分布式强制性运动疗法后脑卒中患者生活质量变化的决定因素。
Determinants of change in stroke-specific quality of life after distributed constraint-induced therapy.
机构信息
Department of Occupational Therapy, School of Health and Human Services, College of Professional Studies, California State University, Dominguez Hills, USA.
出版信息
Am J Occup Ther. 2013 Jan-Feb;67(1):54-63. doi: 10.5014/ajot.2013.004820.
OBJECTIVE
We identified the predictive factors of change in quality of life (QOL) after a distributed form of constraint-induced therapy (dCIT) among stroke survivors.
METHOD
Seventy-four participants were treated with dCIT. We identified eight potential determinants of change: age, gender, side of lesion, time since stroke, cognitive status, motor impairment of the upper extremity, activities of daily living (ADLs), and instrumental ADLs (IADLs). The Stroke-Specific Quality of Life Scale (SS-QOL) was used to assess QOL.
RESULTS
Right-sided lesion and onset >17 mo earlier determined greater improvement in the SS-QOL Energy domain. Onset >10 mo earlier, poorer IADL performance, and age >68 yr predicted improvement in the Family Role, Mobility, and Mood domains, respectively.
CONCLUSION
Side of lesion, time since stroke, IADL performance, and age were the most important determinants of QOL in patients receiving stroke motor rehabilitation.
目的
我们确定了接受分布式强制性诱导治疗（dCIT）的中风幸存者生活质量（QOL）变化的预测因素。
方法
74 名参与者接受了 dCIT 治疗。我们确定了八项潜在的变化决定因素：年龄、性别、病变侧、中风后时间、认知状态、上肢运动障碍、日常生活活动（ADLs）和工具性日常生活活动（IADLs）。使用中风特异性生活质量量表（SS-QOL）评估 QOL。
结果
右侧病变和发病时间早于 17 个月以上决定了 SS-QOL 能量域的更大改善。发病时间早于 10 个月、IADL 表现较差以及年龄大于 68 岁分别预测家庭角色、移动性和情绪领域的改善。
结论
病变侧、中风后时间、IADL 表现和年龄是接受中风运动康复治疗的患者生活质量的最重要决定因素。
Zotero 插件