Shinohara Tomoyuki, Usuda Shigeru
Acute Rehabilitation Center, Hidaka Hospital ; Graduate School of Health Sciences, Gunma University.
J Phys Ther Sci. 2013 May;25(5):641-7. doi: 10.1589/jpts.25.641. Epub 2013 Jun 29.
[Purpose] This study investigated the factors that influence activities provided during physical therapy for stroke. [Subjects] Data were collected from 85 physical therapists and 216 inpatients with stroke. [Methods] Time spent on specific functional activities provided to inpatients with stroke was recorded at nine rehabilitation facilities. These were used as dependent variables. Physical therapists' characteristics, including years since acquiring a license, gender, and treatment concepts influencing physical therapy for stroke, were recorded. Inpatients' characteristics, including age, gender, affected side, days post stroke, score on the Modified Rankin Scale (mRS), and gait ability measured by the Functional Independence Measure (FIM gait), were also recorded. Physical therapists' and inpatients' characteristics were used as independent variables. The t-test, correlation coefficients, and analysis of covariance were used to investigate which independent variables correlated with which dependent variables. [Results] Pre-gait, advanced gait, and community mobility were significantly correlated with mRS and FIM gait (|rs| = 0.32-0.62). Time spent on other functional activities had a weak correlation with inpatients' characteristics. Time spent on functional activities had no or few correlations with physical therapists' characteristics. [Conclusion] Relationships between time spent on specific functional activities and physical therapists' characteristics were weaker than those for inpatients' characteristics. Physical therapy for stroke includes many factors.
[目的] 本研究调查了影响中风物理治疗期间所提供活动的因素。[对象] 收集了85名物理治疗师和216名中风住院患者的数据。[方法] 在9家康复机构记录了为中风住院患者提供的特定功能活动所花费的时间。这些用作因变量。记录了物理治疗师的特征，包括获得执照后的年限、性别以及影响中风物理治疗的治疗理念。还记录了住院患者的特征，包括年龄、性别、患侧、中风后天数、改良Rankin量表（mRS）评分以及通过功能独立性测量（FIM步态）测量的步态能力。物理治疗师和住院患者的特征用作自变量。采用t检验、相关系数和协方差分析来研究哪些自变量与哪些因变量相关。[结果] 步态前期、高级步态和社区移动性与mRS和FIM步态显著相关（|rs| = 0.32 - 0.62）。在其他功能活动上花费的时间与住院患者的特征相关性较弱。在功能活动上花费的时间与物理治疗师的特征无或几乎没有相关性。[结论] 在特定功能活动上花费的时间与物理治疗师特征之间的关系比与住院患者特征之间的关系更弱。中风物理治疗包括许多因素。
