Department of Rehabilitation Medicine, Kyung Hee University Hospital at Gangdong, Seoul 05278, Republic of Korea.
Int J Environ Res Public Health. 2022 Dec 4;19(23):16212. doi: 10.3390/ijerph192316212.
(1) Background: Stroke patients with hemiplegia have an increased risk of developing deep vein thrombosis (DVT). DVT increases the risk of life-threatening pulmonary embolism and is associated with poor prognosis. The early wearing of compression stockings can help prevent DVT. This study aimed to assess the impact of compression stockings on body balance in stroke patients with unilateral lower extremity muscle weakness; (2) Methods: Hemiplegic stroke patients in the subacute phase who were able to walk with assistance were recruited. The patients were divided into two groups: one group received rehabilitation treatment with compression stockings, and the other received treatment without compression stockings. The rehabilitation treatment involved hospitalization for 4 weeks, the Trunk Control Test (TCT), the Trunk Impairment Scale (TIS), and the Berg Balance Scale (BBS). The patients were evaluated before and 4 weeks after the start of treatment. The differences in BBS, TCT, and TIS before and after treatment between the two groups were compared; (3) Results: Altogether, 236 hemiplegic stroke patients were recruited. There was an improvement in body balance after treatment in both groups, and BBS, TCT, and TIS scores significantly increased in the group that received rehabilitation treatment with compression stockings; (4) Conclusions: In patients with hemiplegic stroke in the subacute period, rehabilitation while wearing compression stockings appears to improve body balance.
(1)背景:偏瘫的脑卒中患者发生深静脉血栓(DVT)的风险增加。DVT 会增加危及生命的肺栓塞的风险,并与预后不良相关。早期穿用压迫性弹力袜有助于预防 DVT。本研究旨在评估压迫性弹力袜对单侧下肢肌无力的脑卒中偏瘫患者的身体平衡的影响;(2)方法:入选处于亚急性期、能够辅助行走的偏瘫脑卒中患者。将患者分为两组:一组接受带压迫性弹力袜的康复治疗,另一组接受不带压迫性弹力袜的治疗。康复治疗包括住院 4 周,进行躯干控制测试(TCT)、躯干损伤量表(TIS)和 Berg 平衡量表(BBS)评估。在治疗开始前和治疗 4 周后对患者进行评估。比较两组患者治疗前后 BBS、TCT 和 TIS 的差异;(3)结果:共纳入 236 例偏瘫脑卒中患者。两组患者治疗后身体平衡均有所改善,带压迫性弹力袜的康复治疗组的 BBS、TCT 和 TIS 评分显著增加;(4)结论:在亚急性期偏瘫的脑卒中患者中,穿用压迫性弹力袜的康复治疗似乎可以改善身体平衡。