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首页> 外文期刊>Topics in stroke rehabilitation >Clinical factors associated with the development of nonuse learned after stroke: a prospective study
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Clinical factors associated with the development of nonuse learned after stroke: a prospective study

机译：与卒中后非用途发展相关的临床因素：预期研究

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Background: Upper extremity impairment is present in most of people with stroke. The use of the affected upper extremity can be impacted not only by physical impairment but also by abehavioral phenomenon called learned nonuse. Objective: The aim of this study was to evaluate which clinical factors in the acute phase are associated with the development of learned nonuse in the upper extremity after stroke. Methods: This cohort study included 38 patients with ischemic stroke. Hospital discharge data were collected for clinical aspects, scales of severity, incapacity and autonomy, as well as for neuromuscular and sensory evaluations. At 90 days after hospital discharge, the score on the Motor Activity Log scale for detecting learned nonuse was obtained, and life quality was evaluated by the EuroQol. The individuals with and without learned nonuse were compared by attest for univariate analysis, and ageneralized linear model was employed to find possible predictors, which were considered significant p Results: In the statistical model, age (p= .006), severity at discharge (p= .036), handgrip strength (p= .000), altered sensitivity (p= .011), incapacity at discharge (p= .009) and autonomy at discharge (p= .011) were found to be associated with learned nonuse. In relation to quality of life, mobility, personal care, usual activities, anxiety, depression and perception had lower mean values in the learned nonuse group. Conclusion: Age, severity of stroke, incapacity and neuromuscular and sensory compromises are associated with upper extremity learned nonuse in stroke patients.
机译：背景：大多数卒中的人都存在上肢障碍。受影响的上肢可能不仅受到物理障碍的影响，而且也受到叫做学习非使用的枕头现象。目的：该研究的目的是评估急性期的哪些临床因素与中风后上肢中学的发展有关。方法：该队列研究包括38例缺血性脑卒中患者。收集了医院放电数据，用于临床方面，严重程度，丧失能力和自主权，以及神经肌肉和感官评估。在医院排放后90天，获得了用于检测学习的非利用使用的电机活动日志规模的得分，欧元季度评估寿命质量。通过证明单变量分析来比较具有和不学习的非使用的人，并且使用静脉化线性模型来找到可能的预测因子，这被认为是显着的p结果：在统计模型中，年龄（p = .006），放电严重程度（ p = .036），手柄强度（p = .000），改变的灵敏度（p = .011），排出时的无能力（p = .009）和放电时的自主权（p = .011）与学习相关非使用。与生活质量，流动性，个人护理，通常的活动，焦虑，抑郁和感知有关，在学习的非使用者中具有较低的平均值。结论：年龄，中风严重程度，丧失主义和神经肌肉和感官妥协与中风患者的上肢学习相关联。

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