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新冠疫情时代,中风患者的远程康复作为一种治疗方案

Telerehabilitation of Post-Stroke Patients as a Therapeutic Solution in the Era of the Covid-19 Pandemic.

作者信息

Ostrowska Paulina Magdalena, Śliwiński Maciej, Studnicki Rafał, Hansdorfer-Korzon Rita

机构信息

Department of Physiotherapy, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland.

出版信息

Healthcare (Basel). 2021 May 31;9(6):654. doi: 10.3390/healthcare9060654.

Abstract

(1) : Due to the pandemic caused by the SARS-CoV-2 virus, rehabilitation centres have become less available for neurological patients. This is the result of efforts to physically distance society, to try to slow the spread of the pathogen. Health care facilities were mainly restricted to urgent cases, while most physiotherapy treatments, mainly for patients with chronic conditions, were suspended. Some countries have seen a reduction in acute stroke hospital admissions of from 50% to 80%. One solution to the above problem is the use of telerehabilitation in the home environment as an alternative to inpatient rehabilitation. (2) : The purpose of this review is to analyse the benefits and limitations of teletherapy in relation to the functional condition of post-stroke patients. (3) : Selected publications from 2019 to 2021 on the telerehabilitation of stroke patients were reviewed. The review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. (4) : Studies have proven that teletherapy significantly improves the functional condition of post-stroke patients, resulting in improved quality of life and faster return to independence (while maintaining maximum possible precautions related to the SARS-CoV-2 virus pandemic). (5) : Analysis of the study results showed comparable effectiveness of rehabilitation in the tele system to inpatient therapy. However, it should be emphasised that patients undergoing telerehabilitation must meet strict conditions to be eligible for this type of treatment program. However, the strength of the evidence itself supporting the effectiveness of this method ranks low due to the limited number of randomised control trials (RCT), small number of participants, and heterogeneous trials.

摘要

(1):由于严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒引发的大流行,神经科患者的康复中心已变得难以使用。这是社会进行物理隔离以减缓病原体传播努力的结果。医疗保健设施主要限于紧急情况,而大多数主要针对慢性病患者的物理治疗则被暂停。一些国家急性中风住院人数减少了50%至80%。上述问题的一个解决方案是在家庭环境中使用远程康复作为住院康复的替代方案。(2):本综述的目的是分析远程治疗对于中风后患者功能状况的益处和局限性。(3):对2019年至2021年有关中风患者远程康复的选定出版物进行了综述。该综述基于系统评价和Meta分析的首选报告项目(PRISMA)清单。(4):研究证明,远程治疗显著改善了中风后患者的功能状况,从而提高了生活质量并更快恢复独立(同时保持与SARS-CoV-2病毒大流行相关的最大可能预防措施)。(5):对研究结果的分析表明,远程系统中的康复与住院治疗具有相当的有效性。然而,应该强调的是,接受远程康复的患者必须满足严格条件才有资格参加此类治疗方案。然而,由于随机对照试验(RCT)数量有限、参与者数量少以及试验的异质性,支持该方法有效性的证据本身的力度较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b40d/8229171/f142c807eec1/healthcare-09-00654-g001.jpg

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