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首页> 外文期刊>Physiotherapy theory and practice >An evaluation of two different exercise regimes during the first year following stroke: a randomised controlled trial.
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An evaluation of two different exercise regimes during the first year following stroke: a randomised controlled trial.

机译：中风后第一年对两种不同运动方式的评估：一项随机对照试验。

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The purpose of this randomised controlled trial was to evaluate the effects of two different exercise approaches during the first 12 months post stroke on Instrumental Activities of Daily Living (IADL), motor function, gait performance, balance, grip strength, and muscle tone. This study is a double-blind longitudinal randomised trial of first-time-ever stroke patients. Seventy-five patients were included: 35 in an intervention group and 40 in a self-initiated exercise group. After discharge from acute rehabilitation, patients assigned in the intervention group had physiotherapy for a minimum amount of 80 hours during the first year. Patients in the self-initiated exercise group were not recommended any specific therapy besides treatment when needed. Main outcome measures were Instrumental Activities of Daily Living according to Fillenbaum, Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go Test, grip strength, Modified Ashworth Scale, and pulse monitoring. The patients were tested on admission, at discharge, and after 3, 6, and 12 months post stroke by an experienced investigator, blinded to group assignment. Twelve months post stroke showed higher levels of independence in all items of the Instrumental Activities of Daily Living Test and improvements in the results of Motor Assessment Scale, 6-Minute Walk Test, Berg Balance Scale, Timed Up-and-Go, and grip strength in both groups. Only a few significant differences were seen between groups, and they were in favour of the self-initiated exercise group (e.g., ability to use the telephone independently). Attending examination sessions following each intervention phase appeared to be strong motivators for training, irrespective of group allocation.
机译：这项随机对照试验的目的是评估中风后前12个月中两种不同锻炼方法对日常生活工具活动（IADL），运动功能，步态表现，平衡，握力和肌张力的影响。这项研究是首次卒中患者的双盲纵向随机试验。包括75名患者：干预组35名，自我启动运动组40名。急性康复出院后，干预组中分配的患者在第一年内接受了至少80个小时的物理治疗。自发运动组的患者除在需要时进行治疗外，不推荐任何其他特殊疗法。主要结局指标是根据Fillenbaum进行的器械活动，运动评估量表，6分钟步行测试，Berg平衡量表，定时上去测试，握力，改良的Ashworth量表和脉搏监测。在入院时，出院时以及中风后3、6和12个月后，由经验丰富的调查员对患者进行检查，不知道是否进行分组。脑卒中后十二个月显示，日常生活测试的所有器具活动中​​的独立性均较高，并且运动评估量表，6分钟步行测试，伯格平衡量表，定时起坐和握力的结果得到改善在两组中。两组之间仅观察到一些显着差异，并且它们支持自发运动组（例如，独立使用电话的能力）。不论小组分配如何，参加每个干预阶段之后的考试似乎都是培训的强烈动机。

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