Sunderland A, Fletcher D, Bradley L, Tinson D, Hewer R L, Wade D T
Stroke Research Unit, Frenchay Hospital, Bristol, UK.
J Neurol Neurosurg Psychiatry. 1994 Jul;57(7):856-8. doi: 10.1136/jnnp.57.7.856.
Ninety seven patients with stroke who had participated in a randomised trial of conventional physical therapy nu an enhanced therapy for arm function were followed up at one year. Despite the emphasis of the enhanced therapy approach on continued use of the arm in everyday life, the advantage seen for some patients with enhanced therapy at six months after stroke had diminished to a non-significant trend by one year. This was due to some late improvement in the conventional therapy group whereas the enhanced therapy group remained static or fell back slightly. It is recommended that trials should be conducted comparing very intensive therapy for the arm with controls without treatment. This would provide a model of the effects of therapy on intrinsic neural recovery that would be relevant to all areas of neurological rehabilitation.
97名曾参与常规物理治疗与强化治疗对上肢功能影响的随机试验的中风患者接受了为期一年的随访。尽管强化治疗方法强调在日常生活中持续使用上肢，但中风后6个月时强化治疗在部分患者身上显现出的优势到1年时已减弱为无显著意义的趋势。这是由于常规治疗组出现了一些后期改善，而强化治疗组则保持不变或略有退步。建议开展试验，将针对上肢的高强度治疗与不治疗的对照组进行比较。这将提供一个治疗对内在神经恢复影响的模型，该模型将适用于神经康复的所有领域。
