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自我康复视频训练(SAVE)对亚急性脑卒中患者功能恢复的影响

Effects of Self RehAbilitation Video Exercises (SAVE) on Functional Restorations in Patients with Subacute Stroke.

作者信息

Jung Seung-Hwan, Park Eunhee, Kim Ju-Hyun, Park Bi-Ang, Yu Ja-Won, Kim Ae-Ryoung, Jung Tae-Du

机构信息

Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea.

Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Korea.

出版信息

Healthcare (Basel). 2021 May 11;9(5):565. doi: 10.3390/healthcare9050565.

Abstract

: Additional exercise therapy has been shown to positively affect acute stroke rehabilitation, which requires an effective method to deliver increased exercise. In this study, we designed a 4-week caregiver-supervised self-exercise program with videos, named "Self rehAbilitation Video Exercises (SAVE)", to improve the functional outcomes and facilitate early recovery by increasing the continuity of rehabilitation therapy after acute stroke. : This study is a non-randomized trial. Eighty-eight patients were included in an intervention group (SAVE group), who received conventional rehabilitation therapies and an additional self-rehabilitation session by watching bedside exercise videos and continued their own exercises in their rooms for 60 min every day for 4 weeks. Ninety-six patients were included in a control group, who received only conventional rehabilitation therapies. After 4 weeks of hospitalization, both groups assessed several outcome measurements, including the Berg Balance Scale (BBS), Modified Barthel Index (MBI), physical component summary (PCS) and the mental component summary of the Short-Form Survey 36 (SF-36), Mini-Mental State Examination, and Beck Depression Inventory. : Differences in BBS, MBI, and PCS components in SF-36 were more statistically significant in the SAVE group than that in the control group ( < 0.05). Patients in the SAVE group showed more significant improvement in BBS, MBI, and PCS components in SF-36 as compared to that in the control group. : This evidence-based SAVE intervention can optimize patient recovery after a subacute stroke while keeping the available resources in mind.

摘要

额外的运动疗法已被证明对急性中风康复有积极影响,这需要一种有效的方法来增加运动量。在本研究中,我们设计了一个为期4周的由护理人员监督的视频自我运动计划,名为“自我康复视频锻炼(SAVE)”,以通过增加急性中风后康复治疗的连续性来改善功能结局并促进早期恢复。

本研究为非随机试验。88名患者被纳入干预组(SAVE组),他们接受常规康复治疗,并通过观看床边运动视频额外进行一次自我康复训练,每天在病房自行锻炼60分钟,持续4周。96名患者被纳入对照组,他们仅接受常规康复治疗。住院4周后,两组均评估了多项结局指标,包括伯格平衡量表(BBS)、改良巴氏指数(MBI)、健康调查简表36(SF - 36)的身体成分总结(PCS)和精神成分总结、简易精神状态检查表以及贝克抑郁量表。

SAVE组的BBS、MBI和SF - 36的PCS成分差异在统计学上比对照组更显著(<0.05)。与对照组相比,SAVE组患者在BBS、MBI和SF - 36的PCS成分上有更显著的改善。

这种基于证据的SAVE干预可以在考虑现有资源的同时优化亚急性中风患者的恢复情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31f0/8150768/63e4bc35e0ac/healthcare-09-00565-g001.jpg

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