From the Departments of Physical Therapy (SMdA, DMM) and Psychology (ET), University of Alabama at Birmingham, Birmingham, Alabama.
Am J Phys Med Rehabil. 2020 Jun;99(6):e75-e78. doi: 10.1097/PHM.0000000000001249.
A 56-yr-old woman with chronic stroke and gait dysfunction was recruited for this study. A lower-extremity constraint-induced movement therapy protocol was given consisting of 3.5 hrs/d of supervised intervention activities on 10 consecutive weekdays. Motor training was intensive and involved shaping. In addition, a group of behavior management strategies was used to induce further unsupervised practice and transference of motor skills from the laboratory to real-world situations. Changes in functional mobility, walking speed, balance, level of assistance, perceived quality of movement, and level of confidence while performing daily activities were assessed five times in both the baseline and intervention phases. The outcomes observed after the intervention were determined by calculating the difference between the average scores obtained in both phases. Changes in perceived quality of movement, level of confidence, level of assistance, and balance were observed.
一位 56 岁的女性，患有慢性中风和步态障碍，被招募参与本研究。她接受了下肢强制性运动疗法方案，包括 10 个连续工作日每天 3.5 小时的监督干预活动。运动训练是密集的，包括塑造。此外，还使用了一组行为管理策略，以诱导进一步的非监督练习，并将运动技能从实验室转移到现实生活情境中。在基线和干预阶段，五次评估了功能性移动性、行走速度、平衡、辅助水平、运动感知质量和日常活动时的信心水平的变化。干预后的结果通过计算两个阶段的平均得分之间的差异来确定。观察到运动感知质量、信心水平、辅助水平和平衡的变化。
