Association of physiotherapy dose with motor recovery in early subacute phase after stroke: results from a multicenter Italian study.

IF 2.1 Q1 REHABILITATION

Archives of physiotherapy Pub Date : 2025-05-13 eCollection Date: 2025-01-01 DOI:10.33393/aop.2025.3457

Silvia Salvalaggio, Nicola Valè, Thomas Bowman, Davide Cattaneo, Cristina Allera Longo, Serena Bocini, Viviana Bonci, Michele Gennuso, Francesca Marazzini, Francesco Giuseppe Materazzi, Elisa Pelosin, Martina Putzolu, Andrea Turolla, Susanna Mezzarobba, Fabiola Giovanna Mestanza Mattos, Simone Gambazza

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Abstract

Introduction: The literature investigating the factors associated with functional recovery after stroke suggests that, in the early subacute phase, time is the factor that most significantly drives the recovery. However, it is unclear whether the dose of physiotherapy (PT) delivered is equally associated with recovery of motor function and independence.

Methods: A multivariable modeling of data from a multicenter longitudinal prospective cohort study investigating the contents of neurological PT interventions in Italy was developed, with the aim to estimate the association between the dose of PT received in the early subacute phase after stroke and recovery of walking, motor function, and independence.

Results: A total of 96 patients were included in the analyses. PT dose seems associated with recovery of manual dexterity, measured by the Box and Block test (BBT), but not with the level of independence nor walking function. The probability of achieving a score higher than 31 at the BBT is 46% (95%CI: 18-76) after 10 hours and 76% (95%CI: 42-93) after 20 hours of PT, respectively.

Conclusions: In the early subacute phase after stroke, the higher the dose of PT provided, the better the probability of significant recovery of upper limb (UL) dexterity should be.

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物理治疗剂量与中风后早期亚急性期运动恢复的关系：来自意大利一项多中心研究的结果

引言：研究中风后功能恢复相关因素的文献表明，在早期亚急性期，时间是最显著的驱动恢复的因素。然而，目前尚不清楚物理治疗（PT）的剂量是否与运动功能和独立性的恢复同样相关。方法：对来自意大利一项多中心纵向前瞻性队列研究的数据进行多变量建模，该研究调查了神经系统PT干预的内容，目的是估计卒中后早期亚急性期接受的PT剂量与行走、运动功能和独立性恢复之间的关系。结果：共纳入96例患者。用盒块测试（BBT）测量，PT剂量似乎与手灵巧度的恢复有关，但与独立性水平和行走功能无关。10小时后，BBT得分高于31分的概率为46% (95%CI: 18-76)， 20小时后，分别为76% （95%CI: 42-93）。结论：脑卒中亚急性期早期，PT剂量越高，上肢灵活性明显恢复的概率越高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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