Zhang Fen, Chu Ni, Lin Congcong
General Medical Department, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China.
Health Department, Yantai Yuhuangding Hospital, Yantai, Shandong 264000, China.
Noise Health. 2025;27(124):13-19. doi: 10.4103/nah.nah_89_24. Epub 2025 Feb 28.
The aim of this study was to investigate the effect of Bobath concept-based rehabilitation training combined with noise management on the rehabilitation outcomes of patients with cerebral arteriovenous malformation (CAVM).
The clinical data of CAVM patients who underwent rehabilitation treatment after microsurgical resection from January 2019 to December 2023 in the Fourth Hospital of Hebei Medical University were collected in this retrospective study. A total of 119 patients were divided into a control group (56 individuals, Bobath concept-based rehabilitation training) and an observation group (63 individuals, Bobath concept-based rehabilitation training + noise management) according to the treatment plan. The baseline characteristics of the patients, noise levels, motor function, activities of daily living, neurological function and anxiety and depression levels were analysed.
The noise level in the observation group was significantly lower than that in the control group (P < 0.001). The Fugl-Meyer assessment score (68.67 ± 3.62 vs. 72.53 ± 3.91, P < 0.001) and modified Barthel index score (71.21 ± 4.06 vs. 75.42 ± 4.12, P < 0.001) of the observation group after rehabilitation were significantly higher than those of the control group, whereas the Hospital Anxiety and Depression Scale-Depression score (P = 0.034) and Hospital Anxiety and Depression Scale-Anxiety score (P < 0.001) were significantly lower than those of the control group.
Bobath concept-based rehabilitation training combined with noise management can significantly improve the rehabilitation outcomes of CAVM patients, including improvements in motor function, activities of daily living and reductions in anxiety and depression levels. Theoretical and practical guidance for clinical practice, emphasising the importance of environmental management in rehabilitation treatment, is provided in this study. Future rehabilitation interventions should be personalised and comprehensive to enhance the rehabilitation level and quality of life of patients.
本研究旨在探讨基于Bobath概念的康复训练联合噪声管理对脑动静脉畸形（CAVM）患者康复效果的影响。
本回顾性研究收集了2019年1月至2023年12月在河北医科大学第四医院接受显微手术后康复治疗的CAVM患者的临床资料。根据治疗方案，将119例患者分为对照组（56例，基于Bobath概念的康复训练）和观察组（63例，基于Bobath概念的康复训练+噪声管理）。分析患者的基线特征、噪声水平、运动功能、日常生活活动能力、神经功能以及焦虑和抑郁水平。
观察组的噪声水平显著低于对照组（P<0.001）。康复后，观察组的Fugl-Meyer评估评分（68.67±3.62对72.53±3.91，P<0.001）和改良Barthel指数评分（71.21±4.06对75.42±4.12，P<0.001）显著高于对照组，而医院焦虑抑郁量表-抑郁评分（P=0.034）和医院焦虑抑郁量表-焦虑评分（P<0.001）显著低于对照组。
基于Bobath概念的康复训练联合噪声管理可显著改善CAVM患者的康复效果，包括运动功能、日常生活活动能力的改善以及焦虑和抑郁水平的降低。本研究为临床实践提供了理论和实践指导，强调了环境管理在康复治疗中的重要性。未来的康复干预应个性化和全面化，以提高患者的康复水平和生活质量。
