Bilgin Sevil, Guclu-Gunduz Arzu, Oruckaptan Hakan, Kose Nezire, Celik Bülent
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Neural Regen Res. 2012 Sep 5;7(25):1978-84. doi: 10.3969/j.issn.1673-5374.2012.25.009.
Fifty-one patients with mild (n = 14), moderate (n = 10) and severe traumatic brain injury (n = 27) received early rehabilitation. Level of consciousness was evaluated using the Glasgow Coma Score. Functional level was determined using the Glasgow Outcome Score, whilst mobility was evaluated using the Mobility Scale for Acute Stroke. Activities of daily living were assessed using the Barthel Index. Following Bobath neurodevelopmental therapy, the level of consciousness was significantly improved in patients with moderate and severe traumatic brain injury, but was not greatly influenced in patients with mild traumatic brain injury. Mobility and functional level were significantly improved in patients with mild, moderate and severe traumatic brain injury. Gait recovery was more obvious in patients with mild traumatic brain injury than in patients with moderate and severe traumatic brain injury. Activities of daily living showed an improvement but this was insignificant except for patients with severe traumatic brain injury. Nevertheless, complete recovery was not acquired at discharge. Multiple regression analysis showed that gait and Glasgow Coma Scale scores can be considered predictors of functional outcomes following traumatic brain injury.
51例轻度（n = 14）、中度（n = 10）和重度创伤性脑损伤（n = 27）患者接受了早期康复治疗。使用格拉斯哥昏迷评分评估意识水平。使用格拉斯哥预后评分确定功能水平，同时使用急性脑卒中运动量表评估运动能力。使用巴氏指数评估日常生活活动能力。接受Bobath神经发育疗法后，中度和重度创伤性脑损伤患者的意识水平显著改善，但轻度创伤性脑损伤患者的意识水平未受很大影响。轻度、中度和重度创伤性脑损伤患者的运动能力和功能水平均显著改善。轻度创伤性脑损伤患者的步态恢复比中度和重度创伤性脑损伤患者更明显。除重度创伤性脑损伤患者外，日常生活活动能力虽有改善但不显著。然而，出院时并未实现完全康复。多元回归分析表明，步态和格拉斯哥昏迷量表评分可被视为创伤性脑损伤后功能结局的预测指标。
