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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Effect of Early and Intensive Rehabilitation after Ischemic Stroke on Functional Recovery of the Lower Limbs: A Pilot, Randomized Trial
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Effect of Early and Intensive Rehabilitation after Ischemic Stroke on Functional Recovery of the Lower Limbs: A Pilot, Randomized Trial

机译：缺血性脑卒中后早期和密集康复对下肢功能恢复的影响：飞行员，随机试验

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Objective: We aimed to develop an early and intense lower extremity training technique using a recumbent cycle ergometer system in patients with acute ischemic stroke. Methods: This was a pilot, prospective, randomized, controlled study with 2 parallel groups followed for 3 months with blinded assessment of outcomes. Thirty-one eligible patients were randomized to experimental and control groups. To strengthen the motion of the lower extremities within 48 hours after stroke, the control and experimental groups received conventional treatment and additional interventions under a therapist's guidance combined with conventional treatment, respectively. The primary outcome measure was the change in lower extremity motor control from admission to 4 weeks, assessed by the Fugl-Meyer Assessment. Secondary outcomes were the number of days to walking 50 m and the change in the Berg Balance Scale score and Barthel index. The modified Rankin Score was used to assess the overall function and prognosis at 3 months. Results: Fugl-Meyer Assessment and Berg Balance Scale scores and Barthel index increased over time in the experimental group, as did the Berg Balance Scale score and Barthel index in the control group (P .05). Conclusions: Our early and intense lower extremity training technique involving a leg cycle ergometer system contributes to the recovery of lower extremity function in patients with acute ischemic stroke. This finding will provide a basis for future investigations on the applicability of the intervention in early lower extremity and walking rehabilitation among individuals with neurological disorder.
机译：目的：我们的目的是在急性缺血性中风患者中开发一种早期和高强度的下肢训练技术，使用卧位循环测力计系统。方法：这是一项先导性、前瞻性、随机、对照研究，2个平行组随访3个月，对结果进行盲法评估。31名符合条件的患者被随机分为实验组和对照组。为了在中风后48小时内加强下肢运动，对照组和实验组分别在治疗师的指导下接受常规治疗和额外干预，并结合常规治疗。主要观察指标是从入院到4周下肢运动控制的变化，通过Fugl-Meyer评估进行评估。次要结果是步行50米的天数，以及伯格平衡量表评分和Barthel指数的变化。采用改良Rankin评分评估3个月时的整体功能和预后。结果：实验组的Fugl-Meyer评估、Berg平衡量表评分和Barthel指数随着时间的推移而增加，对照组的Berg平衡量表评分和Barthel指数也随着时间的推移而增加（P.05）。结论：我们的早期高强度下肢训练技术，包括腿部循环测力计系统，有助于急性缺血性中风患者下肢功能的恢复。这一发现将为未来研究神经障碍患者早期下肢干预和步行康复的适用性提供基础。

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