使用康复工具的任务导向性循环训练对急性脑卒中患者上肢功能及日常活动的影响：一项随机对照试验。
The Effects of Task-Oriented Circuit Training Using Rehabilitation Tools on the Upper-Extremity Functions and Daily Activities of Patients with Acute Stroke: A Randomized Controlled Pilot Trial.
作者信息
Moon Jong-Hoon, Park Kyoung-Young, Kim Hee-Jin, Na Chang-Ho
机构信息
Department of Rehabilitation Standard and Policy, National Rehabilitation Center, National Rehabilitation Research Institute, Seoul, Korea.
Department of Occupational Therapy, Jungwon University, Geosan, Korea.
出版信息
Osong Public Health Res Perspect. 2018 Oct;9(5):225-230. doi: 10.24171/j.phrp.2018.9.5.03.
OBJECTIVES
The purpose of this study was to investigate the effect of task-oriented circuit training (TOCT) using the rehabilitation tools for upper extremity function upon the daily life of patients with acute stroke.
METHODS
Eighteen patients with acute stroke were randomly allocated into either the experimental group or the control group. The experimental group performed the TOCT program using rehabilitation tools, whilst the control group had neuro-developmental treatment. Both groups received 30 minutes of treatment per session, 5~6 times per week, for 4 weeks. The assessments conducted were the Fugl-Meyer assessment, motor activity log and stroke impact scale to compare the upper extremity function and activities of daily living.
RESULTS
The results showed a significant improvement in the TOCT group compared with the neuro-developmental treatment group in the amount of motor activity use and high stroke impact score, indicating recovery ( < 0.05).
CONCLUSION
The TOCT program using rehabilitation tools could have a positive impact on acute stroke patients use of their upper extremity.
目的
本研究旨在探讨使用上肢功能康复工具进行的任务导向性循环训练（TOCT）对急性脑卒中患者日常生活的影响。
方法
18例急性脑卒中患者被随机分为实验组和对照组。实验组使用康复工具进行TOCT训练，而对照组接受神经发育疗法。两组均每次治疗30分钟，每周5至6次，共治疗4周。进行的评估包括Fugl-Meyer评估、运动活动日志和卒中影响量表，以比较上肢功能和日常生活活动能力。
结果
结果显示，与神经发育治疗组相比，TOCT组在运动活动使用量和高卒中影响评分方面有显著改善，表明有恢复（<0.05）。
结论
使用康复工具的TOCT方案可能对急性脑卒中患者上肢的使用产生积极影响。
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