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首页> 美国卫生研究院文献>Journal of Physical Therapy Science >Influence of increased amount of exercise on improvements in walking abilityof convalescent patients with post-stroke hemiplegia
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Influence of increased amount of exercise on improvements in walking abilityof convalescent patients with post-stroke hemiplegia

机译：运动量增加对步行能力提高的影响脑卒中偏瘫康复期患者的治疗

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[Purpose] This study aimed to determine the effects of increased amount of physical therapy exercise on improvements in the walking ability of patients with stroke. [Subjects and Methods] The subjects were selected from patients with stroke who were hospitalized in the convalescent rehabilitation ward, and included 91 patients who received physical therapy for 2.5–3 exercise sessions per day during 2005–2006 (PT3unit group), and 86 patients who received physical therapy for 4.5–6 exercise sessions per day during 2010–2015 (PT6unit group). The functional independence measure (FIM) score evaluates the walking ability of patients during hospital admission, 2 and 4 weeks after admission, and at discharge. The FIM score was stratified according to the degree of lower limb motor paralysis and subsequently compared between groups. [Results] Among the patients with complete paralysis and severe paralysis, the FIM-Walking scores at 4 weeks after admission and at discharge were significantly higher in the PT6unit group than in the PT3unit group. No significant differences were found between the PT6unit and PT3unit groups for patients with mild and moderate paralysis. [Conclusion] Higher amounts of physical therapy exercise contributed to improvements in the walking ability of patients with complete and severe lower limb paralysis.
机译：[目的]本研究旨在确定增加物理治疗运动量对中风患者步行能力改善的影响。 [对象和方法]受试者选自在康复中心病房住院的中风患者，包括91名在2005-2006年期间每天接受2.5-3次运动疗法的物理疗法的患者（PT3单元组）和86名患者在2010-2015年期间每天接受物理疗法4.5至6次运动的患者（PT6单元组）。功能独立性测量（FIM）评分评估了住院期间，入院后2周和4周以及出院时患者的步行能力。根据下肢运动麻痹的程度对FIM评分进行分层，然后在各组之间进行比较。 [结果]在完全麻痹和严重麻痹的患者中，PT6unit组的入院后4周和出院时的FIM-Walking评分显着高于PT3unit组。轻度和中度麻痹患者的PT6单位和PT3单位组之间没有发现显着差异。 [结论]进行大量的理疗运动有助于改善完全和严重下肢瘫痪患者的步行能力。

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