Landi Francesco, Cesari Matteo, Onder Graziano, Tafani Alessia, Zamboni Valentina, Cocchi Alberto
Department of Gerontology-Geriatric and Physiatric, Catholic University of Sacred Heart, Rome, Italy.
Gerontology. 2006;52(2):85-91. doi: 10.1159/000090953.
During the last decade, occupational therapy has gained increasing importance as component of the rehabilitation programs in disabled patients.
To evaluate the efficacy of occupational therapy programs in patients with a recent stroke.
We selected all patients with a primary diagnosis of ischemic stroke (n = 50) consecutively admitted to the two post-acute Geriatric Rehabilitation Units (CEMI 2 and 3) of the 'A. Gemelli' Hospital--Catholic University of Sacred Heart, Rome, Italy. Patients in the unit CEMI 3 (intervention group) received 8 weeks (3 h per day) of a combined rehabilitation program based on occupational therapy and physiotherapy. Patients admitted to the control unit (CEMI 2) received no input from the occupational therapist.
Overall, patients had a moderate-to-severe impairment in basic activities of daily living; the mean ADL score was 30.8 (SD +/- 7.8) in the intervention group and 30.7 (SD +/- 6.1) in the control group (p = 0.9). After 8 weeks of treatment the mean ADL score in the intervention group was 13.2 (SD +/- 9.9) compared to 20.3 (SD +/- 11.5) in the control group (p = 0.02). Differences between the intervention and control groups were statistically significant for transfers (+2.8 vs. +1.6 points on the ADL scale, p = 0.006), locomotion (+3.4 vs. +1.7 points on the ADL scale, p = 0.01), dressing (+3.0 vs. +1.8 points on the ADL scale, p = 0.01) and self-care (+3.4 vs. +1.8 points on the ADL scale, p = 0.005).
Our results show that patients with stroke who received occupational therapy had a greater level of independence in activities of daily living over a period of 8 weeks than patients who did not.
在过去十年中，职业治疗作为残疾患者康复计划的一部分，其重要性日益增加。
评估职业治疗计划对近期中风患者的疗效。
我们连续选取了意大利罗马圣心天主教大学“A. Gemelli”医院两个急性后老年康复单元（CEMI 2和3）中所有初步诊断为缺血性中风的患者（n = 50）。CEMI 3单元的患者（干预组）接受了为期8周（每天3小时）的基于职业治疗和物理治疗的综合康复计划。入住对照单元（CEMI 2）的患者未接受职业治疗师的干预。
总体而言，患者在日常生活基本活动中存在中度至重度损伤；干预组的平均日常生活活动（ADL）评分为30.8（标准差±7.8），对照组为30.7（标准差±6.1）（p = 0.9）。经过8周治疗后，干预组的平均ADL评分为13.2（标准差±9.9），而对照组为20.3（标准差±11.5）（p = 0.02）。干预组与对照组在转移（ADL量表上分别为+2.8分和+1.6分，p = 0.006）、移动（ADL量表上分别为+3.4分和+1.7分，p = 0.01）、穿衣（ADL量表上分别为+3.0分和+1.8分，p = 0.01）和自我护理（ADL量表上分别为+3.4分和+1.8分，p = 0.005）方面的差异具有统计学意义。
我们的结果表明，在8周的时间里，接受职业治疗的中风患者在日常生活活动中的独立程度高于未接受治疗的患者。
