Sibbritt David, van der Riet Pamela, Dedkhard Saowapa, Srithong Kannapatch
School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Zhong Xi Yi Jie He Xue Bao. 2012 Jul;10(7):743-50. doi: 10.3736/jcim20120704.
To determine quantitatively if a unique rehabilitation program using traditional Thai massage, herbal treatments and physical therapies could improve activities of daily living, mood and sleep patterns, and pain intensity of stroke patients over time.
This was a prospective cohort study, conducted over a three-month period. Patients were recruited from a 42-bed rehabilitation centre in Northern Thailand, which admits mainly stroke, head injury and spinal patients for rehabilitation.
There were 62 patients enrolled in the study, with 55% being male. The average age of patients was 59 years and 63% were married. The average time since the initial stroke was 15 months. At baseline, the average Barthel Index score was 50.7, and the average emotion, pain and sleep scores were 2.6, 3.1, and 3.2, respectively. After adjusting for age, gender and time since initial stroke in the longitudinal model, the Barthel Index significantly improved by 6.1 points after one month (P<0.01) and by 14.2 points after three months (P<0.01); emotion significantly improved by 0.7 points after one month (P<0.01) and by 0.9 points after three months (P<0.01); pain significantly improved by 0.5 points after one month (P<0.01) and by 0.5 points after three months (P<0.01); sleep significantly improved by 0.5 points after one month (P<0.01) and by 0.6 points after three months (P<0.01).
This unique stroke rehabilitation program has produced significant improvements in activities of daily living, mood, pain and sleep patterns of stroke patients. These findings warrant the need for further research to compare patients undergoing this program of rehabilitation with patients undergoing more conventional rehabilitation programs.
定量确定一种采用传统泰式按摩、草药治疗和物理疗法的独特康复方案能否随着时间推移改善中风患者的日常生活活动能力、情绪和睡眠模式以及疼痛强度。
这是一项为期三个月的前瞻性队列研究。患者从泰国北部一家拥有42张床位的康复中心招募，该中心主要收治中风、头部受伤和脊柱疾病患者进行康复治疗。
62名患者参与了该研究，其中55%为男性。患者的平均年龄为59岁，63%已婚。首次中风后的平均时间为15个月。基线时，巴氏指数平均得分为50.7，情绪、疼痛和睡眠平均得分分别为2.6、3.1和3.2。在纵向模型中对年龄、性别和首次中风后的时间进行调整后，一个月后巴氏指数显著提高6.1分（P<0.01），三个月后提高14.2分（P<0.01）；情绪一个月后显著改善0.7分（P<0.01），三个月后改善0.9分（P<0.01）；疼痛一个月后显著改善0.5分（P<0.01），三个月后改善0.5分（P<0.01）；睡眠一个月后显著改善0.5分（P<0.01），三个月后改善0.6分（P<0.01）。
这种独特的中风康复方案在中风患者的日常生活活动能力、情绪、疼痛和睡眠模式方面取得了显著改善。这些发现表明有必要进行进一步研究，以比较接受该康复方案的患者与接受更传统康复方案的患者。
