Shahid Jawaria, Kashif Ayesha, Shahid Muhammad Kashif
Department of Physical Therapy, Ikram Hospital, Gujrat 50700, Pakistan.
Center of Physical Therapy, Rayan Medical Center, Gujrat 50700, Pakistan.
Brain Sci. 2023 Apr 25;13(5):717. doi: 10.3390/brainsci13050717.
Stroke is the fourth leading cause of mortality and is estimated to be one of the major reasons for long-lasting disability worldwide. There are limited studies that describe the application of physical therapy interventions to prevent disabilities in stroke survivors and promote recovery after a stroke. In this review, we have described a wide range of interventions based on impairments, activity limitations, and goals in recovery during different stages of a stroke. This article mainly focuses on stroke rehabilitation tactics, including those for sensory function impairments, motor learning programs, hemianopia and unilateral neglect, flexibility and joint integrity, strength training, hypertonicity, postural control, and gait training. We conclude that, aside from medicine, stroke rehabilitation must address specific functional limitations to allow for group activities and superior use of a hemiparetic extremity. Medical doctors are often surprised by the variety of physiotherapeutic techniques available; they are unfamiliar with the approaches of researchers such as Bobath, Coulter, and Brunnstrom, among others, as well as the scientific reasoning behind these techniques.
中风是第四大死亡原因，据估计是全球长期残疾的主要原因之一。描述物理治疗干预措施在预防中风幸存者残疾和促进中风后恢复方面应用的研究有限。在本综述中，我们描述了基于中风不同阶段的损伤、活动受限和恢复目标的广泛干预措施。本文主要关注中风康复策略，包括针对感觉功能障碍、运动学习计划、偏盲和单侧忽视、灵活性和关节完整性、力量训练、张力亢进、姿势控制和步态训练的策略。我们得出结论，除药物治疗外，中风康复必须解决特定的功能限制，以允许进行集体活动并更好地使用偏瘫肢体。医生常常对可用的各种物理治疗技术感到惊讶；他们不熟悉如Bobath、Coulter和Brunnstrom等研究人员的方法以及这些技术背后的科学推理。
