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静态扫描和活动训练对脑卒中后偏盲患者活动能力的影响:一项比较标准化与非标准化治疗方案的随机对照试验。

The effect of static scanning and mobility training on mobility in people with hemianopia after stroke: a randomized controlled trial comparing standardized versus non-standardized treatment protocols.

机构信息

Flinders University, Division of Rehabilitation, Aged Care and Allied Health, Repatriation General Hospital, Daw Park, South Australia, 5043, Australia.

出版信息

BMC Neurol. 2011 Jul 19;11:87. doi: 10.1186/1471-2377-11-87.

Abstract

BACKGROUND

Visual loss following stroke impacts significantly on activities of daily living and is an independent risk factor for becoming dependent. Routinely, allied health clinicians provide training for visual field loss, mainly with eye movement based therapy. The effectiveness of the compensatory approach to rehabilitation remains inconclusive largely due to difficulty in validating functional outcome with the varied type and dosage of therapy received by an individual patient. This study aims to determine which treatment is more effective, a standardized approach or individualized therapy in patients with homonymous hemianopia post stroke.

METHODS/DESIGN: This study is a double-blind randomized controlled, multicenter trial. A standardised scanning rehabilitation program (Neuro Vision Technology (NVT) program) of 7 weeks at 3 times per week, is compared to individualized therapy recommended by clinicians.

DISCUSSION

The results of the trial will provide information that could potentially inform the allocation of resources in visual rehabilitation post stroke.

TRIAL REGISTRATION

Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000494033.

摘要

背景

中风后的视力丧失会对日常生活活动产生重大影响,并且是导致依赖性的独立风险因素。通常,联合健康临床医生会为视野丧失提供培训,主要是通过眼球运动为基础的治疗。康复中代偿方法的有效性尚不确定,主要是因为难以根据个体患者接受的治疗的不同类型和剂量来验证功能结果。本研究旨在确定对于中风后同侧偏盲患者,标准化方法与个体化治疗哪种更有效。

方法/设计:这是一项双盲随机对照、多中心试验。将每周 3 次、为期 7 周的标准化扫描康复计划(Neuro Vision Technology (NVT) 计划)与临床医生推荐的个体化治疗进行比较。

讨论

该试验的结果将提供可能为中风后视觉康复分配资源提供信息。

试验注册

澳大利亚和新西兰临床试验注册(ANZCTR):ACTRN12610000494033。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/580e/3152517/382400a11dbb/1471-2377-11-87-1.jpg

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