Archives of physical medicine and rehabilitation最新文献_第9页

Development and Evaluation of an Item Pool of “Movement-Related Body Functions in the Context of Task Performance” “任务表现背景下运动相关身体功能”项目库的开发与评价。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/j.apmr.2025.06.009

M.J. Mulcahey PhD , Nicole M. Gerhardt OTD , Rachel Y. Kim OTD , Namrata Grampurohit PhD , Maclain Capron MPH

Objective

The study aimed to describe the development and evaluation of an item pool for a new performance-based clinical outcome assessment (COA), the Spinal Cord Injury Movement Index (SCI-MovIn).

Design

Iterative focus groups, one-on-one consultations and field-testing sessions were used to develop the conceptual model for the SCI-MovIn measurement construct, establish an item pool consisting of candidate items with 5 response categories, and create standardized guidelines for set-up, administration, and scoring. Trained therapists administered 61 items to individuals with spinal cord injury (SCI) for inter- and intrarater reliability testing.

Setting

Academic institution in an urban area.

Participants

Professionals with measurement/SCI expertise participated in focus groups. Individuals with SCI engaged in field-testing and reliability testing sessions.

Main Outcome Measure(s)

Total percent exact agreement between paired raters was calculated. Cronbach’s alpha (α) and intraclass correlation coefficient (ICC) with 95% confidence interval (CI) were used to examine internal consistency. Intra- and interrater reliability were measured using ICCs.

Results

Through iterative focus groups with 18 SCI/measurement professionals and 24 field-testing sessions with 10 individuals with SCI, 226 items were developed, 132 of which were eliminated. The reliability testing sample consisted of 33 adults who sustained SCI an average of 13.2 years before participation. Of the 1215 paired scores from administration of 61 SCI-MovIn items, raters’ scores were identical for 833 (68.6%). Internal consistency was high (α=0.948). Reliability of repeated SCI-MovIn scores was high for both intrarater (ICC=0.992; CI=0.983-0.996) and interrater (ICC=0.887; CI=0.873-0.899) reliability.

Conclusion

The next step is a large-scale study to transform the item pool into a calibrated item bank from which tailored short forms can be developed.

目的：描述一种新的基于性能的临床结果评估（COA）——脊髓损伤运动指数（SCI-MovIn）的项目池的开发和评估。设计：采用迭代焦点小组、一对一咨询和现场测试等方法，开发SCI-MovIn测量结构的概念模型，建立由五个反应类别的候选项目组成的题库，并创建标准化的设置、管理和评分指南。训练有素的治疗师对脊髓损伤（SCI）患者进行了61个项目的评分间和评分内信度测试。环境：市区的学术机构。参与者：具有测量/SCI专业知识的专业人员参与焦点小组。参与现场测试和可靠性测试的SCI患者。主要结果测量：计算配对评分者之间准确一致的总百分比。采用95%置信区间（CI）的Cronbach’s alpha （α）和class内相关系数（ICC）检验内部一致性。使用icc测量评分者内部和评分者之间的信度。结果：通过18名SCI/测量专业人员的反复焦点小组和10名SCI患者的24次实地测试，共开发了226个项目，淘汰了132个项目。信度测试样本包括33名成年人，他们在参与前平均患有脊髓损伤13.2年。在61个SCI-MovIn项目的1215个配对分数中，评分者的分数相同的有833个（68.6%）。内部一致性高（α=.948）。重复SCI-MovIn评分的信度在两组评分者（ICC=）中均较高。992， CI=.983,.996)和inter-rater (ICC=。887， CI=.873,.899)信度。结论：下一步需要进行大规模的研究，将题库转化为标准的题库，从而开发出针对性的短表单。

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引用次数: 0

Archives Supplements 档案补充

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/S0003-9993(25)01094-9

引用次数: 0

Mental and Physical Well-Being of Informal Stroke Caregivers Compared With Noncaregiver Family and Friends 非正式中风照护者与非照护者家人和朋友的身心健康比较。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/j.apmr.2025.06.020

Lynda D. Lisabeth PhD , Linda C. Gallo PhD , Janet Prvu Bettger ScD , Madeline Kwicklis MS , Elizabeth M. Almendarez MPH, MSSW , Erin Case BA , Melinda A. Smith DrPH , Lewis B. Morgenstern MD

Objective

To compare physical/mental health in caregivers and noncaregiver family/friends of stroke survivors within a population-based study.

Design

Study is a cohort study design with data from medical records and interviews.

Setting

Population-based stroke study in south Texas.

Participants

Stroke survivors and their informal caregivers and noncaregiver family and friends.

Interventions

Not applicable.

Main Outcome Measures

Physical/mental health measures included Patient Health Questionnaire-8 (PHQ-8; range, 0-24; higher→worse); Patient-Reported Outcomes Measurement Information System-10 physical (range, 16.2-67.7) and mental health (range, 21.2-67.6) summary scores (higher→better) at 90 days poststroke.

Results

Compared with noncaregivers (n=360), caregivers (n=320) had lower socioeconomic status, were more likely women, Mexican American, offspring rather than spouse of care recipient, and to reside with a stroke survivor. Median PHQ-8 scores were worse in caregivers (median=4; IQR, 1-8, mild) than noncaregivers (median=2; IQR, 0-5; no depression). Physical (median=47.7; IQR, 39.8-54.1; median=50.8; IQR, 44.9-57.7) and mental health (median=45.8; IQR, 41.1-50.8; median=50.8; IQR, 45.8-56.0) scores were good to very good in caregivers and noncaregivers, respectively. Caregivers had greater depression symptoms (β=1.5; 95% confidence interval [CI], 0.5-2.5) and worse physical (β=−2.2; 95% CI, −4.0 to −0.4) and mental health (β=−3.2; 95% CI, −5.1 to −1.4) than noncaregivers.

Conclusions

Physical/mental health in caregivers has rarely been compared with those not in the caregiving role. In this study, which controlled for the effect of having a family member or friend with stroke, caregivers had worse physical/mental health than noncaregivers, suggesting that caregiver interventions may improve well-being.

目的：在一项基于人群的研究中，比较中风幸存者的照顾者和非照顾者家庭/朋友的身体/心理健康状况。设计：研究采用队列研究设计，数据来自医疗记录和访谈。背景：基于人群的中风研究，在Nueces县，德克萨斯州。参与者：中风幸存者和他们的非正式照顾者和非照顾者的家人和朋友。干预措施：不适用。主要结局指标：身心健康指标包括患者健康问卷-8 （PHQ-8，范围0-24，高→差）；卒中后90天的身体（16.2-67.7）和心理健康（21.2-67.6）综合评分（高→好）。结果：与非照护者（n=360）相比，照护者（n=320）的社会经济地位较低，更有可能是女性、墨西哥裔美国人、照护者的后代而不是配偶，并且与中风幸存者住在一起。照顾者的PHQ-8得分中位数（中位数=4,IQR:1-8，轻度）低于非照顾者（中位数=2,IQR:0-5，无抑郁）。生理(中位数=47.7,IQR:39.8,54.1；中位数=50.8,IQR:44.9,57.7)和心理健康(中位数=45.8,IQR:41.1,50.8；中位数=50.8,IQR:45.8,56.0)，照顾者和非照顾者的评分分别为好到非常好。照顾者有更大的抑郁症状（β=1.5, 95% CI:0.5-2.5）和更差的身体（β=-2.2, 95% CI:-4.0,-0.4）和心理健康（β=-3.2, 95% CI:-5.1,-1.4）比非照顾者。结论：很少将照护者的身心健康与非照护者进行比较。在这项研究中，控制了有家庭成员或朋友中风的影响，照顾者的身体/心理健康状况比非照顾者更差，这表明照顾者的干预可能会改善幸福感。

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引用次数: 0

Psychological Transdiagnostic Processes in Mild Traumatic Brain Injury Recovery: A Scoping Review 轻度创伤性脑损伤恢复的心理诊断过程：范围综述。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/j.apmr.2025.07.014

Caitlin Courchesne MSc , Medha Amarnath Nair MA , Marc Gelineau BA , Liam McCloskey BA , Josh Faulkner PhD , Molly Cairncross PhD

Objectives

To examine the extent to which psychological transdiagnostic processes have been investigated in relation to mild traumatic brain injury (mTBI) recovery outcomes, summarize methodological approaches, and evaluate consistency among transdiagnostic processes and outcome measures.

Data Sources

Five databases (Ovid MEDLINE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Scopus, and Web of Science) were searched from inception to October 2024. Eleven transdiagnostic processes were identified for inclusion based on a review of existing systematic reviews and meta-analyses establishing transdiagnostic relevance across a range of psychological disorders: attentional bias, avoidance, emotion regulation, flexibility, interpretation bias, intolerance of uncertainty, neuroticism, perfectionism, repetitive negative thinking, self-discrepancy, and shame.

Study Selection

Peer-reviewed, empirical studies published in English were included if they involved human participants with mTBI predominantly aged ≥18 years and reported ≥1 association between a transdiagnostic process and an mTBI recovery outcome.

Data Extraction

Three reviewers extracted data on study design, sample characteristics, transdiagnostic processes and their associated mTBI outcome measures, and analytical approaches using a standardized extraction form.

Data Synthesis

Sixty-seven studies published between 1995 and 2024 were included, yielding 118 transdiagnostic process–outcome associations. Avoidance (29%), flexibility (29%), and interpretation bias (25%) were the most frequently investigated transdiagnostic processes; symptom severity (36%) and disability (18%) were the most frequently reported outcomes. No studies examined associations involving attentional bias, emotion regulation, or perfectionism. Substantial heterogeneity in transdiagnostic processes and outcome measurement was observed. While most studies employed quantitative analysis methods, qualitative approaches uniquely captured less represented transdiagnostic process–outcome associations (eg, intolerance of uncertainty, self-discrepancy, shame).

Conclusions

Although interest in transdiagnostic processes and mTBI recovery is growing, current investigations are centered on a narrow range of psychological constructs. Broader investigation of transdiagnostic processes known to maintain psychopathology and greater methodological consistency are needed.

目的：研究心理跨诊断过程（TPs）与轻度创伤性脑损伤（mTBI）恢复结果的关系，总结方法方法，并评估TP和结果测量之间的一致性。数据来源：检索5个数据库（Ovid MEDLINE、PsycINFO、CINAHL、Scopus和Web of Science），检索时间从成立到2024年10月。通过对现有的系统综述和荟萃分析的回顾，确定了11个tp，并在一系列心理障碍中建立了跨诊断相关性：注意偏差、回避、情绪调节、灵活性、解释偏差、对不确定性的不容忍、神经质、完美主义、重复性消极思维、自我差异和羞耻。研究选择：同行评议的、以英文发表的实证研究被纳入，如果这些研究涉及年龄主要≥18岁的mTBI患者，并且报告TP与mTBI恢复结果之间至少有一种关联。数据提取：三位审稿人使用标准化的提取表格提取研究设计、样本特征、TPs及其相关mTBI结果测量和分析方法的数据。数据综合：纳入了1995年至2024年间发表的67项研究，得出118个tp结局关联。回避（29%）、灵活性（29%）和解释偏差（25%）是最常被调查的TPs；症状严重（36%）和残疾（18%）是最常见的报道结果。没有研究调查了与注意偏差、情绪调节或完美主义有关的关联。观察到TP和结果测量的实质性异质性。虽然大多数研究采用定量分析方法，但定性方法独特地捕获了较少代表性的tp -结果关联（例如，对不确定性的不容忍、自我差异、羞耻）。结论：尽管对TPs和mTBI恢复的兴趣越来越大，但目前的研究主要集中在狭窄的心理结构上。需要对已知维持精神病理的TPs进行更广泛的调查和更大的方法一致性。

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引用次数: 0

Ed Board page 教育版面

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/S0003-9993(25)01078-0

引用次数: 0

Guiding Technology Adoption in Rehabilitation: A Framework From the Rehabilitation Technology Implementation for Promising Solutions (Rehab TIPS) Workgroup 指导康复技术的应用：康复技术实施前景解决方案（康复TIPS）工作小组的框架。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/j.apmr.2025.08.008

Michelle R. Rauzi DPT, ATC, PhD , Swapna Balakrishnan DPT , Sheryl M. Flynn PT, PhD , Julie J. Keysor PT, PhD , Helen M. Hoenig MD, MPH

There is an unprecedented growth in health and rehabilitation technologies influencing service delivery. Although adopting emergent or existent technologies may add value to rehabilitation services and outcomes, clinicians face uncertainties on whether and how to adopt new technologies. Because of these challenges, rehabilitation stakeholders need to be active agents in the development, adoption, and ongoing evaluation of a given technology’s effect. This special communication presents the Rehabilitation Technology Implementation for Promising Solutions (Rehab TIPS) Framework. This Framework, designed by the multidisciplinary Rehab TIPS workgroup, integrates established theories toward guiding rehabilitation clinicians in a systematic process of selecting and adopting valuable technologies. This special communication details the underlying models that informed the Rehab TIPS Framework. Then, the 2 components of the Rehab TIPS Framework are outlined: (1) a decision-making process to guide the selection of appropriate technologies for adoption, and (2) the 3 phases of technology adoption by individuals within a socioecological context. Finally, we discuss how the Rehab TIPS Framework can be used in the rehabilitation field, including future directions for advancing the science and practice of technology adoption in rehabilitation.

影响服务提供的保健和康复技术出现了前所未有的增长。虽然采用新兴或现有的技术可能会增加康复服务和结果的价值，但临床医生面临是否以及如何采用新技术的不确定性。由于存在这些挑战，康复利益相关者需要积极参与特定技术影响的开发、采用和持续评估。本特别通讯介绍了有希望解决方案的康复技术实施（康复TIPS）框架。该框架由多学科康复TIPS工作组设计，整合了现有的理论，指导康复临床医生在系统的过程中选择和采用有价值的技术。这种特殊的通信详细说明了告知康复TIPS框架的底层模型。然后，概述了康复TIPS框架的两个组成部分：1)指导选择适当技术的决策过程，以及2)在社会生态背景下个人采用技术的三个阶段。最后，我们讨论了如何将康复TIPS框架应用于康复领域，包括推进康复技术应用的科学和实践的未来方向。

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引用次数: 0

Domains, Trends, and Uptake of Common Data Elements in Intervention Studies Focused on Recovery of Consciousness in Severe Brain Injury From 1986 to 2020: A Scoping Review 1986年至2020年重度脑损伤患者意识恢复干预研究的领域、趋势和共同数据元素的吸收：范围综述

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2026-01-01 DOI: 10.1016/j.apmr.2025.07.021

Jennifer A. Weaver PhD, OTR/L , Alison M. Cogan PhD , Vera Pertsovskaya MD , Parie Bhandari MPH , Bint-e Z. Awan BA , Sara Lewis MS, OTR/L , Angela Hartman OTD, OTR/L , Kristen Maisano OTD, MAEd , Tom Harrod MLIS , Theresa L. Bender Pape DrPH , Trudy Mallinson PhD , Recovery of Consciousness Study Team

Objective

To evaluate the range and typology of primary clinical outcome assessments used in intervention studies promoting recovery of consciousness for patients with disorders of consciousness. A secondary aim was to examine the extent to which the introduction of common data elements (CDE) has reduced the heterogeneity of primary clinical outcome assessments in studies that include participants with disorders of consciousness.

Data Sources

We searched for articles across 5 databases including Cochrane, Embase, PsycInfo, PubMed, and Scopus.

Study Selection

We selected articles that focused on facilitating recovery of consciousness among adults with disorders of consciousness after severe traumatic brain injury.

Data Extraction

We extracted the study year, primary clinical outcome assessment, and funding source.

Data Synthesis

We classified the primary clinical outcome by International Classification of Functioning, Disability, and Health domain and CDE status. A total of 75 primary clinical outcome assessments were extracted from 306 included articles representing 307 studies; 45 primary clinical outcome assessments (60%) aligned with the International Classification of Functioning, Disability, and Health Body Function domain. The proportion of articles with US federal funding that reported a CDE as the clinical outcome assessment did not differ by year published.

Conclusions

Implementation of CDEs in 2010 did not substantively change the utilization of clinical outcome assessments that are CDEs because these were already more likely to be reported than non-CDEs. Overall, the wide variation in primary clinical outcome assessments used in intervention studies facilitating recovery of consciousness limits the ability to conduct meta-analyses, which are needed to increase the strength of evidence for disorders of consciousness interventions.

目的：我们的范围综述的主要目的是评估用于促进意识障碍（DoC）患者意识恢复的干预研究的主要临床结果评估的范围和类型。第二个目的是检查引入公共数据元素（CDE）在多大程度上降低了DoC研究中主要临床结果评估的异质性。数据来源：我们搜索了五个数据库中的文章：Cochrane、Embase、PsycInfo、PubMed和Scopus。研究选择：我们选择了关注于促进严重创伤性脑损伤后成人DoC患者意识恢复的文章。资料提取：我们提取了研究年份、主要临床结果评估和资金来源。数据综合：我们根据国际功能、残疾和健康分类（ICF）领域和CDE状态对主要临床结局进行分类。从307篇纳入的文章中提取了75项主要临床结局评估；45项主要临床结果评估（60%）与ICF机体功能域一致。在美国联邦资助的文章中，将CDE作为临床结果评估的比例在发表年份之间没有差异。结论：2010年CDEs的实施并没有实质性地改变CDEs临床结果评估的使用，因为这些已经比非CDEs更有可能被报道。总的来说，促进意识恢复的干预研究中使用的主要临床结果评估差异很大，限制了进行meta分析的能力，而meta分析是增加DoC干预证据强度所必需的。

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引用次数: 0

Action Observation and Motor Imagery During Hand Immobilization Period Accelerate Motor and Functional Recovery in Patients With Surgical Fixation for Distal Radial Fractures: A Randomized Controlled Trial. 一项随机对照试验：手部固定期间的动作观察和运动成像加速桡骨远端骨折手术固定患者的运动和功能恢复。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2025-12-31 DOI: 10.1016/j.apmr.2025.12.015

Francesco Scandelli, Federico Temporiti, Simona Vecchi, Niccolò Manes, Alessandro Pozzi, Luca Rajevich, Giorgio Pivato, Roberto Gatti

Objective: To investigate the effects of an action observation (AO) and motor imagery (MI) training compared with the standard care pathway on motor and functional recovery in patients with surgical fixation after distal radial fractures (DRF).

Design: Two-armed single-blind randomized controlled trial.

Setting: Outpatient hand rehabilitation unit.

Participants: Forty right-handed participants (N=40) who underwent surgical fixation for right DRF.

Interventions: Participants allocated to AOMI group performed an AO and MI training during immobilization period, whereas participants allocated to control group followed a routinary care pathway. Both groups performed a 5-week rehabilitation program after immobilization end.

Main outcome and measures: Primary outcome was hand dexterity (Purdue Pegboard Test). Secondary outcomes were active range of motion, pinch and grip strength, and hand function (Patient-Rated Wrist/Hand Evaluation [PRWHE]). Outcomes were assessed at the end of immobilization, after a 5-week rehabilitation program, and at 6-month follow-up.

Results: AOMI group revealed better R-task score of the PPT (mean difference: 1.9; 95% CI, 0.8-3.0), PRWHE-pain (median difference: -6.0; 95% CI, -11.0 to -1.0), and PRWHE-specific-activity (median difference: -10.0; 95% CI, -18.0 to -2.0) subscores and total PRWHE score (median difference: -12.8; 95% CI, -23.8 to -4.0) compared with control group at physiotherapy program end. Moreover, AOMI group revealed higher pinch and grip strength than control group at immobilization end (median difference: grip 4.6, 95% CI_, 2.0-7.7; pinch 1.9, 95% CI, 0.3-3.2).

Conclusions: AO and MI during the immobilization period accelerated the recovery of hand dexterity and function in patients with surgical fixation for DRF. These findings suggested the incorporation of AO and MI in the care pathway of patients undergoing immobilization after surgery for DRF.

目的：探讨与标准护理途径相比，动作观察（AO）和运动想象（MI）训练对桡骨远端骨折（DRF）手术固定患者运动和功能恢复的影响。设计：双臂单盲随机对照试验。环境：门诊手部康复科。参与者：40名右撇子接受右DRF手术固定的参与者。干预措施：分配到AOMI组的参与者在固定期间进行AO和MI训练，而分配到对照组的参与者则遵循常规护理途径。两组均在固定结束后进行5周的康复计划。主要观察指标：主要观察指标为手灵巧度（普渡钉板测试- PPT）。次要结果是活动范围、捏握力量和手功能（患者评定腕/手评估- PRWHE）。结果评估在固定结束后，5周的康复计划和6个月的随访。结果：AOMI组在物理治疗方案结束时PPT r -任务评分（平均差1.9,CI95 0.8,3.0）、PRWHE疼痛（中位数差-6.0,CI95 -11.0,-1.0）、PRWHE特异性活性（中位数差-10.0,CI95 -18.0,-2.0）子评分和PRWHE总评分（中位数差-12.8,CI95 -23.8,-4.0）均优于对照组。此外，AOMI组在固定结束时的捏握力和握力均高于对照组（中位差：握力4.6 CI95 2.0,7.7；捏力1.9 CI95 0.3,3.2）。结论：固定期间的AO和MI加速了DRF手术固定患者手部灵巧性和功能的恢复。这些发现表明，在DRF术后固定患者的护理途径中，AO和MI的结合。

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引用次数: 0

Guide to Effectively Including People With Aphasia in Research. 有效地将失语症患者纳入研究指南。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2025-12-31 DOI: 10.1016/j.apmr.2025.11.022

Stacy Chrzastowski, Elizabeth Salley, Leora R Cherney

引用次数: 0

Enhancing Plantar Sensation via Bilateral Plantar Kinesio Taping Improves Gait Ability in Patients With Subacute Stroke: A Randomized Controlled Trial. 通过双侧足底肌内修贴带增强足底感觉可改善亚急性卒中患者的步态能力：一项随机对照试验。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation

Pub Date : 2025-12-31 DOI: 10.1016/j.apmr.2025.12.013

Seongho Yun, Youngsook Bae

Objective: To identify the effects of bilateral plantar kinesio taping (BP-KT) combined with conventional therapy (CT) on plantar tactile sensation (PTS) and gait ability in patients with subacute stroke by comparing BP-KT with tibialis anterior KT (TA-KT).

Design: A single-center, participant-blinded, randomized controlled trial.

Setting: Rehabilitation center.

Participants: Fifty-two subacute stroke survivors (N=52) were randomly assigned to one of 2 groups.

Interventions: All participants performed 30 minutes of CT, and each group additionally received either BP-KT or TA-KT. Both interventions were performed 5 times a week for a 4-week period.

Main outcome measures: The primary outcome was PTS. The secondary outcomes included spatiotemporal gait parameters (step length, stance phase, swing phase, step width, cadence, and velocity) and the variability of these parameters.

Results: The BP-KT group showed statistically significant improvements in PTS at the first metatarsal head (P=.003; η²=0.159), fifth metatarsal head (P=.025; η²=0.096), and lateral longitudinal area (P=.015; η²=0.114). Statistically significant improvements were observed in the BP-KT group compared with those in the TA-KT group in step length (P=.005; η²=0.679), single stance (P=.037; η²=0.084), and velocity (P=.018; η²=0.180). There was a statistically significant decrease in the coefficient of variation for step length (P=.042; η²=0.080) and step width (P=.018; η²=0.107).

Conclusions: BP-KT combined with CT effectively enhanced PTS and gait ability in patients with subacute stroke, and it proved to be more effective than TA-KT combined with CT. These findings suggest that BP-KT may be a useful adjunctive method for gait rehabilitation in patients with stroke..

目的：通过比较双侧足底运动贴带（BP-KT）与胫前肌运动贴带（TA-KT）对亚急性脑卒中患者足底触觉（PTS）和步态能力的影响，探讨双侧足底运动贴带（BP-KT）联合常规治疗（CT）对足底触觉（PTS）的影响。设计：单中心、参与者盲法、随机对照试验设置：康复中心参与者：52名亚急性中风幸存者被随机分为两组。干预：所有参与者进行30分钟CT，每组额外接受BP-KT或TA-KT。两种干预措施每周进行5次，持续4周。主要观察指标：主要观察指标为PTS。次要结果包括时空步态参数（步长、站立相位、摇摆相位、步宽、节奏和速度）以及这些参数的可变性。结果：BP-KT组第一跖骨头PTS （p=0.003, η²=0.159）、第五跖骨头PTS （p=0.025, η²=0.096）、外侧纵面积PTS （p=0.015, η²=0.114）均有统计学意义的改善。与TA-KT组相比，BP-KT组在步长（p=0.005, η²=0.679）、单站位（p=0.037, η²=0.084）和速度（p=0.018, η²=0.180）方面均有统计学意义的改善。步长（p=0.042, η²=0.080）和步宽（p=0.018, η²=0.107）的变异系数均有统计学意义的降低。结论：BP-KT联合CT可有效改善亚急性脑卒中患者PTS及步态能力，且效果优于TA-KT联合CT。这些发现表明BP-KT可能是卒中患者步态康复的一种有用的辅助方法。

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引用次数: 0