房颤合并脑卒中患者家庭康复与临床康复效果比较

Fern, O. Delgado
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引用次数: 0

摘要

中风是一个巨大的医疗保健问题,也是长期残疾的重要原因[1]。在中风开始后接受医疗诊所的康复允许患者快速进入及时的多学科治疗[2]。尽管如此,紧急门诊的住院时间基本上减少了[3]。在早期从急诊诊所出院后,恢复治疗无论如何都可以额外提高患者的能力。同样,需要进行康复的中风患者数量和居家康复的安排也在不断增加。局部恢复允许在患者真实的气候中进行实际安装的练习,这可能比在正常环境中进行训练更有益。这些项目可以定制,以协调患者的需求,然后在一个共同的栖息地排练,这使得以客户为中心的治疗更加可行。然而,对当地建立的上附肢修复工作的调查显示了有希望但又相互矛盾的结果。局部修复没有决定性的影响,主要是由于不充分的调查计划和治疗惯例的转变,例如,实践计划、家访、远程康复、限制启动治疗和明确的上附件准备计划。利用可控的初步计划,进一步探索更详尽地检查当地恢复的可行性仍然是必要的。大约70%到80%的中风患者有最远点(UE)发动机缺陷。镜像治疗已经成为一种新的UE恢复方法,动量证据表明中风患者从这种治疗中获益。一项背景调查发现,反射治疗可以有效地管理在病人的家庭环境。另一项研究表明,镜像处理中的相互发展实践和发动机符号可以被视为一种准备方法,可以鼓励随后的发动机学习。任务显性准备,另一项建议是为中风康复做准备,强调在治疗中加入动态的、沉闷的实用练习。它的治疗标准包括给予测试、有用的和目标导向的练习、输入、实际说话条件的波动和推进承诺,这些都增加了富有成效的结果。研究表明,明确的任务准备是升级引擎和有用的恢复以及创造中风后神经可塑性变化的基础。随着越来越多的人关注在家庭环境中中风康复的可行性和成功性,本研究提出了一种新颖的本地代祷方案,利用镜像治疗作为准备和发展实践策略,并辅以任务明确准备。我们检查了局部恢复与中心综合恢复对中风患者健康相关结果的不同部分的治疗影响
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Home-Based Versus Clinic-Based Rehabilitation Outcomes in Patients with Atrial Fibrillation and Stroke
Stroke is a huge medical care issue and a significant reason for long haul inability [1]. Accepting recovery in a medical clinic post stroke beginning permits the patient fast admittance to prompt multidisciplinary care [2]. Notwithstanding, intense emergency clinic lengths of stay have been essentially diminished [3]. After early release from the emergency clinic, restoration treatment can in any case additionally improve the patient's capacity. In like manner, the quantity of stroke patients who need proceeded with recovery and the arrangement of homebased restoration is expanding. Locally situated recovery permits practice of practically installed exercises in the patient's genuine climate, which might be more gainful than training inside normalized settings. The projects can be custom fitted to coordinate the patient's requirements and afterward rehearsed in a common habitat, which makes customer focused treatment more practicable. However, investigations of locally established restoration for the recuperation of upper-appendage work have indicated promising yet conflicting outcomes. No decisive impacts of locally situated restoration can be drawn, chiefly on account of inadequate investigation plans and the shifted kinds of treatment conventions, for example, practice programs, home visits, telerehabilitation, limitation initiated treatment, and explicit upper-appendage preparing programs. Further exploration to all the more exhaustively examine the viability of locally situated restoration utilizing a controlled preliminary plan is still warranted. Approximately 70% to 80% of stroke patients have furthest point (UE) engine deficts. Mirror treatment has arisen as a novel UE restoration approach, and momentum proof shows that stroke patients profit by this therapy. A contextual investigation found that reflect treatment can be effectively managed at the patient's home environment. Another examination demonstrated the reciprocal development practice and engine symbolism in mirror treatment can be viewed as a sort of preparing method which can encourage ensuing engine learning. Task-explicit preparing, another suggested preparing for stroke rehabilitation, underlines adding dynamic, dreary act of utilitarian exercises to the treatment. Its treatment standards incorporate giving testing, useful, and goal directed exercises, input, fluctuation practically speaking conditions and advancing commitment, which add to fruitful outcomes. Research underpins that task-explicit preparing is basic for upgrading engine and useful recuperation and for creating neuroplastic changes post stroke. With an expanded spotlight on the advancement of plausible and successful stroke recovery in home settings, this examination proposed a novel locally situated intercession program utilizing mirror treatment as a preparing and development practice strategy, trailed by task-explicit preparing. We examined the treatment impacts of locally situated restoration versus center put together recovery with respect to various parts of wellbeing related results in patients with stroke
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