研究多学科康复干预对脑卒中患者的益处

Ilsa Waqi Khunsha, Farwa Azmat, Haris Hassan, Affaf Ameen, Sundus Fatima, Faiza Badar, Ayesha Farrukh
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摘要

背景:脑卒中是导致死亡和残疾的全球第二大原因,影响着 8000 万有后遗症的幸存者。一项随机对照试验比较了综合康复方法和传统物理疗法对中风康复的作用:该研究是一项随机对照试验,对 40-60 岁的中风后患者进行了为期四个月的综合康复疗法与传统康复疗法的比较。研究在一家多学科康复中心进行,共有 90 人参加,每组 45 人。实验组接受综合康复治疗,包括提高平衡能力的定制物理治疗、针对精细运动技能的职业治疗以及解决吞咽和交流问题的语言治疗。对照组则接受以物理疗法为主的常规康复治疗,省略了职业疗法和语言疗法等综合疗法:结果:对研究结果的分析表明,跨学科康复计划在改善患者病情方面取得了明显更好的效果(P<0.05)。研究结果证明,在综合康复计划实施四个月后,平衡、精细运动功能、吞咽和吞咽困难等所有结果指标在组内和组间分析中均有明显改善(P<0.05):包括物理、职业和言语治疗在内的跨学科康复计划比传统康复方法取得了更明显的效果。结果凸显了综合策略在改善吞咽/吞咽困难、精细运动功能和平衡能力方面的效果:物理治疗 职业治疗 中风后患者 言语治疗
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Examining the Benefits of Multidisciplinary Rehabilitation Intervention for Stroke Patients
Background: Stroke is the second leading global cause of death and disability, affecting 80 million survivors with residual symptoms. Rehabilitation, involving an interdisciplinary team approach, plays a crucial role in enhancing functional recovery, addressing deficits in fine motor skills, cognition, and communication through customized therapies, as highlighted in a randomized controlled trial comparing integrated rehabilitation approaches to conventional physical therapy for stroke recovery. Methods: The study was a randomized controlled trial comparing integrated rehabilitation approaches with conventional rehabilitation in post-stroke patients aged 40-60 years over a four-month period. Conducted in a multidisciplinary rehabilitation center, the study included 90 participants, with 45 in each group. The experimental group received integrated rehabilitation involving tailored physical therapy to enhance balance, occupational therapy targeting fine motor skills, and speech therapy addressing swallowing and communication issues. The control group underwent conventional rehabilitation primarily focusing on physical therapy, omitting integrated approaches like occupational and speech therapy. Results: The analysis of the findings had revealed that interdisciplinary rehabilitation program yielded a significantly better results p<0.05 in improving patients’ conditions. The findings provided evidences that all outcome measures that were balance, fine motor function and swallowing and dysphagia were significantly improved p<0.05 both at within and between the group analyses after four months of integrated rehabilitation program. Conclusion: The interdisciplinary rehabilitation programme that included physical, occupational, and speech therapies producednoticeably better outcomes than the conventional rehabilitation methods. The results highlight how well the integrated strategy works to improve swallowing/dysphagia, fine motor function, and balance outcomes. Keywords: Physical Therapy, Occupational Therapy, Post-stroke Patients, Speech Therapy
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