Niama Natta Ditouah Didier, Alagnide Etienne, Kpadonou Godonou Toussaint, Stoquart Gaëtan G, Detrembleur Christine, Lejeune Thierry M
Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium.
Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium.
Ann Phys Rehabil Med. 2015 Dec;58(6):322-5. doi: 10.1016/j.rehab.2015.08.003. Epub 2015 Sep 26.
Stroke is a major cause of disability and represents a very high cost in developing countries. Self-rehabilitation programs represent a new and original treatment for stroke patients, likely to reduce upper limb impairments and improve activity and participation. The goal of this study is to evaluate the feasibility of a self-rehabilitation protocol in Benin.
Twelve chronic stroke patients carried out the upper limb self-rehabilitation program (3 hours/day, 5 days/week for 2 weeks). The performance of these patients was evaluated before and after the self-rehabilitation program, by measuring the number of exercises that patients were able to achieve during a three-hour session, and by assessing their gross manual dexterity.
Twelve patients were effectively able to complete the entire program. The number of unimanual exercises and self-mobilizations performed during a three-hour session as well as the score of the Box and Block test were improved by the self-rehabilitation program (P<0.05).
Self-rehabilitation programs are feasible and inexpensive as they do not involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing countries, where rehabilitation costs are usually supported by patients.
中风是导致残疾的主要原因，在发展中国家造成了极高的成本。自我康复计划是针对中风患者的一种新颖且独特的治疗方法，有望减少上肢功能障碍并改善活动能力和参与度。本研究的目的是评估在贝宁实施自我康复方案的可行性。
12名慢性中风患者开展了上肢自我康复计划（每天3小时，每周5天，共2周）。通过测量患者在三小时疗程中能够完成的练习数量以及评估他们的手部总体灵活性，在自我康复计划前后对这些患者的表现进行评估。
12名患者能够有效完成整个计划。自我康复计划使三小时疗程中进行的单手练习和自我活动的数量以及箱块测试的得分均有所提高（P<0.05）。
自我康复计划可行且成本低廉，因为无需治疗师参与。因此，它是中风康复中一种很有前景的方法，特别是在发展中国家，那里的康复费用通常由患者承担。
