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腰椎松动术有助于中风患者改善功能预后吗?

Does lumbar mobilization help stroke patients to improve functional outcomes?

作者信息

Haq Umama, Malik Arshad Nawaz

机构信息

Bahria International Hospital, Rawalpindi.

Shifa Tameer e Millat University, Islamabad.

出版信息

J Pak Med Assoc. 2019 Feb;69(2):253-255.

Abstract

Stroke survivors often face functional deficits and gait impairments. The current study aimed to observe effects of lumbar mobilization on gait of stroke patients. Quasiinterventional study was conducted on 30 stroke survivors. Sample included either gender with onset of stroke (>03-months), patients with other pathologies were excluded. Gait was assessed using gait dynamic index, timed up and go test; 5-times sit to stand and 10-meter walk test. Three sessions of lumbar mobilization were given to all patients and the data were analyzed on Spss-20. Participants had a mean age of 50±10.66 years. Among stroke survivors 20 (66 . 7%) ha haemorrhagic stroke while 10(33.3%) stroke survivors had ischaemic stroke. After 03 days of intervention significant improvement was recorded in timed up and go test score (p<0.001) 5-times sit to stand (p<0.001) and 10-meter walk test (p<0.001). Dynamic balance and walking also improved as reported by gait dynamic index (p<0.001). The Current study suggested lumbarmobilization to be effective in improving gait in stroke survivors.

摘要

中风幸存者常常面临功能缺陷和步态障碍。当前的研究旨在观察腰椎松动术对中风患者步态的影响。对30名中风幸存者进行了准干预性研究。样本包括中风发病时间超过3个月的任何性别患者,排除了患有其他疾病的患者。使用步态动态指数、计时起立行走测试、5次坐立试验和10米步行测试对步态进行评估。对所有患者进行了三次腰椎松动术治疗,并使用Spss-20对数据进行分析。参与者的平均年龄为50±10.66岁。在中风幸存者中,20名(66.7%)患有出血性中风,而10名(33.3%)中风幸存者患有缺血性中风。干预3天后,计时起立行走测试得分(p<0.001)、5次坐立试验(p<0.001)和10米步行测试(p<0.001)均有显著改善。步态动态指数报告显示,动态平衡和步行能力也有所改善(p<0.001)。当前研究表明,腰椎松动术对改善中风幸存者的步态有效。

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