Tag: stroke

基于水的运动在使用或不使用外部浮力设备时对中风患者平衡改善的影响：范围综述

Ribka Theresia, Farid Rahman

 

Ribka Theresia, Farid Rahman – Effect of water-based exercise with or without external buoyancy devices in influencing balance improvement in stroke: scoping review –  Fizjoterapia Polska 2024; 24(3); 350-355

DOI: https://doi.org/10.56984/8ZG020A6ZN

摘要:
背景. 中风是导致残疾的主要原因之一，可能导致痉挛、步态障碍和平衡问题。陆地康复方法已经得到研究，但由于对关节和肌肉压力的担忧，研究人员开始探索包括基于水的运动在内的替代方法。
目的. 总结现有数据，评估基于水的运动在使用或不使用外部浮力设备时对中风患者平衡改善的影响。
材料和方法. 本研究使用范围综述方法，旨在通过对相关文献的研究找到问题的答案。收集的文章将使用TIDIER清单进行综合，文章将在各种数据库中搜索。
结果. 通过文章筛选过程，找到了20篇适合的文章，文章的详细内容涉及人群、干预措施和结果。
结论. 基于水的运动对中风患者是有效的。 这些运动方法在改善中风患者平衡方面显示出效果。未来的研究应分析更多的基于水的实际运动方法。
关键词:
水中运动, 中风, 平衡, 跌倒风险

 

Pobierz/Download/下載/Cкачиваете 免费下载英文文章

研究身体活动与抑郁水平对中风复发关系的横断面研究

Lailla Affianti Fauzi, Wara Kushartanti, Novita Intan Arovah, Fauzi, Regina Maria, Adliah Anwar

 

Lailla Affianti Fauzi, Wara Kushartanti, Novita Intan Arovah, Fauzi, Regina Maria, Adliah Anwar – Investigating the relationship between physical activity and depression level with stroke recurrences: An observational cross-sectional study –  Fizjoterapia Polska 2024; 24(3); 210-215

DOI: https://doi.org/10.56984/8ZG020AKKK

摘要:
背景. 尤其对经历过中风的患者来说，身体健康和心理健康之间的复杂关系越来越受到重视。包括强调身体活动作为中风康复和预防复发的关键因素至关重要。本研究旨在评估身体活动和抑郁水平与中风复发的关系。
方法. 本研究共纳入60名年龄在30到85岁之间的患者，他们都在印度尼西亚的一家医院接受门诊中风治疗。中风复发被定义为在初次中风后三个月内经历的第二次中风。在所有参与者中，12名患者经历了中风复发，48名未复发。通过IPAQ短表和PHQ-9工具收集了有关身体活动和抑郁水平的数据。采用简单的逻辑回归分析评估身体活动和抑郁水平与中风复发的关系，调整了年龄和性别。
结果. 身体活动水平较高的患者不太可能经历中风复发 (OR = 0.534, 95% CI 0.201; 1.422), p = 0.027。相反，抑郁水平较高的患者更有可能经历中风复发 (OR = 2.055, 95% CI 1.115; 3.787), p = 0.021。
结论. 本研究表明，低身体活动和高抑郁水平是增加中风复发的关键因素，强调在中风康复中推广身体活动和心理健康支持的紧迫性。

关键词:
中风, 身体活动, 中风后抑郁, 中风复发

Pobierz/Download/下載/Cкачиваете 免费下载英文文章

额外的心理意象训练对中风患者虚拟现实治疗下下肢功能的影响

Tahir Masood, Tasmiya Asghar, Arshad Nawaz Malik

 

Tahir Masood, Tasmiya Asghar, Arshad Nawaz Malik – Effects of additional mental imagery training on lower limb function in stroke patients treated with virtual reality –  Fizjoterapia Polska 2024; 24(2); 89-93

DOI: https://doi.org/10.56984/8ZG56083OG

摘要: 目的。评估接受任务导向和虚拟现实训练相结合的中风患者是否可以通过增加运动意象训练，在下肢感觉运动功能、平衡、步态和跌倒风险方面进一步受益。
材料和方法。三十名慢性中风患者（40-60岁）参加了这项单盲随机对照试验，通过便利抽样方法招募，随机分配到实验组或对照组。实验组接受虚拟现实训练与心理意象相结合，而对照组接受虚拟现实训练和常规治疗。两种干预均持续6周，每周3次。在基线和3周及6周后，使用Berg平衡量表、下肢Fugl-Meyer评估、威斯康星步态量表、计时起立行走测试和10米步行测试收集数据。
结果。实验组的参与者在所有研究测量上表现显著优于对照组（P < 0.05）。此外，两组与基线相比均显著改善（P < 0.05）。
结论。将运动意象训练整合到接受任务导向和虚拟现实训练的慢性中风患者的康复计划中，可以显著改善患者的结果。
临床试验注册：NCT05812638

关键词: 运动意象，中风，下肢功能，体感游戏，步态

Pobierz/Download/下載/Cкачиваете Pobierz bezpłatnie artykuł w j. angielskim i j. polskim

中度至剧烈体力活动对预测中风风险人群的有效性。一项初步研究

N. Shazia Neelam, H.Manjunatha, P. Senthil, Saina Swathi,P. Antony Leo Aseer, K.C. Gayathri

N. Shazia Neelam, H.Manjunatha, P. Senthil, Saina Swathi,P. Antony Leo Aseer, K.C. Gayathri – Effectiveness of moderate to vigorous physical activity among stroke risk predicted population. A pilot study –  Fizjoterapia Polska 2024; 24(1); 105-113

DOI: https://doi.org/10.56984/8ZG2EF80LR

摘要
背景。中风的日益普遍，特别是在像印度这样的国家的年轻人群中，迫切需要有效的预防策略。可修改的风险因素如高血压、糖尿病和吸烟在中风发生中占有重要比例。本研究关注在12周的中度至剧烈体力活动（MVPA）计划的实施，以解决这些风险因素并降低中风发生率。
方法论。研究涉及一个针对中风风险个体的结构化MVPA干预，强调对协议的一致遵守。主要结果包括监测收缩压、空腹血糖和总胆固醇水平。通过Cooper跑步测试评估心血管健康改善情况。研究还通过参与者的遵守率检验了MVPA干预的可行性和接受度。
结果。与对照组相比，MVPA组在收缩压、空腹血糖和总胆固醇水平上显示出显著下降。这些发现强调了MVPA在管理主要中风风险因素上的有效性。此外，参与者展现出了增强的心血管耐力，凸显了该计划对整体心血管健康的积极影响。MVPA组的高遵守率表明了为中风风险个体实施结构化锻炼协议的可行性。
结论。这项初步研究展示了12周MVPA计划在降低中风关键风险因素和提升心血管健康方面的有效性。研究结果强调了结构化锻炼干预在中风预防工作中的重要性。尽管前景乐观，但需要更大样本量和更长时间的进一步研究，以确立此类干预的持续益处和可行性。实施定制化的MVPA计划对于缓解中风风险具有重要潜力，为全球中风预防策略提供了宝贵见解。
关键词
中风，MVPA，中风的风险因素，体力活动
Pobierz/Download/下載/Cкачиваете 免费下载英文文章

Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase

Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała


Paulina Magdalena Ostrowska, Rita Hansdorfer-Korzon, Rafał Studnicki, Dawid Spychała – Use of the posturography platform as a tool for quantitative assessment of imbalance and postural control in post-stroke patients in chronic phase. Fizjoterapia Polska 2023; 23(1); 142-163

DOI: https://doi.org/10.56984/8ZG07B4A3

Abstract
Background. Imbalance during standing, which is usually observed as an asymmetry in the weight shifting toward to the unaffected side of the body, is one of the most common factors affecting the independence and quality of life of post-stroke patients. Clinical assessment of imbalance in post-stroke patients is often conducted by visual observation using standardised tools (balance tests). However, quantitative analysis, using a posturographic platform, is more accurate and provides more information about the patient’s functional status. The TYMO® device, used in this study, is a portable posturography platform that measures tilts of the body’s center of mass and reports the results of the rehabilitation process. It enables an objective, direct and quantitative assessment of the patient’s functional status. Such an assessment can contribute to significant effectiveness of physiotherapy and consequently improve the patient’s quality of life and shorten the period of abstinence from work. Objective. Quantitative assessment of imbalance and postural control using a posturography platform (TYMO®) in patients after ischaemic stroke, in the chronic phase, as an important component of the functional diagnosis process and rehabilitation programme design. To emphasise the role of the posturography platform (TYMO®) as a tool for measuring static balance – symmetry of body weight distribution, and a tool for monitoring and reporting the results of physiotherapy treatment. Methods. In the current study, before and after two weeks of rehabilitation, quantitative measurements of balance on the TYMO® platform were made in a group of subjects (n = 60: adults, after ischemic stroke – first stroke episode, in chronic phase – up to 5 years after the stroke incident occurred) undergoing therapy using neurophysiological methods (PNF – Proprioceptive Neuromuscular Facilitation and NDT-Bobath – Neurodevelopmental Treatment according to the Bobath concept) and the SPIDER system (Strengthening Program for Intensive Developmental Exercises and activities for Reaching health capability). Measurements included: the distance marked by the patient’s center of mass while performing the test, the medial-lateral and anterior-posterior tilts of the subject’s body, the area of movement marked by the body’s center of mass, the average speed at which the patient performed the movement to maintain the required position, and the distribution of the subject’s weight. Based on the posturographic results obtained before therapy, it was possible to design a targeted rehabilitation programme. The magnitude of the difference in measurements before and after rehabilitation made it possible to assess the impact of the therapy on the patient’s balance. In addition, it was a specific indicator of the accuracy of the selection of physiotherapeutic treatment (a large difference in the mean results before and after therapy reflected an improvement in the parameters of postural control, hence the effectiveness of the therapy) and determined the direction of the future rehabilitation programme. Results and conclusions. The parameters measured by the TYMO® platform are crucial in assessing the functional status of post-stroke patients, especially with regard to postural control or balance disorders. The results described confirm the validity of using quantitative assessment, using the posturography platform, as an important component of the functional diagnostic process and designing an rehabilitation programme. The TYMO® platform itself is a useful tool for measuring, monitoring and reporting the effects of physiotherapeutic treatment in post-stroke patients.
Key words:
stroke, body weight distribution, balance, quantitative assessment, posturographic platform
Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial

Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim


Raghda Nasr Nassar, Nawal Abou Shady, Mohamed Nabil El-Bahrawy, Ahmed Abdelalim – Effect of pilates training on cognitive functions in patients with stroke: A randomized controlled trial. Fizjoterapia Polska 2022; 22(5); 26-30

DOI: https://doi.org/10.56984/8ZG20ASbq

Streszczenie

Purpose. To investigate the effect of pilates training on cognitive functions in patients with stroke. Materials and Methods. Forty Right stroke patients (Left hemiparesis) of both genders with age ranged from 50–65 years old were recruited randomly and divided into two equal groups; Study group (I) received pilates training therapy and selected physical therapy program for 6 weeks, Control group (II) received the same selected physical therapy program only for 6 weeks. Pre- and post-treatment assessment using RehaCom System, Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) were done for all patients. Results. Cognitive disorders (Attention, Memory, Reaction behavior and logical reasoning) were significantly improved in study group (pilates training therapy) more than control group (selected physical therapy program). cognitive disorders were improved in both groups with the best improvement results of group (I) more than group (II). Conclusion. Pilates Training program considered an effective physical therapy method for improving cognitive disorders in patients with stroke.

Słowa kluczowe:
stroke, pilates training, cognitive disorders

Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Classification of Stroke Riskometer AppTM into low, moderate and high stroke risk range

N. Shazia Neelam, P. Senthil, S. Saina Swathi, S.Subramanian, A. Mohamed Nainar, L. Haribabu, E. Vijayabharathi


N. Shazia Neelam, P. Senthil, S. Saina Swathi, S.Subramanian, A. Mohamed Nainar, L. Haribabu, E. Vijayabharathi – Classification of Stroke Riskometer AppTM into low, moderate and high stroke risk range. Fizjoterapia Polska 2022; 22(4); 22-26

DOI: https://doi.org/10.56984/8ZG1A624g

Abstract
Background. Stroke is one of the leading of the causes of disability and according to the global burden of disease (GBD) study in 2010 it is the second leading cause of death worldwide. Developing countries reported 85% global burden of stroke enduring 80 percent of death due to hemorrhagic strokes. Stroke-related hospitalization rate in India is 46 per 100,000 persons. However Stroke Riskometer App can be used to significantly improve stroke and Non- Communicable disease prevention, since it operates on latest expansions in risk allocution/communication, International guidelines on stroke and Cardio-Vascular Disease prevention. However, the app does not classify the risk individuals into low, moderate and high categories which will not create any impact over the high risk individual, therefore it calls for the need to classify the tool into low, moderate and high risk ranges. Aim. To classify the Stroke Riskometer App into low, moderate and high stroke risk ranges among adult and elderly population. Methods. Participants were 250 samples selected from Chettinad Academy of Research and Education and S.A. Poly Clinic, Chennai, for over a_period of 6 months (April 2021-September 2021) and the Stroke Riskometer questionnaire along with Framingham Stroke Profile was filled, risk percentage from both the tools were recorded using the App for each individual. Results. Frequency analysis and Chi-square tests were performed, classifying the range into < 5% as low, 6-10% as moderate and > 10% as high risk in Stroke Riskometer tool. In Chi-square test it showed n = 104 as low risk, n = 11 as moderate risk,n = 14 as high risk in both FRS and Stroke Riskometer respectively. The chi-square value is 24.224 and the significant p value is < 0.0001showing that the value is performing well with FRS score. Conclusion. Though the App was classified into ranges it need to be continually developed and validated with larger sample size, heterogenous population and robust ethnic groups.

Keywords
stroke risk factors, stroke, stroke risk scores, ischemic stroke, non-communicable

Pobierz/Download/下載/Cкачиваете  免費下載（僅限英文版）

The impact of comprehensive spa treatment with the use of a stabilometric platform on postural balance control and functional fitness of patients after a stroke

Agnieszka Nitera-Kowalik, Iwona Sarzyńska-Długosz, Małgorzata Łukowicz, Agnieszka Malec, Robert Owsiński, Wiesław Bujalski

Agnieszka Nitera-Kowalik, Iwona Sarzyńska-Długosz, Małgorzata Łukowicz, Agnieszka Malec, Robert Owsiński, Wiesław Bujalski – The impact of comprehensive spa treatment with the use of a stabilometric platform on postural balance control and functional fitness of patients after a stroke. Fizjoterapia Polska 2022; 22(1); 76-93

Abstract
Introduction. Loss of postural balance control is a symptom that occurs in 60% of stroke patients, limiting patients’ mobility and functional efficiency. The reconstruction of lost functions can be achieved thanks to comprehensive spa treatment with the use of a modern device for the assessment and training of balance – a stabilometric platform.
The objective was to assess the impact of comprehensive spa treatment, including therapy on a stabilometric platform, on balance and functional fitness of stroke patients undergoing rehabilitation at the 21st Military Spa and Rehabilitation Hospital in Busko-Zdrój.
Material and methods. Seventeen patients were examined: 6 patients (35.3%) after a haemorrhagic stroke and 11 patients (64.7%) after an ischemic stroke diagnosed according to ICD-10: I.69, G.81; including 4 (23.5%) women and 13 (76.5%) men. Patients in the study group aged 35 to 70 (58.06 on average) received spa and rehabilitation treatment at the 21st Military Spa and Rehabilitation Hospital in Busko-Zdrój. The examinations were carried out from May 2019 to October 2020 as part of the project “Establishing a research laboratory for methods of rehabilitation of patients with musculoskeletal disorders”. The patients were subject to a comprehensive spa treatment program, extended with objective assessment and exercises on the Alfa stabilometric platform. Selected tests and clinical scales were used for the functional assessment of patients: Timed Up and Go test (TUG test), 10-meter walk test (10 Meter Walk Test), 2-minute walk test (2MWT). The patients were assessed on the day of commencing the spa treatment and after three weeks.
Results. Objective improvement of balance parameters in the stabilometric evaluation after 3 weeks of spa and rehabilitation treatment was noticed in the younger group of patients with right hemiparesis long after a stroke. Patients with left hemiparesis achieved shorter task completion times in the 10MWT and TUG clinical tests. In addition, they covered a longer distance in the 2MWT test.
Conclusions. The program of comprehensive spa and rehabilitation treatment, enriched with training with the use of the Alpha stabilometric platform, had a positive effect on the improvement of balance parameters and gait function in patients long after a stroke. Therapy on a stabilometric platform with the use of biofeedback should be a standard element of therapy in stroke patients.
Key words:
spa treatment, stroke, stabilometric platform
Pobierz/Download/下載/Cкачиваете   免費下載（僅限英文版）

Comparing between the efficacy of underwater treadmill and over-ground treadmill training program on trunk kinematics in stroke patients: A randomized controlled trial

Zeinab M. Abdelrehim, Nahed A. Salem, Hossam M. El khatib, Mahmoud Y. Elzanaty

Zeinab M. Abdelrehim, Nahed A. Salem, Hossam M. El khatib, Mahmoud Y. Elzanaty – Comparing between the efficacy of underwater treadmill and over-ground treadmill training program on trunk kinematics in stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 14-18

Abstract
Background. Gait disorder is a common clinical problem for stroke survivors. Trunk movement, control and symmetry are important prerequisite for gait. Trunk kinematics rarely investigated during gait cycle. Objective. This study was conducted to compare between the efficacy of underwater treadmill training program (TTP) and over-ground (TTP) in improving trunk kinematics during the gait cycle of stroke patients. Study design. randomized control trial. Methods. Forty male patients suffering from post-stroke gait deficits were assigned randomly into two equal groups: study group (A): received underwater treadmill training program. Control group (B) received over-ground treadmill training program. Patients of both groups were assessed for trunk range of motion (ROM) during gait cycle using slow motion video and goniometer iPad application. Assessment was done before and after four weeks of treatment for both groups. Results. the comparison between groups post treatment showed a significant increase in trunk lateral flexion toward affected and significant decrease in trunk lateral flexion toward unaffected during stance phase with increase in trunk symmetry between both sides in the study group (A) compared with that of control group (B). Conclusion. under water TTP is more effective than over-ground TTP on improving trunk kinematics during the gait cycle of stroke patients.
Key words:
stroke, trunk kinematics, underwater treadmill, over-ground treadmill
Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

Assessment of the effects of therapy with the use of the Fourier M2 neurological smart robot in post-stroke patients with hemiplegia

Igor Świerkowski, Marcin Krajczy, Ewa Jach, Piotr Kęsicki, Katarzyna Bogacz, Jacek Łuniewski, Jan Szczegielniak

I. Świerkowski, M. Krajczy, E. Jach, P. Kęsicki, K. Bogacz, J. Łuniewski, J. Szczegielniak – Assessment of the effects of therapy with the use of the Fourier M2 neurological smart robot in post-stroke patients with hemiplegia. Fizjoterapia Polska 2021; 21(4); 210-220

Abstract
Objective. The objective of the study is to assess the effect of upper limb therapy with the use of the Fourier M2 smart robot in post-stroke patients with right and left hemiplegia. Material and methods. The study included 13 post-stroke patients with hemiplegia. The study group consisted of 11 men and 2 women. Eight patients experienced a left-sided stroke and five patients experienced a right-sided stroke. The patients were assessed using the Fourier M2 robot. Inclusion criteria for the study were the occurrence of a stroke, hemiplegia, dysfunction of the upper limb, and restricted mobility. The patients underwent a 10-day therapy with the use of the Fourier M2 smart robot, which is used for diagnostics, planning and conducting therapy. Statistical calculations were performed using the Statscloud application. Results: On the first day, the caloric values were lower (Mdn = 1.60) than on the last day (Mdn = 3.60), which proves the effects of using a smart robot in the neurorehabilitation of post-stroke patients. The Wilcoxon test shows a statistically significant difference: z = −3.18; p = 0.003, r = −0.62. On the first day, the result was lower (Mdn = 1,231.00) compared to the last day (Mdn = 1,591.00), which proves the effects of using a smart robot in the neurorehabilitation of post-stroke patients. The Wilcoxon test shows a statistically significant difference: z = −2.48; p = 0.018, r = −0.49. On the last day, the score values are higher (M = 196.85, SD = 93.14) than on the first day (M = 137.46, SD = 99.96), which proves the effects of using a smart robot in the neurorehabilitation of post-stroke patients. The T-test shows that the difference was statistically significant: t(12) = −3.22; p = 0.007, Cohen dav = 0.62, observed force = 0.32. With a random pair of values, there is a 73.08% chance that the last day’s value would be higher than the first day’s value. On the first day, the distance values were lower (Mdn = 23.00) than on the last day (Mdn = 52.80), which proves the effects of using a smart robot in the neurorehabilitation of post-stroke patients. The Wilcoxon test shows that the difference was statistically significant: z = −3.11; p = 0.003, r = −0.61. On the first day, the average speed values were lower (Mdn = 4.50) than on the last day (Mdn = 4.60), which proves the effects of using a smart robot in the neurorehabilitation of post-stroke patients. The Wilcoxon test shows that the difference is statistically significant: z = −2.76; p = 0.009, r = −0.54. On the first day, the proportion of active movement was higher (M = 27.25, SD = 21.72) than on the last day (M = 25.54, SD = 24.73), which does not prove the effects of using a smart robot in neurorehabilitation stroke patients. The T-test shows that the difference was not statistically significant: t(12) = 0.31, p = 0.758, Cohen dav = 0.07, observed force = 0.04. In the case of a pair of randomly selected values, there is a 52.93% chance that the values on the first day would be higher than on the last day.
Conclusions. 1. The use of the Fourier M2 smart robot does not have a positive effect on increasing the proportion of active movement in post-stroke patients with hemiplegia. 2. The use of the Fourier M2 smart robot has a positive effect on the improvement of the average speed of movement in post-patients with hemiplegia.
3. The use of the Fourier M2 smart robot has a positive effect on increasing the functionality of the upper limb in post-stroke patients with hemiplegia.
Key words:
stroke, neurology, robot, upper limb, hemiplegia
Pobierz/Download/下載/Cкачиваете 免費下載（僅限英文版）

1 2 3