Swaine B R, Sullivan S J
Ecole de réadaptation, Faculté de Médecine, Université de Montréal, Canada.
Brain Inj. 1996 May;10(5):347-66. doi: 10.1080/026990596124368.
A prospective longitudinal design was employed to describe early (first 6 weeks post-injury) motor function recovery in 16 individuals with severe traumatic brain injury (TBI). Reliable, standardized testing and scoring protocols were used by a physical therapist to evaluate subjects on several different aspects of motor function, including primitive reflexes, equilibrium/protective reactions, and a wide range of motor skills. The findings revealed that subjects demonstrated significant changes (chi 2, p < or = 0.05) between 1 and 6 weeks for the following variables: equilibrium reactions in sitting, rolling prone to side-lying, sitting (supported and unsupported), kneeling, standing (assisted and independently), walking (assisted and independently), stair climbing with the use of the handrail and walking 25 m on even ground. A significant change in ability to sit supported between 1 and 3 weeks post-injury was also observed. In addition, recovery was found to be a heterogeneous process, in that different patterns of recovery were evident for the 26 variables and among individual subjects. The clinical implications for physical therapists involved in the rehabilitation of adults with a severe TBI are discussed.
采用前瞻性纵向设计来描述16名重度创伤性脑损伤（TBI）患者早期（受伤后前6周）的运动功能恢复情况。一名物理治疗师使用可靠、标准化的测试和评分方案，从多个不同方面评估受试者的运动功能，包括原始反射、平衡/保护性反应以及广泛的运动技能。研究结果显示，在1至6周期间，受试者在以下变量方面表现出显著变化（卡方检验，p≤0.05）：坐位平衡反应、从俯卧位翻身至侧卧位、坐位（有支撑和无支撑）、跪位、站立（辅助和独立）、行走（辅助和独立）、借助扶手爬楼梯以及在平坦地面行走25米。在受伤后1至3周期间，有支撑坐位能力也出现了显著变化。此外，发现恢复是一个异质性过程，因为在26个变量以及个体受试者之间，恢复模式各不相同。文中讨论了对参与重度TBI成年患者康复治疗的物理治疗师的临床意义。
