分析利用神经功能锻炼进行康复对脑卒中患者功能状态的影响。

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Clinical Medicine Pub Date : 2024-10-21 DOI:10.3390/jcm13206271
Rafał Studnicki, Karolina Studzińska, Tomasz Adamczewski, Rita Hansdorfer-Korzon, Maciek Krawczyk
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引用次数: 0

摘要

背景/目标:以神经功能锻炼为基础的物理康复可对恢复中风患者的功能和提高其生活质量产生积极影响。因此,本研究旨在分析包括神经功能锻炼在内的康复训练对脑卒中患者功能状态的影响。研究方法采用队列研究设计,包括 102 名男性和女性参与者:其中 51 名患者接受了包括神经功能锻炼在内的物理康复治疗(SG),另外 51 名患者没有接受基于神经功能锻炼的康复治疗(CG)。对参与者进行了两次评估:一次是在首次中风后入住早期神经内科期间,另一次是在六个月后。评估采用巴特尔量表(BS)、兰金量表(RS)和美国国立卫生研究院卒中量表(NIHSS)。结果:基线比较显示,与 SG 相比,CG 的 BS 明显更高(p = 0.001)。相反,基线时 SG 的 NIHSS 明显高于 CG(p = 0.001),RS 也高于 CG(p < 0.001)。在 SG 中,BS 显著增加(p < 0.001),而 RS(p = 0.537)和 NIHSS(p = 0.475)在基线和 6 个月后无显著差异。至于 CG,BS(p = 0.005)和 NIHSS(p < 0.001)均有明显增加,而 RS(p = 0.335)则无明显差异。结论总之,本研究表明,纳入神经功能锻炼似乎对患者的病情进展没有显著作用。对照组参与家庭活动的患者病情有了更大的改善。
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Analyzing the Impact of Rehabilitation Utilizing Neurofunctional Exercises on the Functional Status of Stroke Patients.

Background/Objectives: Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the effects of rehabilitation, including neurofunctional exercises, on the functional status of stroke patients. Methods: The cohort study design included 102 male and female participants: 51 patients underwent physiotherapy rehabilitation including neurofunctional exercises (SG), while the other 51 did not follow a rehabilitation program based on neurofunctional exercises (CG). The participants were assessed twice: once during their stay in the early neurology department after the first stroke, and again six months later. The assessments were conducted using the Barthel Scale (BS), the Rankin Scale (RS), and the National Institutes of Health Stroke Scale (NIHSS). Results: Baseline comparisons revealed significantly greater BS (p = 0.001) in the CG compared to the SG. Conversely, the SG had a significantly higher NIHSS than the CG at baseline (p = 0.001), as well as higher RS (p < 0.001). Within the SG, there were significant increases in BS (p < 0.001), while no significant differences were found between baseline and post 6 months in RS (p = 0.537) and NIHSS (p = 0.475). Regarding the CG, significant increases were observed in BS (p = 0.005) and NIHSS (p < 0.001), while no significant differences were found in RS (p = 0.335). Conclusions: In conclusion, this study reveals that incorporating neurofunctional exercises does not appear to play a significant role in the patients' progress. The controlled group, engaged in home-based activities, showed greater improvements in their condition.

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来源期刊
Journal of Clinical Medicine
Journal of Clinical Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.70
自引率
7.70%
发文量
6468
审稿时长
16.32 days
期刊介绍: Journal of Clinical Medicine (ISSN 2077-0383), is an international scientific open access journal, providing a platform for advances in health care/clinical practices, the study of direct observation of patients and general medical research. This multi-disciplinary journal is aimed at a wide audience of medical researchers and healthcare professionals. Unique features of this journal: manuscripts regarding original research and ideas will be particularly welcomed.JCM also accepts reviews, communications, and short notes. There is no limit to publication length: our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible.
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