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Deep flexion activity training in a patient with stroke using task-oriented exercise: A case report

机译:使用任务导向型锻炼对中风患者进行深屈活动训练:一例报告

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Background and purpose: Many individuals with stroke express desires to resume activities involving deep knee flexion, such as daily living, work-related, and sports activities. However, training methods for improving deep flexion activities have not commonly been reported in the stroke rehabilitation literature. The purpose of this case report is to describe the development of a task-oriented training program and demonstrate its use in improving deep flexion activities in an individual with sub-acute hemiplegia. Case description: The patient was a 55-year-old shoe salesman diagnosed with ischemic stroke 6 weeks before physical therapy evaluation. His primary concerns were functional activities that required deep flexion, such as the inability to squat and to maintain a squatting position in the Eastern toilet and difficulty in performing work-related activities (e.g. fitting shoes for customers while sitting on a low stool). Intervention: We developed a task-oriented training program that specifically targeted deep flexion activities. The first phase of training consisted primarily of practicing sit-to-stand on a low stool and the second phase consisted of practicing squatting. Outcomes: After 6 weeks of intervention, the patient achieved more than the expected outcome on the Goal Attainment Scale (score=+2) for both primary goals and reported positive changes in social participation, such as visiting his friends and relatives and praying at the temple. Discussion: The task-oriented deep flexion activity intervention was associated with positive changes in functional activity and social participation in a patient recovering from stroke.
机译:背景和目的:许多中风的人都希望恢复涉及深屈膝的活动,例如日常生活,与工作有关的活动和体育活动。然而,在中风康复文献中尚未普遍报道用于改善深度屈曲活动的训练方法。本病例报告的目的是描述以任务为导向的培训计划的发展,并演示其在改善亚急性偏瘫患者深屈肌活动中的作用。病例描述:该患者是一名55岁的鞋推销员,在进行物理治疗评估前6周被诊断出患有缺血性中风。他最关心的是需要深屈的功能性活动,例如无法蹲下和在东部厕所中保持蹲下姿势以及难以开展与工作有关的活动(例如,坐在低矮凳子上为顾客穿鞋)。干预:我们制定了以任务为导向的培训计划,专门针对深度屈曲活动。训练的第一阶段主要包括在低凳子上坐着站立练习,第二阶段包括练习下蹲。结果:经过6周的干预,患者达到了两个主要目标的“目标达成量表”(score = + 2)之上的预期结果,并报告了社交参与方面的积极变化,例如拜访他的朋友和亲戚并向他们祈祷。寺庙。讨论:面向任务的深屈活动干预与中风康复患者的功能活动和社会参与的积极变化有关。

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