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水中运动疗法对慢性脑卒中患者疼痛感知、压力和生活质量的影响:一项随机试验。

Influence of an Aquatic Therapy Program on Perceived Pain, Stress, and Quality of Life in Chronic Stroke Patients: A Randomized Trial.

机构信息

Department of Nursing, Physiotherapy and Medicine, University of Almería, La Cañada de San Urbano, 04120 Almería, Spain.

出版信息

Int J Environ Res Public Health. 2020 Jul 3;17(13):4796. doi: 10.3390/ijerph17134796.

DOI:10.3390/ijerph17134796
PMID:32635281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7369960/
Abstract

Pain and depressive states may have a negative impact on the quality of life of individuals with stroke. The aim of this study was to evaluate the effects of a program of Ai Chi aquatic therapy on pain, depression, and quality of life in a sample of people with stroke. Forty-five participants received physiotherapy treatment on dry land (control group), an experimental group received aquatic Ai Chi therapy, and a combined therapy group received alternating sessions of physiotherapy on dry land and aquatic Ai Chi therapy. The Visual Analog Scale (VAS) scale for pain, the resilience scale, and the SF-36 quality of life scale were used as outcome measures. Statistically significant differences were found in the experimental group and the combined intervention group for post treatment pain and resilience ( < 0.001). Concerning the SF-36, statistically significant changes ( < 0.01) were found in the experimental group and the combined therapy group for all items except general health, vitality, and social function, where no between group differences were observed ( = 0.001). In conclusion, physical exercise performed in water has positive effects on several factors that contribute towards improving the mood and quality of life of people with acquired brain injury.

摘要

疼痛和抑郁状态可能会对中风患者的生活质量产生负面影响。本研究旨在评估水中太极气功疗法对中风患者疼痛、抑郁和生活质量的影响。45 名参与者接受了陆地物理治疗(对照组),实验组接受了水中太极气功治疗,联合治疗组则交替接受陆地和水中太极气功治疗。使用视觉模拟评分(VAS)量表评估疼痛,使用韧性量表和 SF-36 生活质量量表作为结果测量指标。实验组和联合干预组在治疗后疼痛和韧性方面均有显著差异(<0.001)。关于 SF-36,实验组和联合治疗组在除一般健康、活力和社会功能外的所有项目上均有显著变化(<0.01),但在这些项目上未观察到组间差异(=0.001)。总之,在水中进行的体育锻炼对改善后天性脑损伤患者的情绪和生活质量有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de70/7369960/a326ba361660/ijerph-17-04796-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de70/7369960/af748b862f88/ijerph-17-04796-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de70/7369960/a326ba361660/ijerph-17-04796-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de70/7369960/af748b862f88/ijerph-17-04796-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de70/7369960/a326ba361660/ijerph-17-04796-g002.jpg

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本文引用的文献

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A physical activity intervention to prevent cognitive decline after stroke: Secondary results from the Life After STroke study, an 18-month randomized controlled trial.一项预防卒中后认知衰退的身体活动干预:来自 Life After STroke 研究的次要结果,一项为期 18 个月的随机对照试验。
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Mental health in Parkinson's disease after receiving aquatic therapy: a clinical trial.
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Advancing Post-Stroke Depression Research: Insights from Murine Models and Behavioral Analyses.推进中风后抑郁症研究:来自小鼠模型和行为分析的见解
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Impact of task-oriented training based on acupuncture rehabilitation on upper extremity function and quality of life of patients with early stroke.基于针刺康复的任务导向训练对早期脑卒中患者上肢功能及生活质量的影响
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Effects of different parameters of Tai Chi on the intervention of chronic low back pain: A meta-analysis.不同参数的太极拳对慢性下腰痛干预效果的Meta 分析。
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