物理治疗师在脑卒中后偏瘫患者康复中遇到的挑战:一项综述研究

Mridul Makkar, N. Arumugam, D. Midha
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引用次数: 1

摘要

背景:半忽视是指不能感知父母侧给予的刺激。它最常见于个体左偏瘫造成的颞顶叶损伤。根据脑卒中后持续时间,半忽视可为急性(6个月)。患者在恢复运动功能、认知功能和获得功能独立性方面面临许多挑战。目的:确定物理治疗师在脑卒中后偏瘫患者康复中面临的挑战。方法:数据鉴定:使用谷歌Scholar、Scopus、PubMed和Pedro进行英语文献检索。研究选择:确定并选择符合特定要求的文章。数据提取:按照纳入标准,对1997 - 2017年间完成的9项研究进行综述。结果:在本研究中,我们回顾了一些关于半忽视治疗的研究,这些研究显示了多种治疗方案。各种干预措施包括机器人镜子疗法、反复顶叶脉冲刺激、低频经颅磁刺激、躯干旋转和扫描训练、强迫使用疗法、棱镜玻璃适应、运动检测手环,每一种都有不同的效果。结论:目前对不同治疗方法的研究数量有限。这些治疗方法需要进一步的研究来证明其有效性,并找到一种适合的方法来克服目前半忽视患者面临的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges Experienced by Physiotherapists in Rehabilitation of Individuals With Poststroke Hemineglect: A Review Study
Abstract Background: Hemineglect is the inability to sense stimuli given on the paretic side. It is most frequently seen in individuals with left hemiplegia resulting from temporoparietal lobe damage. On the basis of duration poststroke, hemineglect can be acute (<3 months) or chronic (>6 months). The patients experience many challenges in rehabilitation of motor function, cognitive function, and in gaining functional independence. Aim: To identify the challenges faced by physiotherapists in rehabilitation of individuals with poststroke hemineglect. Methodology: Data Identification: An English language literature search using Google Scholar, Scopus, PubMed, and Pedro was done. Study Selection: Articles were identified and those which fulfilled the specific requirements were selected. Data Extraction: In accordance with the inclusion criteria, 9 studies done between 1997 and 2017 were reviewed. Results: In this study, we reviewed a number of studies on the treatment of hemineglect which show a variety of treatment options. The various interventions include robotic mirror therapy, repeated parietal theta-burst stimulation, low-frequency transcranial magnetic stimulation, trunk rotation and scanning training, forced use therapy, prism glass adaptation, movement detection bracelets, each of which have different effects. Conclusion: There are a limited number of studies on the different treatment methods that are currently available. Further research is needed on these treatment methods to prove their efficacy and find a suitable method to overcome the challenges that the patients with hemineglect face at present.
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