Walker Marion F
Division of Rehabilitation and Ageing, University of Nottingham, Queen's Medical Centre, UK.
J Rehabil Med. 2007 Apr;39(3):193-7. doi: 10.2340/16501977-0063.
The evidence to support stroke rehabilitation has expanded dramatically in the last decade. In order to ensure that the resultant research findings can be generalized to all patients after stroke, research in the next decade must shift to multicentre trial activity. Published evidence from the stroke unit, early supported discharge and out-patient trials is strong and supports the beneficial effects of these stroke rehabilitation services. Evidence for individual therapeutic practices is continuing to develop, but in many areas further research is required. The benefits of task-specific interventions and the need to practise these with intensity are core findings from the current research literature. Technological and capacity-building advances, along with newly developing stroke research networks, will ensure that the future of stroke rehabilitation is strong and progressing towards becoming truly evidence-based.
在过去十年中，支持中风康复的证据急剧增加。为确保由此产生的研究结果能够推广到所有中风患者，未来十年的研究必须转向多中心试验活动。来自中风单元、早期支持出院和门诊试验的已发表证据充分，支持这些中风康复服务的有益效果。关于个体治疗方法的证据仍在不断发展，但在许多领域仍需进一步研究。特定任务干预的益处以及高强度练习这些干预的必要性是当前研究文献的核心发现。技术和能力建设的进步，以及新发展的中风研究网络，将确保中风康复的未来前景广阔，并朝着真正基于证据的方向发展。
