Team of Rehabilitation Treatment, Chosun University Hospital, 365, Pilmun-daero, Dong-gu, Gwangju 61453, Korea.
Department of Physical Therapy, Nambu University, 23 Cheomdan Jungang-ro, Gwangsan-gu, Gwangju 62271, Korea.
Medicina (Kaunas). 2021 Oct 31;57(11):1182. doi: 10.3390/medicina57111182.
: Aspects of improving cardiorespiratory fitness should be factored into therapeutics for recovery of movement in stroke patients. This study aimed to recommend optimized cardiorespiratory fitness therapeutics that can be prescribed to stroke patients based on a literature review and an expert-modified Delphi technique. : we searched PubMed, Embase, CINAHL, and Cochrane databases and yielded 13,498 articles published from 2010 to 2019 to support the development of drafts. After applying the exclusion criteria, 29 documents were analyzed (drafts, 17 articles; modified Delphi techniques, 12 articles). This literature was reviewed in combination with the results of a modified Delphi technique presented to experts in the physical medicine and rehabilitation field. Analysis of the literature and survey results was conducted at the participating university hospital. : the results of this analysis were as follows: first, 12 intervention items derived through a researcher's literature review and a Delphi technique questionnaire were constructed using the Likert scale; second, we asked the experts to create two modified Delphi techniques by reconstructing the items after statistical analysis for each order comprising five categories, and 15 items were finally confirmed. : the recommendations in this study may lead to the development of a standard decision-making process for physiotherapists to improve their patients' cardiorespiratory fitness. Moreover, the study results can help prescribers document patient care to reduce prescription errors and improve safety. In the future, multidisciplinary studies could potentially provide better therapeutics alternatives for cardiorespiratory fitness.
提高心肺适能的各个方面都应纳入中风患者运动康复的治疗中。本研究旨在通过文献回顾和专家改良德尔菲技术，为中风患者推荐优化的心肺适能治疗方法。我们检索了 PubMed、Embase、CINAHL 和 Cochrane 数据库，从 2010 年至 2019 年发表的 13498 篇文章支持草案的制定。应用排除标准后，分析了 29 篇文献（草案 17 篇，改良 Delphi 技术 12 篇）。将文献与物理医学与康复领域专家的改良 Delphi 技术结果相结合进行了回顾。在参与的大学附属医院进行了文献分析和调查结果的分析。分析结果如下：首先，通过研究者的文献回顾和 Delphi 技术问卷得出了 12 项干预措施，并使用李克特量表构建；其次，我们要求专家通过对每一类包含五个类别的五个类别进行统计分析后对项目进行重新构建，以创建两种改良 Delphi 技术，最终确认了 15 项。本研究中的建议可能会为物理治疗师制定改善患者心肺适能的标准决策过程提供依据。此外，研究结果还可以帮助处方者记录患者护理情况，减少处方错误，提高安全性。未来，多学科研究可能会为心肺适能治疗提供更好的治疗选择。
