Aidar F J, Silva A J, Reis V M, Carneiro A, Carneiro-Cotta S
Departamento de Ciencias del Deporte, Universidade Trás-os-Montes e Alto Douro, Vila Real, Portugal.
Rev Neurol. 2007;45(9):518-22.
Cerebrovascular accidents (CVA) are the third most common cause of death and are the main cause of permanent disability in the western world, where they also rank first as regards the loss of years of disability-adapted independent life. Ischaemic CVAs tend to present irreversible sequelae, which reduces the patient's quality of life.
To analyse the effect of a series of exercises carried out in water on the quality of life of patients who have had an ischaemic CVA.
Two groups were studied: an experimental group made up of 15 subjects aged 50.3 +/- 9.1 years, and a control group consisting of 13 subjects aged 52.5 +/- 7.7 years. The experimental group followed a 12-week programme of aquatic physical exercises. The two groups were evaluated in a pre- and post-treatment and then results from both groups were compared. Data were collected by administering a generic health-related quality of life survey (SF-36).
Significant differences were found between the pre- and post-treatment in the experimental group. In the between-groups evaluation, significant differences were recorded with regard to functional capacity, physical aspects, pain, general state of health, vitality, social aspects and mental health.
Doing physical exercises in water tends to improve motor behaviour, with a greater degree of independence, significant improvements in functional capacity and other aspects linked to physical aptitude. As a result, the level of quality of life of individuals affected by ischaemic CVA is enhanced.
脑血管意外（CVA）是第三大常见死因，也是西方世界永久性残疾的主要原因，在因残疾而丧失适应独立生活年限方面也位居榜首。缺血性CVA往往会导致不可逆的后遗症，从而降低患者的生活质量。
分析一系列水中运动对缺血性CVA患者生活质量的影响。
研究了两组：实验组由15名年龄为50.3±9.1岁的受试者组成，对照组由13名年龄为52.5±7.7岁的受试者组成。实验组进行了为期12周的水上体育锻炼计划。对两组在治疗前后进行评估，然后比较两组的结果。通过进行一项与健康相关的通用生活质量调查（SF-36）来收集数据。
实验组治疗前后存在显著差异。在组间评估中，在功能能力、身体方面、疼痛、总体健康状况、活力、社会方面和心理健康方面记录到显著差异。
在水中进行体育锻炼往往会改善运动行为，提高独立程度，显著改善功能能力以及与身体能力相关的其他方面。因此，缺血性CVA患者的生活质量水平得到提高。
