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[康复治疗在多发性硬化症中的有效性]

[Effectiveness of rehabilitation in multiple sclerosis].

作者信息

Miller Elzbieta

机构信息

Department of Rehabilitation, The III Provincial Hospital in Lodz, Poland.

出版信息

Pol Merkur Lekarski. 2009 Mar;26(153):205-7.

Abstract

UNLABELLED

Multiple sclerosis is progressing demielinization syndrome of central nervous system. Changes in CNS correlated with clinical symptoms of neurological deficiency with different progress (according to kind of clinical type). Often lead to disability. Etiology of MS wasn't competently known till now. It wasn't worked completely effective treatment of this syndrome. The aim of this study was to examine the effectiveness of rehabilitation in MS. It was done by using three scales: functional estimation--ADL scale, muscle strength--Lovett scale and estimation of disability by EDSS.

MATERIAL AND METHOD

84 patients, average age 48 years with completely diagnosed multiple sclerosis (ICD-10 G35) rehabilitated in the Rehabilitation Department at the III Provincial Hospital in Lodz. Examination in over mentioned scales was done before start treatment and after finished rehabilitation. Finally examination of significantly of examined distinguishes done by statistical analysis and accurately by verification hypotheses about significantly results differences between particular periods of rehabilitation, next t-Student test was used for two statistical samples.

RESULTS

Statistical analysis showed very significant progress after using rehabilitation on the level of significance 0.00001 in all used scales.

CONCLUSIONS

Comprehensive rehabilitation significantly influenced on functional improve patient with multiple sclerosis and decrease disability score.

摘要

未标注

多发性硬化症是中枢神经系统进行性脱髓鞘综合征。中枢神经系统的变化与不同进展(根据临床类型)的神经功能缺损临床症状相关。常导致残疾。迄今为止,多发性硬化症的病因尚不完全清楚。尚未找到针对该综合征的完全有效的治疗方法。本研究的目的是检验多发性硬化症康复治疗的有效性。通过使用三个量表进行:功能评估——日常生活活动量表(ADL)、肌肉力量——Lovett量表以及通过扩展残疾状态量表(EDSS)评估残疾情况。

材料与方法

84例平均年龄48岁、已确诊为多发性硬化症(国际疾病分类第十版,G35)的患者在罗兹市第三省级医院康复科接受康复治疗。在开始治疗前和康复结束后使用上述量表进行检查。最后通过统计分析对所检查差异的显著性进行检验,并通过验证关于康复不同阶段显著结果差异的假设进行精确检验,随后对两个统计样本使用t检验。

结果

统计分析显示,在所有使用的量表上,康复治疗后在显著性水平0.00001上有非常显著的进展。

结论

综合康复对改善多发性硬化症患者的功能和降低残疾评分有显著影响。

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