Demetrios Marina, Brand Caroline, Louie Julie, Khan Fary
Rehabilitation Medicine Physician, Royal Melbourne Hospital, Royal Park Campus, 34-54 Poplar Road, Parkville 3052, VIC, Australia.
J Rehabil Med. 2016 Apr 28;48(5):426-34. doi: 10.2340/16501977-2085.
To describe ambulatory rehabilitation programmes (physical and occupational therapy activities and interventions) following botulinum toxin injections for post-stroke spasticity using a stroke rehabilitation taxonomy. To explore the relationship between therapy provided and injected limb/s and treatment goals.
Prospective, observational cohort study.
Stroke survivors (n = 47) participating in ambulatory rehabilitation programmes following botulinum toxin injections for upper limb, lower limb or upper and lower limb spasticity.
Standardized therapy documentation forms were completed prospectively for each occupational and physical therapy session. Main outcomes were the proportion of total therapy time spent in various therapeutic activities; total sessions during which each intervention was used to facilitate the activities most time was spent in; and goals related to each activity category. Sub-analysis was carried out for participants, based on limb/s injected.
Most time was spent in "upper extremity control" activities as the upper limb was more often injected. A large proportion of therapy time was spent in activities remediating "performance skills or body structure and function impairments". In the upper and lower limb, and upper limb groups 38.7% and 46.2% of goals, respectively, related to this activity category, but less than 10% in the lower limb group. Little time was spent in community participation and leisure activities, whilst over one-third of lower limb group goals related to this category.
Ambulatory rehabilitation programmes following botulinum toxin injections for post-stroke spasticity varied depending on limb/s injected and reflected treatment goals to some extent.
使用中风康复分类法描述肉毒杆菌毒素注射治疗中风后痉挛后的门诊康复计划（物理和职业治疗活动及干预措施）。探讨所提供的治疗与注射肢体和治疗目标之间的关系。
前瞻性观察性队列研究。
中风幸存者（n = 47），他们在接受肉毒杆菌毒素注射治疗上肢、下肢或上下肢痉挛后参加门诊康复计划。
前瞻性地为每次职业和物理治疗疗程填写标准化治疗记录表格。主要结果包括在各种治疗活动中花费的总治疗时间比例；每种干预措施用于促进花费时间最多的活动的总疗程数；以及与每个活动类别相关的目标。根据注射的肢体对参与者进行亚分析。
由于上肢更常接受注射，大部分时间花在“上肢控制”活动上。很大一部分治疗时间花在纠正“表现技能或身体结构与功能障碍”的活动上。在上下肢组和上肢组中，分别有38.7%和46.2%的目标与该活动类别相关，但在下肢组中不到10%。在社区参与和休闲活动上花费的时间很少，而下肢组超过三分之一的目标与该类别相关。
肉毒杆菌毒素注射治疗中风后痉挛后的门诊康复计划因注射肢体不同而有所差异，并且在一定程度上反映了治疗目标。
