Department of Rehabilitation Medicine, Tzu Chi Buddhist General Hospital, Hualien, Taiwan.
Arch Phys Med Rehabil. 2012 Nov;93(11):1903-10. doi: 10.1016/j.apmr.2012.06.016. Epub 2012 Jul 2.
Liang C-C, Hsieh T-C, Lin C-H, Wei Y-C, Hsiao J, Chen J-C. Effectiveness of thermal stimulation for the moderately to severely paretic leg after stroke: serial changes at one-year follow-up.
To evaluate the serial changes of long-term effects of thermal stimulation (TS) on acute stroke patients.
A prospective study with follow-up at 3, 6, and 12 months after TS to assess motor and balance function of the paretic leg of acute stroke patients.
A general hospital rehabilitation department.
Poststroke patients (N=30) with moderate to severe impairment of leg function.
In addition to receiving standard rehabilitation, eligible patients were randomly assigned to a TS group (5 thermal stimulations per week for 6wk) or a control group (3 consultations per week for 6wk).
Fugl-Meyer lower extremity score, Medical Research Council Scale for the Lower Extremity, Berg Balance Scale, Modified Motor Assessment Scale, Functional Ambulation Classification, and Barthel Index were administered at baseline, after 4 and 6 weeks of treatment, and at the 3-, 6-, and 12-month follow-up.
No significant differences were found between the 2 groups at baseline. After TS, the Fugl-Meyer lower extremity score, Medical Research Council Scale for the Lower Extremity, Modified Motor Assessment Scale, and Functional Ambulation Classification were significantly better in the TS group, and the effects persisted for 3 months (P<.05). Significant differences were found between the 2 groups for the Berg Balance Scale and Barthel Index only at the 3-month follow-up (P<.05). However, all the effects except for the Fugl-Meyer lower extremity score had disappeared at the 6-month follow-up (P>.05).
The long-term benefits of TS for patients with acute stroke may be sustained for 3 months but disappear by the 6-month and 1-year follow-up.
梁 C-C、谢 T-C、林 C-H、魏 Y-C、萧 J、陈 J-C。热刺激对中风后中度至重度瘫痪下肢的疗效：一年随访的连续变化。
评估热刺激（TS）对急性中风患者的长期影响的连续变化。
前瞻性研究，在 TS 后 3、6 和 12 个月进行随访，以评估急性中风患者瘫痪下肢的运动和平衡功能。
综合医院康复科。
下肢功能中度至重度受损的中风后患者（N=30）。
除接受标准康复外，符合条件的患者被随机分配到 TS 组（每周 5 次热刺激，持续 6 周）或对照组（每周 3 次咨询，持续 6 周）。
在基线、治疗 4 周和 6 周后以及 3、6 和 12 个月随访时，采用 Fugl-Meyer 下肢评分、下肢医学研究委员会评分、Berg 平衡量表、改良运动评估量表、功能步行分类和巴氏指数进行评估。
两组在基线时无显著差异。TS 后，TS 组 Fugl-Meyer 下肢评分、下肢医学研究委员会评分、改良运动评估量表和功能步行分类明显更好，效果持续 3 个月（P<.05）。仅在 3 个月随访时，两组间 Berg 平衡量表和巴氏指数存在显著差异（P<.05）。然而，除 Fugl-Meyer 下肢评分外，所有其他影响在 6 个月随访时均已消失（P>.05）。
TS 对急性中风患者的长期益处可能持续 3 个月，但在 6 个月和 1 年随访时消失。
