Cho Hyuk-Shin, Cha Hyun-Gyu
Department of Physical Therapy, Wonkwang Health Science University, Republic of Korea.
Department of Physical Therapy, College of Kyungbuk, Republic of Korea.
J Phys Ther Sci. 2016 May;28(5):1547-51. doi: 10.1589/jpts.28.1547. Epub 2016 May 31.
[Purpose] Physical therapy for recovery of function in people with stroke is known to be effective, but which type of physical therapy intervention is most effective is uncertain because a concrete and detailed record of interventions is done. This study aimed to record, analyze, and describe the content of physical therapy interventions for recovery of function after stroke using stroke physiotherapy intervention recording tool (SPIRIT). [Subjects and Methods] A convenience sample of 23 physical therapists from a rehabilitation hospital in Chung-nam recorded the interventions for 73 patients with stroke who were treated for 30 minutes in 670 treatment sessions. Treatment session contents were recorded using SPIRIT. Descriptive statistics were used to describe the interventions accurately and to investigate the differences according to time since stroke. [Results] Facilitation techniques were the most frequently used interventions (n=1,342, 35.1%), followed by practice (n=1,056, 27.6%), and exercise (n=748, 19.6%) in the physical therapists' clinical practice. [Conclusion] This pattern shows that physical therapists were focused on functional activity. Organizing or teaching patient activities for independent practice interventions (n=286, 7.5%) were used to encourage patient activity and independence outside the treatment sessions. Interventions according to time since stroke were not significantly different.
[目的] 众所周知,物理治疗对中风患者的功能恢复有效,但由于干预措施缺乏具体详细的记录,哪种类型的物理治疗干预最有效尚不确定。本研究旨在使用中风物理治疗干预记录工具(SPIRIT)记录、分析和描述中风后功能恢复的物理治疗干预内容。[对象与方法] 来自忠南一家康复医院的23名物理治疗师组成的便利样本,记录了73例中风患者在670次治疗疗程中每次30分钟的治疗干预情况。使用SPIRIT记录治疗疗程内容。采用描述性统计准确描述干预措施,并调查中风后不同时间的差异。[结果] 在物理治疗师的临床实践中,促通技术是最常用的干预措施(n = 1342,35.1%),其次是练习(n = 1056,27.6%)和运动(n = 748,19.6%)。[结论] 这种模式表明物理治疗师关注功能活动。组织或教授患者进行独立练习干预(n = 286,7.5%),用于鼓励患者在治疗疗程之外的活动和独立性。根据中风后时间的干预差异不显著。