This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of da...This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women;mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = -0.21, p of physical functioning (β = 0.32, p L scores, and IADL score was associated with perception of physical functioning (β = 0.30, p 001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.展开更多
目的:分析电针联合康复疗法治疗对急性脑卒中后恢复期患者肌肉痉挛、神经功能及ADL评分的影响。方法:选取2018年8月~2019年8月本院收治的急性脑卒中患者153例,根据纳入排除标准,最终纳入147例作为研究对象。根据恢复期康复治疗方式的差...目的:分析电针联合康复疗法治疗对急性脑卒中后恢复期患者肌肉痉挛、神经功能及ADL评分的影响。方法:选取2018年8月~2019年8月本院收治的急性脑卒中患者153例,根据纳入排除标准,最终纳入147例作为研究对象。根据恢复期康复治疗方式的差异分为研究组(n=77)和对照组(n=70),对照组患者在给予常规治疗的同时,在病情稳定后给予康复治疗,研究组患者则在对照组基础上增加电针疗法。对比两组治疗前后肌肉痉挛[以改良Ashworth肌张力量表(Modified Ashworth Scale, MAS)评定]、神经功能[以美国国卫院卒中量表神经缺损功能(National institute of Health Stroke Scale, NIHSS)评分量表评定]、日常生活活动能力[通过日常生活活动能力(activities of daily living, ADL)量表(Barthel指数)进行评定]、炎性因子[包括肿瘤坏死因子α(Tumor necrosis factorα,TNF-α)、白细胞介素-6(interleukin-6,IL-6)和C反应蛋白(C-reaction protein, CRP)]及凝血因子[包括凝血活酶时间(activated partial thromboplastin time, APTT)、凝血酶原时间(prothrombin time, PT)、血浆纤维蛋白原(fibrinogen, Fib)]水平差异。结果:(1)治疗后研究组MAS分级主要集中在0~1+级,对照组MAS分级主要集中在2~4级,两组比较有差异(P<0.05)。(2)研究组NHISS评分低于同组治疗前及对照组,Barthel高于同组治疗前及对照组(P<0.05)。(3)治疗后研究组IL-6、CRP、TNF-α水平均低于同组治疗前及对照组(P<0.05)。(4)治疗后研究组FIB水平低于同组治疗前及对照组,PT、TT及APTT水平高于同组治疗前及对照组(P<0.05)。(5)两组治疗期间均未出现严重不良反应,且两组不良反应发生率比较无差异(P>0.05)。结论:电针结合康复治疗可有效缓解急性脑卒中患者肌痉挛,改善患者神经功能和日常生活能力,降低其血清炎症因子和凝血因子水平,疗效显著、安全性高,值得临床推广。展开更多
文摘This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women;mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = -0.21, p of physical functioning (β = 0.32, p L scores, and IADL score was associated with perception of physical functioning (β = 0.30, p 001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.
文摘目的:分析电针联合康复疗法治疗对急性脑卒中后恢复期患者肌肉痉挛、神经功能及ADL评分的影响。方法:选取2018年8月~2019年8月本院收治的急性脑卒中患者153例,根据纳入排除标准,最终纳入147例作为研究对象。根据恢复期康复治疗方式的差异分为研究组(n=77)和对照组(n=70),对照组患者在给予常规治疗的同时,在病情稳定后给予康复治疗,研究组患者则在对照组基础上增加电针疗法。对比两组治疗前后肌肉痉挛[以改良Ashworth肌张力量表(Modified Ashworth Scale, MAS)评定]、神经功能[以美国国卫院卒中量表神经缺损功能(National institute of Health Stroke Scale, NIHSS)评分量表评定]、日常生活活动能力[通过日常生活活动能力(activities of daily living, ADL)量表(Barthel指数)进行评定]、炎性因子[包括肿瘤坏死因子α(Tumor necrosis factorα,TNF-α)、白细胞介素-6(interleukin-6,IL-6)和C反应蛋白(C-reaction protein, CRP)]及凝血因子[包括凝血活酶时间(activated partial thromboplastin time, APTT)、凝血酶原时间(prothrombin time, PT)、血浆纤维蛋白原(fibrinogen, Fib)]水平差异。结果:(1)治疗后研究组MAS分级主要集中在0~1+级,对照组MAS分级主要集中在2~4级,两组比较有差异(P<0.05)。(2)研究组NHISS评分低于同组治疗前及对照组,Barthel高于同组治疗前及对照组(P<0.05)。(3)治疗后研究组IL-6、CRP、TNF-α水平均低于同组治疗前及对照组(P<0.05)。(4)治疗后研究组FIB水平低于同组治疗前及对照组,PT、TT及APTT水平高于同组治疗前及对照组(P<0.05)。(5)两组治疗期间均未出现严重不良反应,且两组不良反应发生率比较无差异(P>0.05)。结论:电针结合康复治疗可有效缓解急性脑卒中患者肌痉挛,改善患者神经功能和日常生活能力,降低其血清炎症因子和凝血因子水平,疗效显著、安全性高,值得临床推广。
