BACKGROUND & AIMS:
BACKGROUND AND PURPOSE:The purpose of this project was to create guidelines for 13 types of physical rehabilitation interventions used in the management of adult patients (>18 years of age) presenting with hemiplegia or hemiparesis following a single clinically identifiable ischemic or hemorrhagic cerebrovascular accident (CVA).
METHOD:Using Cochrane Collaboration methods, the Ottawa Methods Group identified and synthesized evidence from comparative controlled trials. The group then formed an expert panel, which developed a set of criteria for grading the strength of the evidence and the recommendation. Patient-important outcomes were determined through consensus, provided that these outcomes were assessed with a validated and reliable scale.
RESULTS:The Ottawa Panel developed 147 positive recommendations of clinical benefit concerning the use of different types of physical rehabilitation interventions involved in post-stroke rehabilitation.
DISCUSSION AND CONCLUSION:The Ottawa Panel recommends the use of therapeutic exercise, task-oriented training, biofeedback, gait training, balance training, constraint-induced movement therapy, treatment of shoulder subluxation, electrical stimulation, transcutaneous electrical nerve stimulation, therapeutic ultrasound, acupuncture, and intensity and organization of rehabilitation in the management of post stroke.
背景与目标:
背景与目的:本项目的目的是为在临床上可识别的缺血性或出血性脑血管意外(单发或偏瘫)后出现偏瘫或偏瘫的成年患者(> 18岁)的治疗中使用的13种类型的物理康复干预措施创建指南。 CVA)。
方法:渥太华方法小组使用Cochrane协作方法,从比较对照试验中鉴定并合成了证据。然后,该小组成立了一个专家小组,为评估证据和推荐的强度制定了一套标准。通过共识确定患者重要的结局,但前提是这些结局必须以经过验证的可靠量表进行评估。
结果:渥太华专家组针对涉及卒中后康复的各种类型的物理康复干预措施的使用提出了147项临床有益的积极建议。
讨论与结论:渥太华小组建议使用治疗性锻炼,任务导向训练,生物反馈,步态训练,平衡训练,约束性运动疗法,肩关节半脱位治疗,电刺激,经皮电神经刺激,超声治疗,针灸,以及中风后管理中康复的强度和组织。