Morris Jacqui H, Williams Brian
Alliance for Self-Care Research, School of Nursing and Midwifery, University of Dundee, 11 Airlie Place, Dundee DD1 4HJ, UK.
Physiotherapy. 2009 Sep;95(3):228-34. doi: 10.1016/j.physio.2008.11.006. Epub 2009 Jan 29.
There is now good empirical evidence of physical and functional benefits for individuals with stroke from long-term engagement in a range of physical activities. However, long-term participation of stroke survivors in physical activity after rehabilitation is low, and maximum benefits are not being achieved. This article reviews relevant literature and evidence, and suggests that physiotherapists are ideally placed to support patients in long-term participation in activity as they prepare patients for the end of physical rehabilitation. However, this requires the development, testing and application of stroke-specific evidence-based behavioural and motivational interventions that are feasible in clinical practice, take account of the role of carers, and seek to address the barriers to activity faced by stroke survivors at the end of rehabilitation. It also requires physiotherapists to take a leading role in developing appropriate policies and strategies with other exercise professionals and services to address the transition from rehabilitation to an active lifestyle following stroke.
目前有充分的实证证据表明，长期参与一系列体育活动对中风患者有身体和功能方面的益处。然而，中风幸存者在康复后长期参与体育活动的比例较低，未能实现最大程度的益处。本文回顾了相关文献和证据，并指出物理治疗师在支持患者长期参与活动方面具有理想的地位，因为他们在为患者的身体康复结束做准备。然而，这需要开发、测试和应用针对中风患者的基于证据的行为和动机干预措施，这些措施在临床实践中可行，考虑到护理人员的作用，并试图解决中风幸存者在康复结束后面临的活动障碍。这还要求物理治疗师与其他运动专业人员和服务机构在制定适当政策和策略方面发挥主导作用，以解决中风后从康复到积极生活方式的过渡问题。
