López-Liria Remedios, Ferre-Salmerón Rocío, Arrebola-López Clara, Granados-Valverde Rocío, Gobernado-Cabero Miguel Ángel, Padilla-Góngora David
Departamento de Enfermería, Fisioterapia y Medicina.
Rev Neurol. 2013 Jun 16;56(12):601-7.
The study of the effectiveness of rehabilitation treatment applied to patients with sequelae following a cerebrovascular disease (CVD) plays a decisive role nowadays in planning their management in public healthcare and to improve existing guidelines regarding assessment and treatment.
To describe the characteristics presented by patients who have suffered a CVD and were treated in mobile rehabilitation-physiotherapy units (MRPU) and how such treatment affects their functional recovery.
Descriptive, prospective study conducted on 124 patients referred to the MRPUs in the province of Almeria between 2008 and 2011. The variables analysed (both pre- and post-treatment) included personal history and characteristics, Barthel index, Modified Ashworth Spasticity Scale, pain (shoulder) and the Canadian Neurological Scale.
The final sample consisted of 106 participants (mean age: 73.72 years). The disabling process was ischaemic in 77.4% and hypertension was the most prevalent risk factor (81%). The mean initial Barthel index was 31.04 and the mean final index was 57.62 (t = -11.75; p < 0.001). The Canadian Neurological Scale showed a favourable progression in the level of consciousness, orientation and language (p < 0.001). Altogether 56.2% of the patients were discharged as a result of the improvement of their condition, and did not require any further outpatient rehabilitation.
The results obtained reflect an important functional improvement in patients treated in the MRPUs. Home-based rehabilitation is considered a necessary tool for persons with greater clinical vulnerability and no access to outpatient care, which provides them with the benefits of effective treatment.
如今，对脑血管疾病（CVD）后遗症患者进行康复治疗有效性的研究，在公共医疗保健中规划其管理以及完善现有的评估和治疗指南方面起着决定性作用。
描述患有CVD并在移动康复理疗单元（MRPU）接受治疗的患者的特征，以及这种治疗如何影响他们的功能恢复。
对2008年至2011年间转诊至阿尔梅里亚省MRPU的124例患者进行描述性前瞻性研究。分析的变量（治疗前后）包括个人病史和特征、Barthel指数、改良Ashworth痉挛量表、疼痛（肩部）和加拿大神经量表。
最终样本包括106名参与者（平均年龄：73.72岁）。致残过程中缺血性的占77.4%，高血压是最常见的危险因素（81%）。初始Barthel指数平均为31.04，最终平均指数为57.62（t = -11.75；p < 0.001）。加拿大神经量表显示意识、定向和语言水平有良好进展（p < 0.001）。共有56.2%的患者因病情改善而出院，无需进一步的门诊康复治疗。
所获得的结果反映了在MRPU接受治疗的患者有重要的功能改善。家庭康复被认为是临床脆弱性较高且无法获得门诊护理的患者的必要工具，可为他们提供有效治疗的益处。
