Dymarek Robert, Ptaszkowski Kuba, Słupska Lucyna, Paprocka-Borowicz Małgorzata, Taradaj Jakub, Halski Tomasz, Rosińczuk Joanna
Zakład Chorób Układu Nerwowego, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Wrocław, Polska.
Katedra Fizjoterapii, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Wrocław, Polska.
Wiad Lek. 2017;70(2 pt 2):357-365.
Cerebrovascular diseases based on stroke etiology concern millions of people worldwide, and annual rates of disease are still increasing. In the era of an aging society and suffering from a number of risk factors, in particular those modifiable, strokes and muscles' spastic paresis, subsequently resulting in damage of upper motor neuron structures will become a serious problem for the entire health care system. Effective management and physiotherapy treatment for post-stroke spasticity persisted, both in the acute and chronic, is still a significant medical problem in the interdisciplinary aspect. Care procedures for this type of patient becomes a kind of challenge for specialists in neurology, internal medicine, cardiology, dermatology or neurosurgery, but also for physiotherapists in their everyday clinical practice. The aim of this paper is to present the issues of cerebral stroke and resulting spastic hypertonia in terms of current pharmacological treatment and surgery, and primarily through the use of effective physiotherapy methods, the use of which was confirmed in the way of reliable scientific research in accordance with the principles of Evidence Based Medicine and Physiotherapy (EBMP).
基于中风病因的脑血管疾病影响着全球数百万人,且疾病年发病率仍在上升。在老龄化社会且存在多种风险因素,尤其是那些可改变的风险因素的时代,中风以及随后导致上运动神经元结构损伤的肌肉痉挛性轻瘫,将成为整个医疗保健系统面临的严重问题。无论是在急性期还是慢性期,针对中风后痉挛持续进行有效的管理和物理治疗,在跨学科领域仍是一个重大的医学问题。这类患者的护理程序对神经科、内科、心脏科、皮肤科或神经外科专家而言是一种挑战,对物理治疗师在日常临床实践中也是如此。本文的目的是从当前药物治疗和手术的角度,主要通过使用有效的物理治疗方法,来阐述脑卒中和由此导致的痉挛性肌张力亢进问题,这些物理治疗方法的使用已通过符合循证医学和物理治疗(EBMP)原则的可靠科学研究得到证实。