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评估轻度脑卒中患者进行为期两周的水疗和海水浴治疗的可行性。

Evaluation of the Feasibility of a Two-Week Course of Aquatic Therapy and Thalassotherapy in a Mild Post-Stroke Population.

机构信息

Institut Català de la Salut, EAP 8K, Centro Atención Primaria Rio de Janeiro, UTAC Muntanya, 08016 Barcelona, Spain.

Departamento de Medicina, Instituto Investigación e Innovación Biomédica de Cádiz, Hospital Universitario de Jerez, Universidad de Cádiz, 11003 Cádiz, Spain.

出版信息

Int J Environ Res Public Health. 2020 Nov 5;17(21):8163. doi: 10.3390/ijerph17218163.

Abstract

Strokes are a leading cause of disability in developed countries. Patients with disabilities need rehabilitation to improve their physical functioning, mental status, and quality of life. Currently, no high-quality evidence can be found attesting the benefits of any of the interventions that are nowadays used. Water-based exercise may improve the physical conditions and quality of life of people in the post-stroke phase. The objective of this study is to test whether aquatic therapy in an enriched environment at the seaside (a thalassotherapy center) could play a role in this condition. A quasi-experimental prospective study consisting of a specific program assessed 62 patients with a mild-moderate disability pre- and post-2 weeks of intensive treatment. They followed a thalassotherapy regimen including aquatic therapy in a sea water pool at 32-34 °C for 45 min daily five times a week. The outcomes measured were the Berg Balance scale, the Timed Up and Go test, the 10-meter walking test, the 6-min walking test, the Pain Visual Analogue Scale, the WHO Well-being index, EuroQoL VAS and EuroQoL 5D. We observed a significant improvement in all outcomes measured ( < 0.001, except mobility EuroQoL < 0.05), except in the other four dimensions of the EuroQoL 5D and 10-metre walking test (NS). Conclusion: A two-week intensive course of aquatic therapy and thalassotherapy may be beneficial in the short term by reducing pain and improving the functional status and overall well-being of post-stroke patients.

摘要

中风是发达国家导致残疾的主要原因。残疾患者需要康复治疗以改善其身体机能、心理状态和生活质量。目前,没有高质量的证据可以证明目前使用的任何干预措施都有好处。水基运动可能会改善中风后阶段患者的身体状况和生活质量。本研究旨在检验在海边(海水疗中心)丰富环境中进行的水上治疗是否对这种情况有作用。一项准实验前瞻性研究包括一个特定的方案,评估了 62 名轻度至中度残疾患者在 2 周强化治疗前后的情况。他们遵循海水疗方案,包括在 32-34°C 的海水中游泳池中进行 45 分钟的每日 5 次水疗。测量的结果是伯格平衡量表、计时起立行走测试、10 米步行测试、6 分钟步行测试、疼痛视觉模拟量表、世界卫生组织幸福感指数、欧洲五维健康量表视觉模拟量表和欧洲五维健康量表 5 维度。我们观察到所有测量结果都有显著改善(<0.001,除了移动性欧洲五维健康量表 <0.05),除了欧洲五维健康量表的其他四个维度和 10 米步行测试(NS)。结论:为期两周的密集水上治疗和海水疗课程可能对中风后患者的短期疼痛减轻和功能状态及整体幸福感有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee5/7663820/3b9e605b0348/ijerph-17-08163-g001.jpg

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