Ghaffari Amin, Asadi Bahador, Zareian Armin, Akbarfahimi Malahat, Raissi Gholam Reza, Fathali Lavasani Fahimeh
Department of Neurology, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran.
Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Stroke Res Treat. 2022 Aug 31;2022:3155437. doi: 10.1155/2022/3155437. eCollection 2022.
A major complication caused by stroke is poststroke fatigue (PSF), and by causing limitations in doing activities of daily living (ADL), it can lower the quality of life.
The present study is an attempt to examine the effects of vestibular rehabilitation on BADL (Basic Activities of Daily Living), fatigue, depression, and Lawton Instrumental Activities of Daily Living (IADL) in patients with stroke.
Patients with a history of stroke took part voluntarily in a single-blind clinical trial. The participants were allocated to control and experimental groups randomly. The experimental group attended 24 sessions of vestibular rehabilitation protocol, while the control group received the standard rehabilitation (including three sessions per week each for around 60 min). To measure fatigue, the Fatigue Impact Scale (FIS) and the Fatigue Assessment Scale (FAS) were used. Depression, BADL, and IADL were measured using the Beck Depression Inventory-II (BDI-II), Barthel Index (BI), and Lawton Instrumental Activities of Daily Living, respectively. All changes were measured from the baseline after the intervention.
Significant improvement was found in the experimental group compared to the control group ( < 0.05) in FIS (physical, cognition, and social subscales), FAS, BDI-II, BADL, and IADL. Moreover, the results showed small to medium and large effect sizes for the physical subscale of FIS and FAS scores based on Cohen's , respectively; however, no significant difference was found in terms of cognition and social subscales of FIS, BDI-II, BADL, and IADL scores.
It is possible to improve fatigue, depression, and independence in BADL and IADL using vestibular rehabilitation. Thus, it is an effective intervention in case of stroke, which is also well tolerated.
中风引起的一个主要并发症是中风后疲劳（PSF），它会导致日常生活活动（ADL）受限，进而降低生活质量。
本研究旨在探讨前庭康复对中风患者基本日常生活活动（BADL）、疲劳、抑郁及洛顿工具性日常生活活动（IADL）的影响。
有中风病史的患者自愿参加一项单盲临床试验。参与者被随机分配到对照组和实验组。实验组接受24节前庭康复方案训练，而对照组接受标准康复治疗（包括每周3节，每节约60分钟）。使用疲劳影响量表（FIS）和疲劳评估量表（FAS）测量疲劳。分别使用贝克抑郁量表第二版（BDI-II）、巴氏指数（BI）和洛顿工具性日常生活活动量表测量抑郁、BADL和IADL。所有变化均在干预后从基线进行测量。
与对照组相比，实验组在FIS（身体、认知和社会分量表）、FAS、BDI-II、BADL和IADL方面有显著改善（<0.05）。此外，结果显示，基于科恩d值，FIS身体分量表和FAS得分的效应大小分别为小到中、大；然而，在FIS的认知和社会分量表、BDI-II、BADL和IADL得分方面未发现显著差异。
使用前庭康复可以改善疲劳、抑郁以及BADL和IADL方面的独立性。因此，它是中风情况下一种有效的干预措施，且耐受性良好。
