Brzuszkiewicz-Kuźmicka Grażyna, Kuźmicki Stanisław, Domaniecki Janusz
Neurosurgery and Nervous System Trauma Clinic, Medical Center of Postgraduate Education, Bródno Hospital, Warsaw, Poland.
Brain Inj. 2012;26(12):1431-8. doi: 10.3109/02699052.2012.694562. Epub 2012 Jul 3.
This paper aims to outline the relationships between kinesiotherapy methods used in rehabilitation and the recovery of the patient's ability to perform activities of daily living (ADLs), improvement of functional condition, regression of pareses and improvement of conscious state following surgical treatment of traumatic subdural haematomas.
The study was conducted on 84 patients treated surgically for traumatic subdural haematomas, divided into two groups. The key differentiating factor was the kinesiotherapy method used in rehabilitation. Patients were assessed using the International Scale of Muscle Weakness (ISMW), Barthel Index and modified Rankin Scale, while their conscious state was assessed using the Glasgow Coma Scale.
A significant improvement of the assessed features was observed in all patients. However, patients treated with proprioceptive neuromuscular facilitation (PNF) and elements of the Bobath concept regained lost function significantly faster than patients treated with traditional kinesiotherapy. No significant differences were observed in the course of improvement of conscious state between the two groups.
Treatment using functional elements may significantly accelerate the return of the ability to perform ADLs, improvement in functional condition and regression of pareses in comparison with traditional kinesiotherapy.
本文旨在概述康复中使用的运动疗法与创伤性硬膜下血肿手术治疗后患者日常生活活动（ADL）能力恢复、功能状况改善、瘫痪消退及意识状态改善之间的关系。
对84例接受创伤性硬膜下血肿手术治疗的患者进行研究，分为两组。关键的区分因素是康复中使用的运动疗法。使用国际肌肉力量量表（ISMW）、巴氏指数和改良Rankin量表对患者进行评估，同时使用格拉斯哥昏迷量表评估其意识状态。
所有患者的评估特征均有显著改善。然而，接受本体感觉神经肌肉促进法（PNF）和Bobath概念元素治疗的患者比接受传统运动疗法的患者恢复丧失功能的速度明显更快。两组之间在意识状态改善过程中未观察到显著差异。
与传统运动疗法相比，使用功能性元素进行治疗可显著加速ADL能力的恢复、功能状况的改善和瘫痪的消退。
