Rice Danielle, Janzen Shannon, McIntyre Amanda, Vermeer Julianne, Britt Eileen, Teasell Robert
Lawson Health Research Institute, Parkwood Institute, London, Ontario, Canada.
Lawson Health Research Institute, Parkwood Institute, London, Ontario, Canada.
J Stroke Cerebrovasc Dis. 2016 May;25(5):1158-1164. doi: 10.1016/j.jstrokecerebrovasdis.2016.02.007. Epub 2016 Feb 28.
Few studies have considered the effectiveness of outpatient rehabilitation programs for stroke patients. The objective of this study was to assess the effectiveness of a hospital-based interdisciplinary outpatient stroke rehabilitation program with respect to physical functioning, mobility, and balance.
The Comprehensive Outpatient Rehabilitation Program provides a hospital-based interdisciplinary approach to stroke rehabilitation in Southwestern Ontario. Outcome measures from physiotherapy and occupational therapy sessions were available at intake and discharge from the program. A series of paired sample t-tests were performed to assess patient changes between time points for each outcome measure.
A total of 271 patients met the inclusion criteria for analysis (56.1% male; mean age = 62.9 ± 13.9 years). Significant improvements were found between admission and discharge for the Functional Independence Measure, grip strength, Chedoke-McMaster Stroke Assessment, two-minute walk test, maximum walk test, Timed Up and Go, Berg Balance Scale, and one-legged stance (P < .003 for all).
The findings indicate that an interdisciplinary rehabilitation program was effective at improving the physical functioning, mobility, and balance of individuals after a stroke. A hospital-based, stroke-specific rehabilitation program should be considered when patients continue to experience deficits after inpatient rehabilitation.
很少有研究考虑门诊康复项目对中风患者的有效性。本研究的目的是评估基于医院的跨学科门诊中风康复项目在身体功能、移动能力和平衡方面的有效性。
综合门诊康复项目在安大略省西南部提供基于医院的跨学科中风康复方法。在项目入组和出院时可获得物理治疗和职业治疗课程的结果测量数据。进行了一系列配对样本t检验，以评估每个结果测量在不同时间点之间患者的变化。
共有271名患者符合分析纳入标准（男性占56.1%；平均年龄=62.9±13.9岁）。在入院和出院之间，功能独立性测量、握力、切多克-麦克马斯特中风评估、两分钟步行测试、最大步行测试、定时起立行走测试、伯格平衡量表和单腿站立均有显著改善（所有P<0.003）。
研究结果表明，跨学科康复项目对改善中风后个体的身体功能、移动能力和平衡有效。当患者在住院康复后仍有功能缺陷时，应考虑基于医院的、针对中风的康复项目。
