...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Gait & posture >Immediate effectiveness of single-session therapeutic interventions in pusher behaviour
【24h】

Immediate effectiveness of single-session therapeutic interventions in pusher behaviour

机译：单次治疗干预对推动者行为的即时有效性

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Some stroke patients with hemiparesis exhibit a so-called pusher behaviour, i.e., they actively push away from the unaffected side and lean towards the hemiparetic side. This impairs their postural balance to such a degree that they are often unable to sit or stand. Pusher behaviour thus substantially hampers the rehabilitation of these patients. So far only a few case studies on treatment strategies have been performed. This study investigated the immediate after-effects of galvanic vestibular stimulation (GVS), machine-supported gait training with the Lokomat, and physiotherapy with visual feedback components (PT-vf). Fifteen pusher and 10 non-pusher patients participated in an observer-blinded cross-over pilot study. Patients were measured on the scale for contraversive pushing (SCP) and on the Burke lateropulsion scale (BLS) immediately before and after a single-session of the specific intervention. Compared to PT-vf, Lokomat therapy had a significant effect on the BLS of pusher patients but no significant effect on the SCP values. GVS had no significant effect on these values on either scale. BLS is more useful than SCP to detect small changes for clinical trials and routine treatment. Forced control of the upright position during locomotion seems to be an effective method for immediately reducing the pushing behaviour of stroke patients, probably because it recalibrates a biased sense of verticality, via the somatic graviception. This finding, however, does not allow prediction of its long-term effects. Furthermore, it would be interesting to evaluate repetitive, multi-session DGO therapy and the amount of therapy needed to effectively reduce the pusher behaviour. ? 2012 Elsevier B.V.
机译：一些患有偏瘫的中风患者表现出所谓的推动行为，即，他们积极地从未受影响的一侧推开，而偏向偏瘫的一侧。这损害了他们的姿势平衡，以致于他们经常无法坐下或站立。因此，推动者的行为极大地阻碍了这些患者的康复。到目前为止，仅进行了一些关于治疗策略的案例研究。这项研究调查了前庭电前庭刺激（GVS），Lokomat机器支持的步态训练以及视觉反馈成分（PT-vf）的物理疗法的即时后效。 15名推动者和10名非推动者患者参加了一项观察者盲目交叉试验研究。在特定疗程的单次治疗之前和之后立即对患者进行对抗性推挤（SCP）量表和Burke后推力量表（BLS）量度。与PT-vf相比，Lokomat疗法对推动者的BLS有显着影响，但对SCP值无显着影响。无论哪种规模，GVS对这些值均无显着影响。在临床试验和常规治疗中，BLS比SCP更有用以检测微小变化。在运动过程中强制控制直立姿势似乎是立即减少中风患者的推举行为的有效方法，可能是因为它通过体感法重新校准了偏向的垂直感。但是，这一发现无法预测其长期影响。此外，评估重复的，多阶段的DGO治疗以及有效减少推动者行为所需的治疗量将很有趣。 ？ 2012年Elsevier B.V.

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号