Sunderland A, Tinson D J, Bradley E L, Fletcher D, Langton Hewer R, Wade D T
Stroke Research Unit, Frenchay Hospital, Bristol, UK.
J Neurol Neurosurg Psychiatry. 1992 Jul;55(7):530-5. doi: 10.1136/jnnp.55.7.530.
Previous research on stroke rehabilitation has not established whether increase in physical therapy lead to better intrinsic recovery from hemiplegia. A detailed study was carried out of recovery of arm function after acute stroke, and compares orthodox physiotherapy with an enhanced therapy regime which increased the amount of treatment as well as using behavioural methods to encourage motor learning. In a single-blind randomised trial, 132 consecutive stroke patients were assigned to orthodox or enhanced therapy groups. At six months after stroke the enhanced therapy group showed a small but statistically significant advantage in recovery of strength, range and speed of movement. This effect seemed concentrated amongst those who had a milder initial impairment. More work is needed to discover the reasons for this improved recovery, and whether further development of this therapeutic approach might offer clinically significant gains for some patients.
先前关于中风康复的研究尚未确定物理治疗的增加是否会导致偏瘫患者更好的内在恢复。一项针对急性中风后手臂功能恢复的详细研究展开，将传统物理治疗与一种强化治疗方案进行了比较，该强化治疗方案不仅增加了治疗量，还采用行为方法来促进运动学习。在一项单盲随机试验中，132名连续的中风患者被分配到传统治疗组或强化治疗组。中风后六个月，强化治疗组在力量、运动范围和速度的恢复方面显示出虽小但在统计学上有显著意义的优势。这种效果似乎集中在那些初始损伤较轻的患者中。需要更多的研究来找出这种恢复改善的原因，以及这种治疗方法的进一步发展是否可能为一些患者带来临床上显著的益处。
