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急性脑卒中物理治疗师如何治疗姿势控制和移动能力?对英国治疗内容的探索。

What do acute stroke physiotherapists do to treat postural control and mobility? An exploration of the content of therapy in the UK.

机构信息

Centre for Rehabilitation and Human Performance Research, University of Salford, Salford.

出版信息

Clin Rehabil. 2009 Nov;23(11):1051-5. doi: 10.1177/0269215509334837. Epub 2009 Sep 28.

DOI:10.1177/0269215509334837
PMID:19786419
Abstract

OBJECTIVE

To investigate the content of acute stroke physiotherapy to treat postural control and mobility problems.

DESIGN

Stroke physiotherapists recorded the interventions used to treat postural control and mobility during treatment sessions. They recorded five sessions for at least five patients each. Descriptive statistics assessed the frequency with which the interventions were used.

SETTING

Hospital-based acute stroke care.

SUBJECTS

Thirty-six acute stroke physiotherapists recorded 2374 interventions in 364 treatment sessions for 76 patients.

MAIN MEASURES

The Stroke Physiotherapy Intervention Recording Tool.

RESULTS

Facilitation techniques were the most frequently used interventions (n = 1258, 53%) with exercise (n = 115, 5%), teaching others how to help the patient (n = 99, 4%) and provision of equipment (n = 63, 3%) the least frequently used.

CONCLUSIONS

Acute stroke physiotherapists primarily use therapist-led 'hands-on' interventions to treat postural control and mobility problems. Interventions to promote activity or practice outside the treatment session are infrequently used.

摘要

目的

探讨急性脑卒中理疗治疗姿势控制和活动能力问题的内容。

设计

脑卒中理疗师记录了在治疗过程中用于治疗姿势控制和活动能力的干预措施。他们记录了至少 5 名患者的 5 次治疗。描述性统计评估了干预措施的使用频率。

设置

基于医院的急性脑卒中护理。

对象

36 名急性脑卒中理疗师记录了 76 名患者 364 次治疗中 2374 次干预措施。

主要测量工具

脑卒中理疗干预记录工具。

结果

促进技术是最常用的干预措施(n=1258,53%),运动(n=115,5%)、教别人如何帮助患者(n=99,4%)和提供设备(n=63,3%)的使用频率最低。

结论

急性脑卒中理疗师主要使用治疗师主导的“亲自动手”干预措施来治疗姿势控制和活动能力问题。促进治疗外活动或实践的干预措施很少使用。

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