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针对一名不完全性脊髓损伤患者的步态进行的特定活动水上疗法。

Activity-specific aquatic therapy targeting gait for a patient with incomplete spinal cord injury.

作者信息

Wall Tracy, Falvo Lisa, Kesten Adam

机构信息

a School of Health Sciences, Department of Physical Therapy , Quinnipiac University , Hamden , CT , USA.

b Kenmore Physical Therapy , Boston , MA , USA.

出版信息

Physiother Theory Pract. 2017 Apr;33(4):331-344. doi: 10.1080/09593985.2017.1302026. Epub 2017 Apr 5.

Abstract

INTRODUCTION

Aquatic therapy can lead to improved mobility and health in individuals with various conditions. This case report looks at an activity-specific aquatic therapy targeting gait for a patient with incomplete spinal cord injury (iSCI).

CASE REPORT

The patient participated in an individualized aquatic therapy program two times a week for 6 weeks. Assessment occurred prior to the intervention. There were two follow-up assessments after the intervention. Follow-up assessment 1 was completed within the same week as the final intervention. Follow-up assessment 2 was completed 4 weeks after the first follow-up to assess for carryover.

RESULTS

Improvements that met minimal detectable change and minimal clinically important difference were noted in The Walking for Spinal Cord Injury Index-II, Spinal Cord Injury Functional Ambulation Index gait parameters, and gait speed.

DISCUSSION

An activity-specific aquatic therapy program improved gait in a patient with iSCI. The properties of water create a practical environment for safe practice of skills. Further studies are warranted in large samples.

摘要

引言

水疗可改善患有各种病症的个体的活动能力和健康状况。本病例报告关注针对不完全性脊髓损伤(iSCI)患者的特定活动水疗,其目标是改善步态。

病例报告

该患者每周参加两次个性化水疗计划,为期6周。在干预前进行了评估。干预后进行了两次随访评估。随访评估1在最后一次干预的同一周内完成。随访评估2在第一次随访后4周完成,以评估持续性效果。

结果

在脊髓损伤步行指数-II、脊髓损伤功能性步行指数的步态参数和步速方面,观察到达到最小可检测变化和最小临床重要差异的改善。

讨论

特定活动水疗计划改善了iSCI患者的步态。水的特性为技能的安全练习创造了一个实用的环境。有必要对大样本进行进一步研究。

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