Studnicki Rafał, Studzińska Karolina, Adamczewski Tomasz, Hansdorfer-Korzon Rita, Krawczyk Maciek
Department of Physiotherapy, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland.
Central University Hospital, Outpatient Clinic, Devision Physiotherapy, Medical University of Łódź, St. Pomorska 251, 92-213 Łódź, Poland.
J Clin Med. 2024 Oct 21;13(20):6271. doi: 10.3390/jcm13206271.
: Physical rehabilitation based on neurofunctional exercises can have a positive impact on restoring functionality and enhancing the quality of life of these individuals. Therefore, the purpose of this study is to analyze the effects of rehabilitation, including neurofunctional exercises, on the functional status of stroke patients. : The cohort study design included 102 male and female participants: 51 patients underwent physiotherapy rehabilitation including neurofunctional exercises (SG), while the other 51 did not follow a rehabilitation program based on neurofunctional exercises (CG). The participants were assessed twice: once during their stay in the early neurology department after the first stroke, and again six months later. The assessments were conducted using the Barthel Scale (BS), the Rankin Scale (RS), and the National Institutes of Health Stroke Scale (NIHSS). : Baseline comparisons revealed significantly greater BS ( = 0.001) in the CG compared to the SG. Conversely, the SG had a significantly higher NIHSS than the CG at baseline ( = 0.001), as well as higher RS ( < 0.001). Within the SG, there were significant increases in BS ( < 0.001), while no significant differences were found between baseline and post 6 months in RS ( = 0.537) and NIHSS ( = 0.475). Regarding the CG, significant increases were observed in BS ( = 0.005) and NIHSS ( < 0.001), while no significant differences were found in RS ( = 0.335). : In conclusion, this study reveals that incorporating neurofunctional exercises does not appear to play a significant role in the patients' progress. The controlled group, engaged in home-based activities, showed greater improvements in their condition.
基于神经功能锻炼的物理康复对恢复这些个体的功能和提高生活质量有积极影响。因此，本研究的目的是分析包括神经功能锻炼在内的康复对中风患者功能状态的影响。队列研究设计包括102名男性和女性参与者：51名患者接受了包括神经功能锻炼在内的物理治疗康复（SG组），而另外51名患者未遵循基于神经功能锻炼的康复计划（CG组）。参与者接受了两次评估：一次是在首次中风后入住神经内科早期期间，另一次是在六个月后。评估使用Barthel量表（BS）、Rankin量表（RS）和美国国立卫生研究院卒中量表（NIHSS）进行。基线比较显示，与SG组相比，CG组的BS显著更高（=0.001）。相反，SG组在基线时的NIHSS显著高于CG组（=0.001），RS也更高（<0.001）。在SG组内，BS有显著增加（<0.001），而RS（=0.537）和NIHSS（=0.475）在基线和6个月后之间未发现显著差异。关于CG组，BS（=0.005）和NIHSS（<0.001）有显著增加，而RS（=0.335）未发现显著差异。总之，本研究表明，纳入神经功能锻炼似乎在患者的病情进展中没有发挥重要作用。从事家庭活动的对照组病情改善更大。
