Rehabilitation Application of Exercise Rehabilitation Therapy in Stroke Patients

2019 ◽  
Vol 09 (04) ◽  
pp. 390-394
Author(s):  
成盼 王
Keyword(s):  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Exercise Rehabilitation

Abstract 2303: Therapeutic Intensity and Functional Gains of Stroke Patients during Inpatient Rehabilitation.

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Hua Wang ◽  
Michelle Camicia ◽  
Joseph Terdiman ◽  
Murali K Mannava ◽  
M E Sandel
Keyword(s):  
Functional Outcomes ◽  
Inpatient Rehabilitation ◽  
Functional Improvement ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
The Mean ◽  
Total Therapy ◽  
Therapeutic Intensity ◽  
Functional Gain ◽  
Functional Gains

Objectives: To study the effects of therapeutic intensity on functional gains of stroke patients in inpatient rehabilitation. Design: A retrospective cohort study. Setting: An inpatient rehabilitation hospital (IRH) in northern California. Participants: Three hundred and sixty stroke patients discharged from the IRH in 2007. Interventions: Average number of minutes of rehabilitation therapy per day, including physical therapy (PT), occupation therapy (OT), speech language therapy (SLT), and total treatment. Main Outcome Measures: Functional gain measured by the Functional Independence Measure (FIM TM ), including activities of daily living (ADL), mobility, cognition, and total FIM TM scores. Results: The study sample had a mean age of 64.8 years (SD=13.8), and was 57.4% male, and 61.4% White. About three quarter of the patients had an ischemic stroke; 61.4% had one or more significant comorbid conditions. Median IRH length-of-stay (LOS) was 20 days. The mean total therapy time was 190.3 minutes per day (PT 114.0, OT 42.8, and SLT 33.8). The mean total functional gain was 26.0 (ADL 9.1, mobility 11.4, and cognition 6.2). A longer therapeutic duration per day was significantly associated with functional improvement (r=0.20, p<.001). However, patients who received total therapy time of less than 3 hours per day showed significantly lower total functional gain than those treated 3 hours or longer. There was no significant difference in total functional gain between patients treated 3-3.5 hours and over 3.5 hours per day. Intensity of PT, OT, and SLT in hours per day of treatment time was also significantly associated with corresponding sub-scale functional improvements. Figure 1 presents age and gender adjusted therapeutic intensity and FIM TM Gain. Multiple linear regression analyses showed that young age, hemorrhagic stroke, earlier admission to IRH, and longer IRH stay were independent predictors of functional improvement. Conclusions: The study demonstrated a significant relationship between therapeutic intensity and functional gain during IRH stay and provides evidence of treatment intensity thresholds for optimal functional outcomes for stroke patients in inpatient rehabilitation. Key Words: Stroke, rehabilitation therapy, intensity, functional outcomes.

scholarly journals Predictive value of the ankle-brachial index in the evaluation of intermittent claudication

2000 ◽  
Vol 55 (2) ◽  
pp. 61-64 ◽  
Author(s):  
Nelson Wolosker ◽  
Ruben A Rosoky ◽  
Lívio Nakano ◽  
Márcio Basyches ◽  
Pedro Puech-Leão
Keyword(s):  
Intermittent Claudication ◽  
Predictive Value ◽  
Poor Prognosis ◽  
Predictive Power ◽  
Ankle Brachial Index ◽  
Favorable Outcome ◽  
Rehabilitation Therapy ◽  
Exercise Rehabilitation ◽  
Margin Of Error

The purpose of this study was to determine whether the ankle-brachial index (ABI) could be used to predict the prognosis for a patient with intermittent claudication (IC). We studied 611 patients prospectively during 28 months of follow-up. We analyzed the predictive power of using various levels of ABI - 0.30 to 0.70 at 0.05 increments - in terms of the measure's specificity (association with a favorable outcome after exercise rehabilitation therapy) and sensitivity (association with a poor outcome after exercise rehabilitation therapy). We found that using an ABI of 0.30 as a cut-off value produced the lowest margin of error overall, but the predictive power was still low with respect to identifying the patients with a poor prognosis after non-aggressive therapeutic treatment. Further study is needed to perhaps identify a second factor that could increase the sensitivity of the test.

Adopting Literature-based Discovery on Rehabilitation Therapy Repositioning for Stroke

2018 ◽  
Author(s):  
Guilin Meng ◽  
Yong Huang ◽  
Qi Yu ◽  
Ying Ding ◽  
David Wild ◽  
...  
Keyword(s):  
Text Mining ◽  
Upper Limb ◽  
Clinical Validation ◽  
Abc Model ◽  
Stroke Patients ◽  
Limb Function ◽  
Rehabilitation Therapy ◽  
Upper Limb Function ◽  
Literature Based Discovery ◽  
Assessment Scales

AbstractStroke is a common disabling disease severely affecting the daily life of the patients. There is evidence that rehabilitation therapy can improve the movement function. However, there are no clear guidelines that identify specific, effective rehabilitation therapy schemes, and the development of new rehabilitation techniques has been fairly slow. One informatics translational approach, called ABC model in Literature-based Discovery, was used to mine an existing rehabilitation candidate which is most likely to be repositioned for stroke. As in the classic ABC model originated from Don Swanson, we built the internal links of stroke (A), assessment scales (B), rehabilitation therapies (C) in PubMed relating to upper limb function measurements for stroke patients. In the first step, with E-utility we retrieved both stroke related assessment scales and rehabilitation therapies records, and complied two datasets called Stroke_Scales and Stroke_Therapies, respectively. In the next step, we crawled all rehabilitation therapies co-occurred with the Stroke_Theapies, named as All_Therapies. Therapies that were already included in Stroke_Therapies were deleted from All_Therapies, so that the remaining therapies were the potential rehabilitation therapies, which could be repositioned for stroke after subsequent filtration by manual check. We identified the top ranked repositioning rehabilitation therapy following by subsequent clinical validation. Hand-arm bimanual intensive training (HABIT) ranked the first in our repositioning rehabilitation therapies list, with the most interaction links with Stroke_Scales. HABIT showed a significant improvement in clinical scores on assessment scales of Fugl-Meyer Assessment and Action Research Arm Test in the clinical validation on upper limb function for acute stroke patients. Based on the ABC model and clinical validation of the results, we put forward that HABIT as a promising rehabilitation therapy for stroke, which shows that the ABC model is an effective text mining approach for rehabilitation therapy repositioning. The results seem to be promoted in clinical knowledge discovery.Author SummaryIn the present study, we proposed a text mining approach to mining terms related to disease, rehabilitation therapy, and assessment scale from literature, with a subsequent ABC inference analysis to identify relationships of these terms across publications. The clinical validation demonstrated that our approach can be used to identify potential repositioning rehabilitation therapy strategies for stroke. Specifically, we identified a promising rehabilitation method called HABIT previously used in pediatric congenital hemiplegia. A subsequent clinical trial confirmed this as a highly promising rehabilitation therapy for stroke.

scholarly journals Longitudinal Brain Functional Connectivity Changes of the Cortical Motor-Related Network in Subcortical Stroke Patients with Acupuncture Treatment

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Yongxin Li ◽  
Ya Wang ◽  
Chenxi Liao ◽  
Wenhua Huang ◽  
Ping Wu
Keyword(s):  
Functional Connectivity ◽  
Western Medicine ◽  
Primary Motor Cortex ◽  
Brain Connectivity ◽  
Effective Means ◽  
Brain Network ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Cortical Motor ◽  
Before And After

In clinical practice, the effectiveness of the rehabilitation therapy such as acupuncture combining conventional Western medicine (AG) on stroke people’s motor-related brain network and their behaviors has not been systematically studied. In the present study, seventeen adult ischemic patients were collected and divided into two groups: the conventional Western medicine treatment group (CG) and the AG. The neurological deficit scores (NDS) and resting-state functional MRI data were collected before and after treatment. Compared with the CG patients, AG patients exhibited a significant enhancement of the percent changes of NDS from pre- to posttreatment intervention. All patients showed significant changes of functional connectivity (FC) between the pair of cortical motor-related regions. After treatment, both patient groups showed a recovery of brain connectivity to the nearly normal level compared with the controls in these pairs. Moreover, a significant correlation between the percent changes of NDS and the pretreatment FC values of bilateral primary motor cortex (M1) in all patients was found. In conclusion, our results showed that AG therapy can be an effective means for ischemic stroke patients to recover their motor function ability. The FC strengths between bilateral M1 of stroke patients can predict stroke patients’ treatment outcome after rehabilitation therapy.

scholarly journals Influencing the effectiveness of post-stroke motor rehabilitation factors

2019 ◽  
pp. 82-92
Author(s):  
D. V. Zaharov ◽  
V. A. Mihailov
Keyword(s):  
Brain Damage ◽  
Motor Rehabilitation ◽  
Regenerative Processes ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Post Stroke

The issues of neurorehabilitation of stroke patients are considered. The importance of the phenomenon of neuroplasticity, which underlies the regenerative processes after brain damage is emphasized. The principles of rehabilitation therapy in stroke patients are considered. Particular attention is paid to the issue of pharmacotherapy through neurotransmitters focused on increasing neuroplasticity and neurogenesis.

scholarly journals The Effect of Prolonged Inpatient Rehabilitation Therapy in Subacute Stroke Patients

2012 ◽  
Vol 36 (1) ◽  
pp. 16 ◽  
Author(s):  
Jong Hwa Lee ◽  
Sang Beom Kim ◽  
Kyeong Woo Lee ◽  
Ji Yeong Lee
Keyword(s):  
Inpatient Rehabilitation ◽  
Stroke Patients ◽  
Rehabilitation Therapy ◽  
Subacute Stroke

scholarly journals High Boron Silicon Nanotubes Combined with Tai Chi Exercise Rehabilitation Therapy in the Treatment of Knee Arthritis Patients

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Guang Ma
Keyword(s):  
Tai Chi ◽  
Knee Joints ◽  
Walking Ability ◽  
Knee Arthritis ◽  
Rehabilitation Therapy ◽  
Exercise Rehabilitation ◽  
Silicon Nanotubes ◽  
First Choice ◽  
High Boron ◽  
Tai Chi Exercise

Tai Chi exercise is gentle, convenient, and easy to learn. It is more economical than traditional medical treatments, and it is regarded as the first choice for rehabilitation therapy by patients with knee arthritis. This article aims to study Tai Chi exercise rehabilitation therapy combined with high boron silicon nanotubes to treat knee arthritis patients. This article mainly introduces the treatment of knee arthritis patients with Tai Chi, which is reflected in the improvement of patients’ walking ability and stability, and explores a three-dimensional motion model to provide better help for patients with knee joints. The article uses data mining methods to collect data on the gene expression of human knee joints and analyzes the causes of knee arthritis caused by its internal structure. The experimental results of this paper show that, under Taijiquan exercise rehabilitation treatment, the time needed by knee arthritis patients to get up and run is reduced by 14%, the standing time of one leg is significantly improved, the fall rate is reduced by 13%, and the body’s static balance ability is improved.

Sign in / Sign up

Export Citation Format

Share Document