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首页> 外文期刊>Brain injury: BI >Exercise and health-related quality of life during the first year following acute stroke. A randomized controlled trial.
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Exercise and health-related quality of life during the first year following acute stroke. A randomized controlled trial.

机译：急性中风后第一年的运动和与健康有关的生活质量。一项随机对照试验。

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PURPOSE: To evaluate the impact of two different physiotherapy exercise regimes in patients after acute stroke on health-related quality of life (HRQoL) and to investigate how the degree of motor and balance function, gait capacity, activities of daily living and instrumental activities of daily living influenced HRQoL. METHODS: A longitudinal randomized controlled stratified trial of two interventions: the intensive exercise groups with scheduled intensive training during four periods of the first year after stroke and the regular exercise group with self-initiated training. RESULTS: There was a tendency of better HRQoL in the regular exercise group on NHP total score (p = 0.05). Patients with low scores in activities of daily living, balance and motor function and inability to perform 6-minute walk test on admission, scored lower on self-perceived health than patients with high scores and ability to perform the walking test. At 1 year post-stroke, total scores on NHP were moderately associated with motor function (r = -0.63), balance (r = -0.56), gait (r = -0.57), activities of daily living (r = -0.57) and instrumental activities of daily living (r = -0.49-0.58). The physical mobility sub-scale of NHP had the strongest association ranging from r = -0.47-0.82. CONCLUSION: The regular exercise group with self-initiated training seemed to enhance HRQoL more than the intensive exercise group with scheduled intensive training. The degree of motor function, balance, walking capacity and independence in activities of daily living is of importance for perceived HRQoL.
机译：目的：评估急性中风后两种不同的理疗运动方案对健康相关的生活质量（HRQoL）的影响，并调查运动和平衡功能的程度，步态能力，日常生活和器械活动的影响。日常生活影响了HRQoL。方法：一项纵向随机对照的分层试验，其中有两种干预措施：在中风后第一年的四个时期内进行有计划的强化训练的强化运动组，以及自行开始训练的常规运动组。结果：常规运动组的NHP总分有较高的HRQoL趋势（p = 0.05）。在日常生活，平衡和运动功能方面得分较低且入院时无法进行6分钟步行测试的患者，在自我感知健康方面的得分低于得分较高且能够进行步行测试的患者。中风后1年，NHP的总分与运动功能（r = -0.63），平衡（r = -0.56），步态（r = -0.57），日常生活活动（r = -0.57）有中等程度的关联。和日常生活的工具性活动（r = -0.49-0.58）。 NHP的身体流动性子量表具有最强的关联，范围为r = -0.47-0.82。结论：定期进行自我训练的运动组似乎比定期进行强化训练的强化运动组更能提高HRQoL。运动功能，平衡，步行能力和独立性在日常生活活动中的程度对于感知的HRQoL至关重要。

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