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采用生物电阻抗分析方法对脑卒中偏瘫患者患侧与非患侧进行分析及康复治疗评估的相关性研究

Analysis of affected and non-affected sides of stroke hemiparalysis patients and correlations between rehabilitation therapy assessments using the bioelectrical impedance analysis method.

作者信息

Yoo ChanUk, Suh SeongKyo, Kim YoungGyu

机构信息

Department of Occupational Therapy, Hanlyo University, Republic of Korea.

Department of Speech Therapy, Hanlyo University, Republic of Korea.

出版信息

J Phys Ther Sci. 2016 Dec;28(12):3306-3309. doi: 10.1589/jpts.28.3306. Epub 2016 Dec 27.

Abstract

[Purpose] The purpose of this study was to demonstrate the use of bioelectrical impedance analysis as an appropriate rehabilitation therapy evaluation tool for stroke hemiplegic patients. [Subjects and Methods] A group of 20 stroke patients diagnosed with stroke hemiplegia who underwent stroke rehabilitation from October to November 2015 participated in this study. Using bioelectrical impedance analysis, stroke hemiparalysis patients were examined, and the affected and non-affected sides were compared. This correlation between impedance measurement values and rehabilitation therapy as an assessment tool was determined. [Results] According to the whole-body bioimpedance measurements, prediction markers, reactances, and phase angles, there were significant differences between the non-affected and affected sides, and bioimpedance had a positive correlation with hand grip power, manual dexterity of hand function, and ability to perform activities of daily living. [Conclusion] There were significant differences between the impedance values of the affected and non-affected sides of hemiplegic stroke patients. These results suggest that bioelectrical impedance analysis can be used as an assessment during the rehabilitation of stroke patients.

摘要

[目的]本研究旨在证明生物电阻抗分析可作为中风偏瘫患者合适的康复治疗评估工具。[对象与方法]选取2015年10月至11月期间接受中风康复治疗的20例被诊断为中风偏瘫的患者参与本研究。采用生物电阻抗分析对中风偏瘫患者进行检查,并比较患侧和健侧情况。确定了阻抗测量值与作为评估工具的康复治疗之间的这种相关性。[结果]根据全身生物阻抗测量、预测指标、电抗和相位角,健侧和患侧之间存在显著差异,且生物阻抗与握力、手部功能的手动灵活性以及日常生活活动能力呈正相关。[结论]偏瘫中风患者患侧和健侧的阻抗值存在显著差异。这些结果表明生物电阻抗分析可用于中风患者康复期间的评估。

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Segmental bioelectrical impedance analysis: an update.节段式生物电阻抗分析:更新。
Curr Opin Clin Nutr Metab Care. 2012 Sep;15(5):424-9. doi: 10.1097/MCO.0b013e328356b944.
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Stroke rehabilitation.中风康复
Neurol Res. 2009 Oct;31(8):832-40. doi: 10.1179/016164109X12445505689689.
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Is stroke the most common cause of disability?中风是导致残疾最常见的原因吗?
J Stroke Cerebrovasc Dis. 2004 Jul-Aug;13(4):171-7. doi: 10.1016/j.jstrokecerebrovasdis.2004.06.003.

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