Tangeman P T, Banaitis D A, Williams A K
Stroke Management Clinic, School of Physical Therapy, Pacific University, Forest Grove, OR 97116.
Arch Phys Med Rehabil. 1990 Oct;71(11):876-80.
Forty stroke patients who were at least one year post-onset completed a one-month intensive rehabilitation program. The month before the program served as a control period. During the program, patients received individual sessions in occupational and physical therapy four days a week, and they participated in group activities on the fifth day. Therapy emphasized instruction in motor planning, balance and weight shift, and the use of adaptive equipment; these motor abilities were then practiced within real life situations. The patients demonstrated significant improvement in the outcome measures of weight shift, balance, and ADL scores after the one-month rehabilitation program (weight shift: F = 16.1, p = .0001; balance: F = 6.26, p = .0007; ADL: F = 13.8, p = .0001). They retained these new skills during a three-month follow-up period.
四十名发病至少一年的中风患者完成了为期一个月的强化康复计划。该计划实施前的一个月作为对照期。在康复计划期间，患者每周有四天接受职业和物理治疗的个人训练，并在第五天参加小组活动。治疗重点在于运动计划、平衡和体重转移的指导以及适应性设备的使用；然后在现实生活情境中练习这些运动能力。经过为期一个月的康复计划后，患者在体重转移、平衡和日常生活活动能力评分的结果指标上有显著改善（体重转移：F = 16.1，p = .0001；平衡：F = 6.26，p = .0007；日常生活活动能力：F = 13.8，p = .0001）。在三个月的随访期内，他们保持了这些新技能。
