Basmajian J V, Gowland C, Brandstater M E, Swanson L, Trotter J
Arch Phys Med Rehabil. 1982 Dec;63(12):613-6.
Poor prognosis for upper limb recovery of stroke survivors has not changed in at least 28 years; only 4% to 5% of patients regain arm function during or after the active rehabilitation phase. This pilot study included 37 patients randomly assigned to either an integrated behavioral-physical therapy treatment program including electromyographic feedback (experimental group) or a standard exercise physical therapy program of like duration and intensity (control group). Both groups showed clinically significant improvements that exceeded previously reported experience. The experimental technique appears to be more effective when upper limb involvement is not severe in a late case, or when treatment is started early (within 3 months poststroke) in a severe case. The rehabilitation community should quickly investigate the improved prospects of restoring a greater number of useful upper limbs in this often neglected group of hemiplegic patients.
中风幸存者上肢恢复的不良预后至少28年来一直没有改变；只有4%至5%的患者在积极康复阶段期间或之后恢复手臂功能。这项试点研究纳入了37名患者，他们被随机分配到一个包括肌电图反馈的综合行为-物理治疗项目（实验组）或一个持续时间和强度相似的标准运动物理治疗项目（对照组）。两组均显示出超过先前报道经验的临床显著改善。当晚期病例上肢受累不严重或严重病例在卒中后3个月内尽早开始治疗时，实验技术似乎更有效。康复界应迅速研究在这一经常被忽视的偏瘫患者群体中恢复更多有用上肢的改善前景。
