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脑血管意外男性患者康复期间轮椅转移能力的变化

Change in wheelchair transfer performance during rehabilitation of men with cerebrovascular accident.

作者信息

Khader M S, Tomlin G S

机构信息

Basama Center for Children's Rehabilitation, Jerusalem, Israel.

出版信息

Am J Occup Ther. 1994 Oct;48(10):899-905. doi: 10.5014/ajot.48.10.899.

DOI:10.5014/ajot.48.10.899
PMID:7825705
Abstract

OBJECTIVES

A retrospective study was conducted to investigate differences in the functional outcome between patients with left cerebrovascular accident (left CVA) and right cerebrovascular accident (right CVA) in wheelchair transfer performance. It was hypothesized that the level of improvement in left CVA and right CVA groups of patients would not be the same, due to the different constellation of neurological impairments.

METHOD

Data were obtained from the admission and discharge scores on the Functional Independence Measure of 100 male patients, 50 with left CVA and 50 with right CVA.

RESULTS

Both groups demonstrated a statistically significant improvement between admission and discharge for wheelchair to bed, wheelchair to toilet, and wheelchair to tub or shower transfers (p < .001). However, there were no statistically significant differences between the two groups at admission or discharge for any of the three transfers, even after statistical removal of the effects of age, number of days from onset of stroke to rehabilitation, and number of days in rehabilitation.

CONCLUSION

The lack of difference between the groups at time of discharge may have obscured a difference in the rate of transfer learning during the course of rehabilitation.

摘要

目的

进行一项回顾性研究,以调查左侧脑血管意外(左CVA)患者和右侧脑血管意外(右CVA)患者在轮椅转移表现方面的功能结局差异。研究假设,由于神经功能障碍的不同组合,左CVA组和右CVA组患者的改善程度会有所不同。

方法

数据来自100名男性患者的功能独立性测量的入院和出院评分,其中50名患有左CVA,50名患有右CVA。

结果

两组在入院和出院之间,从轮椅到床、从轮椅到厕所、从轮椅到浴缸或淋浴的转移方面均显示出统计学上的显著改善(p < .001)。然而,即使在统计学上消除了年龄、中风发作至康复的天数以及康复天数的影响后,两组在入院或出院时这三种转移中的任何一种转移上均无统计学上的显著差异。

结论

出院时两组之间缺乏差异可能掩盖了康复过程中转移学习率的差异。

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