比较两种不同模式的任务练习在下肢强制性运动疗法中对中风患者的影响：一项随机临床试验。

Comparing Two Different Modes of Task Practice during Lower Limb Constraint-Induced Movement Therapy in People with Stroke: A Randomized Clinical Trial.

机构信息

Department of Physiotherapy, Bayero, University Kano, PMB 3011, Gwarzo Road, Kano, Nigeria.

Department of Physiotherapy and Rehabilitation Sciences, University of Antwerp, Antwerp, D.R.312, 2610 Wilrijk, Belgium.

出版信息

Neural Plast. 2021 Feb 1;2021:6664058. doi: 10.1155/2021/6664058. eCollection 2021.

DOI:10.1155/2021/6664058

PMID:33603778

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7870299/

Abstract

BACKGROUND

Constraint-induced movement therapy (CIMT) is used for the rehabilitation of motor function after stroke.

OBJECTIVES

The aim of this study was to compare the effects of lower limb CIMT that uses number of repetition of tasks with the one that uses number of hours of practice.

METHOD

The study was a randomized clinical trial approved by the Ethics Committee of Kano State Ministry of Health. Fifty-eight people with stroke participated in the study. Groups 1 and 2 performed daily 600 repetitions and 3 hours of task practice, respectively, 5 times weekly for 4 weeks. Motor impairment (primary outcome), balance, functional mobility, knee extensor spasticity, walking speed and endurance, and exertion before and after commencement of activities were assessed at baseline and postintervention. The data was analyzed using Friedmann and Mann-Whitney tests.

RESULT

The results showed that there was only significant difference ( < 0.05) in knee extensor spasticity (group 1 (median = 0(0), mean rank = 27.50); group 2 (median = 0(0), mean rank = 31.64)), exertion before commencement of activities (group 1 (median = 0(0.5), mean rank = 21.90); group 2 (median = 1(0.5), mean rank = 37.64)), and exertion after commencement of activities (group 1 (median = 1(1), mean rank = 20.07); group 2 (median = 1(0), mean rank = 39.61) postintervention in favour of the experimental group (group 1)).

CONCLUSION

The group 1 protocol is more effective at improving outcomes after stroke.

摘要

背景

强制性运动疗法（CIMT）用于中风后运动功能的康复。

目的

本研究旨在比较使用任务重复次数和练习时间的下肢 CIMT 的效果。

方法

这是一项随机临床试验，得到了卡诺州卫生部伦理委员会的批准。58 名中风患者参与了这项研究。第 1 组和第 2 组分别每天进行 600 次重复和 3 小时的任务练习，每周 5 次，持续 4 周。在基线和干预后评估运动障碍（主要结局）、平衡、功能性移动性、膝关节伸肌痉挛、步行速度和耐力以及活动开始前后的用力程度。使用 Friedman 和 Mann-Whitney U 检验对数据进行分析。

结果

结果显示，只有膝关节伸肌痉挛（第 1 组（中位数=0(0)，平均秩=27.50）；第 2 组（中位数=0(0)，平均秩=31.64））、活动前用力程度（第 1 组（中位数=0(0.5)，平均秩=21.90）；第 2 组（中位数=1(0.5)，平均秩=37.64））和活动后用力程度（第 1 组（中位数=1(1)，平均秩=20.07）；第 2 组（中位数=1(0)，平均秩=39.61））在干预后有利于实验组（第 1 组），差异有统计学意义（<0.05）。