Tyson Sarah, Selley Andrea
Centre for Rehabilitation and Human Performance Research, University of Salford, UK.
Disabil Rehabil. 2006;28(13-14):865-72. doi: 10.1080/09638280500535090.
The lack of information about the content of therapy packages is a frequent criticism in stroke rehabilitation research. This study aimed to describe, in detail, the content of one aspect of physiotherapy; the rehabilitation of postural control.
The design was a cross-sectional survey and the setting was in 11 NHS Trusts. The participants were 35 stroke physiotherapists working in acute and rehabilitation settings who recorded the treatment of 132 patients in 644 treatment sessions using the Stroke Physiotherapy Intervention Recording Tool. Analysis was carried out by descriptive statistics, one-way ANOVAS and chi-squares which were used to describe content of interventions and effects of the aim of treatment.
Physiotherapists' clinical practice focused on therapist-led interventions, which aimed to normalize muscle tone and promote normal movement patterns. The most frequent interventions were 'preparation for treatment' (n = 1969, 43%), 'practising balance and walking activities' (n = 1583, 34%) and 'practising functional tasks' (n = 703, 15%). Interventions to encourage independence or activity outside the treatment session were rarely used. This pattern was seen regardless of the aim of treatment (the restoration of sitting balance, standing balance or stepping/walking).
在中风康复研究中，治疗方案内容缺乏信息是一个常见的批评点。本研究旨在详细描述物理治疗一个方面的内容；姿势控制的康复。
设计为横断面调查，研究地点为11个国民保健服务信托基金。参与者是35名在急性和康复环境中工作的中风物理治疗师，他们使用中风物理治疗干预记录工具在644次治疗中记录了132名患者的治疗情况。通过描述性统计、单因素方差分析和卡方检验进行分析，以描述干预内容和治疗目标的效果。
物理治疗师的临床实践侧重于治疗师主导的干预，旨在使肌张力正常化并促进正常运动模式。最常见的干预措施是“治疗准备”（n = 1969，43%）、“练习平衡和行走活动”（n = 1583，34%）和“练习功能任务”（n = 703，15%）。很少使用鼓励在治疗期间之外独立或活动的干预措施。无论治疗目标是恢复坐位平衡、站立平衡还是跨步/行走，都呈现出这种模式。
