Wood Jennifer P, Connelly Denise M, Maly Monica R
School of Physical Therapy, University of Western Ontario, London, ON, Canada.
Arch Phys Med Rehabil. 2009 Mar;90(3):494-500. doi: 10.1016/j.apmr.2008.08.224.
To describe the experience of living with arthritis while recovering from stroke.
Qualitative, phenomenological study. During the first three months post-stroke, 14 one-on-one semi-structured interviews were conducted. Analysis was guided by the modified van Kaam method.
General community.
Three men and two women with self-reported pre-existing knee arthritis who were recovering from a first stroke.
Not applicable.
Not applicable.
"Holding me back" was central to the experience of living with knee arthritis while recovering from stroke, due to pain, mobility limitations, frustration, and additional coping demands. Experiencing arthritic pain occurred during daily physical activity. As a result, arthritis interfered with participants' ability to fully engage in stroke rehabilitation. The resulting mobility limitations due to arthritis were frustrating experiences that required additional coping strategies by all participants.
From the perspective of the participants, the slowed recovery from stroke due to arthritis illustrated the need to consider the influence of knee arthritis on stroke recovery during inpatient rehabilitation and after discharge. Stroke rehabilitation interventions that emphasize weight-bearing exercise may not be tolerated by those with arthritis. Alternate pharmacological treatments and physical rehabilitation should be considered for people with pre-existing knee arthritis post-stroke.
描述中风康复期间患有关节炎的生活体验。
定性现象学研究。在中风后的前三个月，进行了14次一对一的半结构化访谈。分析以改良的范卡姆方法为指导。
普通社区。
三名男性和两名女性，他们自述先前患有关节性膝关节炎，且正在从首次中风中康复。
不适用。
不适用。
由于疼痛、活动受限、沮丧以及额外的应对需求，“阻碍我康复”是中风康复期间患有关节性膝关节炎生活体验的核心。日常身体活动时会出现关节炎疼痛。因此，关节炎干扰了参与者充分参与中风康复的能力。关节炎导致的活动受限是令人沮丧的经历，所有参与者都需要额外的应对策略。
从参与者的角度来看，关节炎导致的中风康复缓慢表明，在住院康复期间和出院后，需要考虑膝关节炎对中风康复的影响。强调负重锻炼的中风康复干预措施可能不被患有关节炎的人耐受。对于中风后患有关节性膝关节炎的人，应考虑替代性药物治疗和身体康复方法。
