Pniak Bogumiła, Leszczak Justyna, Kurczab Jadwiga, Krzemińska Aleksandra, Pięta Joanna, Plis Agnieszka, Czenczek-Lewandowska Ewelina, Guzik Agnieszka
Excelsior Health and Rehabilitation Hospital, Aleja Torosiewicza 2, 38-440 Iwonicz-Zdrój, Poland.
Institute of Health Sciences, Medical College, University of Rzeszów, Ulica Kopisto 2a, 35-959 Rzeszów, Poland.
Brain Sci. 2021 Apr 15;11(4):501. doi: 10.3390/brainsci11040501.
Rehabilitation-oriented therapy after a stroke must continue in various forms as a life-long effort.
The study investigated the impact of spa rehabilitation on the quality of life and functional efficiency in patients after an ischemic stroke at a chronic stage of recovery.
The assessment was carried out in a spa resort in southeastern Poland. It involved 32 patients with strokes who participated in a three-week rehabilitation program. Three examinations were performed: upon admission, on the day of discharge and at a two-month follow-up. The quality of life and functional efficiency were assessed with the WHOQOL-BREF and Barthel Index.
The quality of life was significantly higher in Exam II compared with Exam I ( < 0.001), and improvement was retained at the follow-up. The Barthel scores were higher in Exam II compared with Exam I (79.84 vs. 68.59), while the differences between the scores in Exams II and III were small ( = 0.039).
Three-week spa rehabilitation seems to favorably affect the functional efficiency and quality of life after a stroke. The effects appear to be long-term. The gender, age and time from stroke onset do not seem to impact short-term effects. However, long-term effects are related to the time from stroke onset.
中风后的康复导向治疗必须以各种形式持续进行，作为一项终身努力。
本研究调查了温泉康复对缺血性中风慢性恢复期患者生活质量和功能效率的影响。
评估在波兰东南部的一个温泉胜地进行。研究纳入了32名中风患者，他们参加了为期三周的康复计划。进行了三次检查：入院时、出院当天和两个月随访时。使用世界卫生组织生活质量简表（WHOQOL-BREF）和巴氏指数评估生活质量和功能效率。
与第一次检查相比，第二次检查时生活质量显著更高（<0.001），且在随访时仍保持改善。与第一次检查相比，第二次检查时巴氏评分更高（79.84对68.59），而第二次和第三次检查评分之间的差异较小（=0.039）。
为期三周的温泉康复似乎对中风后的功能效率和生活质量有积极影响。这些影响似乎是长期的。性别、年龄和中风发病后的时间似乎不影响短期效果。然而，长期效果与中风发病后的时间有关。
