute TIA and stroke patients. Current perspectives and future research initiatives are also discussed.
被诊断为短暂性脑缺血发作(TIA)或轻度/非致残性中风的个体,心血管或复发性脑血管(中风,TIA)事件的风险很高。药物干预(即抗血小板和抗凝血药物)被认为是该人群二级预防护理的基石。然而,最近的研究已经探索了非药物干预(如运动、饮食、教育)在改善TIA或轻度/非致残性卒中患者的健康结果和降低继发性事件风险方面的效用。这篇评论讨论了将运动干预作为急性和非急性TIA和中风患者二级护理计划的一部分的效果。本文还讨论了当前的研究前景和未来的研究计划。
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引用次数: 3
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Rehabilitation Process and Outcome
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