Investigation of standardized tertiary rehabilitation strategy for motor dysfunction in stroke patients_West China Medical Journal

Authors：

WANG Tingting ^1,2,3 , WEI Qingchuan ^1,2,3 , MA Xichao ^1,2,3 , QU Yun ^1,2,3 ,  HE Chengqi ^1,2,3

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Research Laboratory of Neurorehabilitation, Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HE Chengqi, Email: hxkfhcq2020@126.com

Keywords：

Stroke; motor dysfunction; tertiary rehabilitation; physical therapy; occupational therapy

DOI：

10.7507/1002-0179.202007084

Video：

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Stroke is a common and frequently-occurring disease, which seriously endangers human health. Rehabilitation treatment can effectively reduce the disability rate of stroke and improve the quality of life. The tertiary rehabilitation treatment system for stroke can effectively improve the motor function of stroke patients and improve the quality of life. This paper focuses on the choices and methods of physical therapy and occupational therapy at all levels of the hospitals and in different periods of the disease. It also aims to summarize the tertiary rehabilitation strategy for motor dysfunction in stroke patients, to provide references for all levels of hospitals and communities, achieve standardization and unification of rehabilitation treatment, as well as the rehabilitation efficacy of homogeneity.

Citation： WANG Tingting, WEI Qingchuan, MA Xichao, QU Yun, HE Chengqi. Investigation of standardized tertiary rehabilitation strategy for motor dysfunction in stroke patients. West China Medical Journal, 2022, 37(5): 749-756. doi: 10.7507/1002-0179.202007084 Copy

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1. 王陇德, 刘建民, 杨弋, 等. 我国脑卒中防治仍面临巨大挑战—《中国脑卒中防治报告 2018》概要. 中国循环杂志, 2019, 34(2): 105-119.
2. 王拥军. 中国脑血管病临床研究年鉴. 北京: 科学出版社, 2015: 12-17.
3. Truelsen T, Bonita R. Epidemiological transition of stroke in China?. Stroke, 2008, 39(6): 1653-1654.
4. Singam A, Ytterberg C, Tham K, et al. Participation in complex and social everyday activities six years after stroke: predictors for return to pre-stroke level. PLoS one, 2015, 10(12): e0144344.
5. Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet, 2011, 377(9778): 1693-1702.
6. 中华人民共和国国家卫生健康委员会. 卫生部办公厅关于开展建立完善康复医疗服务体系试点工作的通知. 卫办医政函﹝2011﹞777 号. (2011-09-02)[2020-07-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=52825.
7. 中华人民共和国国家卫生健康委员会. 卫生部关于印发《“十二五”时期康复医疗工作指导意见》的通知. 卫医政发﹝2012﹞13 号. (2012-03-05)[ 2020-07-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=54232.
8. 何成奇. 解读《卫生部建立完善康复医疗服务体系试点工作方案》的基本思路. 中国康复医学杂志, 2012, 27(6): 494-496.
9. 张通, 赵军, 白玉龙, 等. 中国脑血管病临床管理指南 (节选版)—卒中康复管理. 中国卒中杂志, 2019, 14(8): 823-831.
10. Doğan-Aslan M, Nakipoğlu-Yüzer GF, Doğan A, et al. The effect of electromyographic biofeedback treatment in improving upper extremity functioning of patients with hemiplegic stroke. J Stroke Cerebrovasc Dis, 2012, 21(3): 187-192.
11. Stanton R, Ada L, Dean CM, et al. Biofeedback improves activities of the lower limb after stroke: a systematic review. J Physiother, 2011, 57(3): 145-155.
12. Jonsdottir J, Cattaneo D, Recalcati M, et al. Task-oriented biofeedback to improve gait in individuals with chronic stroke: motor learning approach. Neurorehabil Neural Repair, 2010, 24(5): 478-485.
13. Sattler V, Acket B, Raposo N, et al. Anodal tDCS combined with radial nerve stimulation promotes hand motor recovery in the acute phase after ischemic stroke. Neurorehabil Neural Repair, 2015, 29(8): 743-754.
14. 李懿, 屈云, 苟巍, 等. 阳极经颅直流电刺激治疗脑卒中后手功能障碍的 meta 分析. 中国康复医学杂志, 2016, 31(9): 1001-1007.
15. 黄格朗, 唐夏林, 黄燕. 1 Hz 低频重复经颅磁刺激对脑卒中后偏瘫上肢痉挛及运动功能作用的 meta 分析. 中国康复医学杂志, 2018, 33(6): 701-705, 709.
16. Stein C, Fritsch CG, Robinson C, et al. Effects of electrical stimulation in spastic muscles after stroke: systematic review and meta-analysis of randomized controlled trials. Stroke, 2015, 46(8): 2197-2205.
17. 中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组, 卫生部脑卒中筛查与防治工程委员会办公室. 中国脑卒中康复治疗指南 (2011 完全版). 中国康复理论与实践, 2012, 18(4): 301-318.
18. Tan Z, Liu H, Yan T, et al. The effectiveness of functional electrical stimulation based on a normal gait pattern on subjects with early stroke: a randomized controlled trial. Biomed Res Int, 2014, 2014: 545408.
19. 游国清, 燕铁斌, Christina WY, 等. 功能性电刺激改善脑卒中早期患者偏瘫下肢功能的随机对照研究. 中国康复医学杂志, 2007, 22(10): 867-870.
20. Vafadar AK, Côté JN, Archambault PS. Effectiveness of functional electrical stimulation in improving clinical outcomes in the upper arm following stroke: a systematic review and meta-analysis. Biomed Res Int, 2015, 2015: 729768.
21. 张悦琪, 赵梦娟, 赵春善. 功能性电刺激改善脑卒中偏瘫患者上肢功能的 Meta 分析. 中国康复理论与实践, 2020, 26(3): 295-300.
22. 崔尧, 贾威, 曾明, 等. 水中运动治疗对脑卒中患者下肢运动功能及日常生活活动能力效果的 Meta 分析. 中国康复理论与实践, 2020, 26(3): 263-277.
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West China Medical Journal

Investigation of standardized tertiary rehabilitation strategy for motor dysfunction in stroke patients

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