Department of Physical Medicine and Rehabilitation, E-Da Hospital, Kaohsiung, Taiwan.
Stroke. 2010 Oct;41(10):2378-80. doi: 10.1161/STROKEAHA.110.593673. Epub 2010 Aug 26.
To examine the effect of thermal stimulation (TS) on upper extremity (UE) motor recovery in patients at least 3 months after stroke.
Participants were randomly assigned to either the experimental group or the control group. In addition to regular rehabilitation programs, the experimental group received an UE-TS protocol for 30 minutes per day (3 days/week for 8 weeks); the control group received the same TS protocol on lower extremity. The UE subscale of the Stroke Rehabilitation Assessment of Movement and the Action Research Arm Test were primary outcome measures. The Modified Ashworth Scale and the Barthel Index were secondary outcome measures. All measures were administered at baseline, after TS, and at 1-month follow-up.
Twenty-three participants (12 in the experimental group) completed the study. After treatment, the experimental group showed significant improvement compared to the control group in the scores of the UE subscale of the Stroke Rehabilitation Assessment of Movement and Action Research Arm Test. At follow-up examination, a significant improvement in the experimental group was observed on the UE subscale of the Stroke Rehabilitation Assessment of Movement.
The 8-week additional UE-TS protocol improved UE motor recovery for stroke patients 3 months after onset.
研究至少在脑卒中后 3 个月的患者接受热刺激（TS）对上肢（UE）运动功能恢复的影响。
将参与者随机分配到实验组或对照组。除了常规康复方案外，实验组还接受了每天 30 分钟的 UE-TS 方案（每周 3 天，共 8 周）；对照组接受了相同的下肢 TS 方案。脑卒中康复运动评估 UE 子量表和动作研究臂试验是主要的结局指标。改良 Ashworth 量表和巴氏指数是次要结局指标。所有测量均在基线、TS 后和 1 个月随访时进行。
23 名参与者（实验组 12 名）完成了研究。治疗后，实验组在脑卒中康复运动评估 UE 子量表和动作研究臂试验的评分上与对照组相比有显著改善。在随访检查时，实验组在脑卒中康复运动评估 UE 子量表上也有显著改善。
8 周的 UE-TS 方案可改善脑卒中后 3 个月患者的 UE 运动功能恢复。
