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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Comparison of Motor Relearning Program versus Bobath Approach for Prevention of Poststroke Apathy: A Randomized Controlled Trial
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Comparison of Motor Relearning Program versus Bobath Approach for Prevention of Poststroke Apathy: A Randomized Controlled Trial

机译：电动机复属计划与预防失败肺平的鲍巴道方法比较：随机对照试验

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Background: Apathy is a multidimensional syndrome referring to a primary lack of motivation, frequent in survivors of stroke. And prior studies have demonstrated the negative effect of apathy on recovery from stroke. Methods: A randomized controlled study of acute stroke patients. Four hundred and eighty-eight patients without evidence of apathy or depression at the initial visit were consecutively recruited, 258 males and 230 female. Patients were block randomized into 2 groups. Group A (n = 245) and Group B (n = 243) had physiotherapy according to Motor Relearning Program and Bobath in the first 4 weeks, respectively. The supplemental treatment did not differ in the 2 groups. Patients were assessed with Apathy Evaluation Scale-Clinical, National Institutes of Health Stroke Scale scores, Barthel Index scores, Mini-Mental State Examination scores, Hamilton Depression Scale scores, and Hamilton Anxiety Scale scores upon admission. At 1-, 3-, 6-, 9-, and 12-month follow-up after stroke, patients were assessed for diagnosis and severity of apathy using the Apathy Evaluation Scale-Clinical. Results: Baseline characteristics of the subjects are age mean 65.1 (standard deviations, SD 10.9); 47.1% female; Apathy Evaluation Scale-Clinical mean 24.9 (SD 4.7); National Institutes of Health Stroke Scale mean 3.9 (SD 3.8); Barthel Index mean 87.9 (SD 8.7); Mini-Mental State Examination mean 23.3 (SD 4.5); Hamilton Depression Scale mean 17.5 (SD 6.6); and Hamilton Anxiety Scale mean 14.4 (SD 6.2). Participants in both groups had similar levels of apathy symptoms at study admission (Motor Relearning Program, mean = 24.78, SD = 4.62; Bobath, mean = 25.07, SD = 4.75). The Apathy Evaluation Scale scores of participants in both groups demonstrated to decline gradually from month 1 to month 12. Motor Learning Program participants had significantly less apathy severity compared with Bobath participants with respect to each time point. Participants given Bobath approach were 1.629 times more likely to develop poststroke apathy than patients given Motor Relearning Program over 12 months. Conclusions: Physiotherapy treatment in acute stroke rehabilitation using Motor Relearning program was significantly more effective in preventing of new onset of apathy following stroke compared with Bobath approach.
机译：背景：冷漠是一种多维综合征，指的是初级缺乏动机，频繁在中风的幸存者中。事先研究表明了冷漠对中风恢复的负面影响。方法：对急性中风患者的随机对照研究。连续招募了四百八十八名没有证据表明冷漠或抑郁症的患者，连续招募了258名男性和230名女性。患者被嵌段随机分为2组。 A组（n = 245）和B组（n = 243）分别在前4周的电机复合程序和Bobath中具有物理疗法。补充治疗在2组中没有不同。用冷漠评价规模临床，国家健康研究院，巴特指数评分，迷你精神状态考试评分，汉密尔顿抑郁级别得分和汉密尔顿焦虑比评价评估。在中风后的1-，3-，6-，9-和12个月的随访中，评估患者使用冷​​漠评估规模临床诊断和严重程度。结果：受试者的基线特征是年龄平均值65.1（标准偏差，SD 10.9）; 47.1％的女性;冷漠评估标度临床平均24.9（SD 4.7）;国家卫生院校卒中量表意味着3.9（SD 3.8）;巴特索引意味着87.9（SD 8.7）;迷你精神状态考试意味着23.3（SD 4.5）;汉密尔顿抑郁尺比为17.5（SD 6.6）;和汉密尔顿焦虑标度意味着14.4（SD 6.2）。两组的参与者在研究入学时具有相似的脾气症症状（电机复合程序，平均值= 24.78，SD = 4.62; Bobath，平均值= 25.07，SD = 4.75）。两组参与者的冷漠评价规模分数表现出从一个月到1月12日逐渐下降。与每一点的鲍巴斯参与者相比，汽车学习计划参与者显着减少了冷漠严重程度。在12个月内给出鲍巴道的鲍巴路径比患者开发出的患者的可能性比患者更容易出现1.629倍。结论：与鲍径方法相比，使用电动机复合程序急性卒中康复治疗急性卒中康复治疗在预防卒中后的新发病术后更有效。

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