梅奥康复医学的宗旨是让患者怀抱希望,通过治疗获得更多独立性和更高的生活质量。梅奥诊所官网显示,在美国本土分别位于明尼苏达州、亚利桑那州和佛罗里达州的3个院区,均有超过70名PM&R医生和近800名治疗师在提供住院和门诊中的康...梅奥康复医学的宗旨是让患者怀抱希望,通过治疗获得更多独立性和更高的生活质量。梅奥诊所官网显示,在美国本土分别位于明尼苏达州、亚利桑那州和佛罗里达州的3个院区,均有超过70名PM&R医生和近800名治疗师在提供住院和门诊中的康复医疗与护理。PM&R是康复与运动医学科“Physical Medicine and Rehabilitation”的缩写,梅奥诊所物理医学和康复专家(PM&R)帮助因疾病或受伤致残的人恢复运动和功能。他们诊断和治疗影响大脑、脊髓、神经和肌肉骨骼系统的各种疾病,同时,综合考虑每位患者的独特需求、能力和目标,为他们提供治疗和康复选项。展开更多
Background and Purpose-Patients with hemiparetic stroke have impaired balan ce control. Some patients (“ pushers” ) are resistant to accepting weight on a nd actively “ push” away from the nonparetic side. This re...Background and Purpose-Patients with hemiparetic stroke have impaired balan ce control. Some patients (“ pushers” ) are resistant to accepting weight on a nd actively “ push” away from the nonparetic side. This research identified p ushers from stroke patients with moderate to severe hemiparesis and examined lon gitudinal changes in symptoms, level of impairment, and functional independence. Methods -Prospective sample of hemiparetic stroke patients (n=65) located in Toronto, Canada. Detailed clinical assessments were performed within 10 days pos tonset, at 6 weeks, and at 3 months. Results -At 1 week after stroke, 63% of patients demonstrated features of pushing. In 62% of pushers, symptoms resolv ed by 6 weeks, whereas in 21% , pushing symptoms persisted at 3 months. Motor r ecovery and functional abilities at 3 months were significantly lower among the pushers compared with the nonpushers. Pushers also had a significantly longer ho spital length of stay (89 days versus 57 days). It is noteworthy that motor and functional recovery improved significantly over the 3-month study period for b oth pushers and nonpushers. Conclusions -Identification of stroke patients wit h pushing symptoms has prognostic implications for recovery. In light of this po tential recovery, rehabilitation specialists need to refine treatment approaches for the pushers to further improve functional outcome.展开更多
文摘梅奥康复医学的宗旨是让患者怀抱希望,通过治疗获得更多独立性和更高的生活质量。梅奥诊所官网显示,在美国本土分别位于明尼苏达州、亚利桑那州和佛罗里达州的3个院区,均有超过70名PM&R医生和近800名治疗师在提供住院和门诊中的康复医疗与护理。PM&R是康复与运动医学科“Physical Medicine and Rehabilitation”的缩写,梅奥诊所物理医学和康复专家(PM&R)帮助因疾病或受伤致残的人恢复运动和功能。他们诊断和治疗影响大脑、脊髓、神经和肌肉骨骼系统的各种疾病,同时,综合考虑每位患者的独特需求、能力和目标,为他们提供治疗和康复选项。
文摘Background and Purpose-Patients with hemiparetic stroke have impaired balan ce control. Some patients (“ pushers” ) are resistant to accepting weight on a nd actively “ push” away from the nonparetic side. This research identified p ushers from stroke patients with moderate to severe hemiparesis and examined lon gitudinal changes in symptoms, level of impairment, and functional independence. Methods -Prospective sample of hemiparetic stroke patients (n=65) located in Toronto, Canada. Detailed clinical assessments were performed within 10 days pos tonset, at 6 weeks, and at 3 months. Results -At 1 week after stroke, 63% of patients demonstrated features of pushing. In 62% of pushers, symptoms resolv ed by 6 weeks, whereas in 21% , pushing symptoms persisted at 3 months. Motor r ecovery and functional abilities at 3 months were significantly lower among the pushers compared with the nonpushers. Pushers also had a significantly longer ho spital length of stay (89 days versus 57 days). It is noteworthy that motor and functional recovery improved significantly over the 3-month study period for b oth pushers and nonpushers. Conclusions -Identification of stroke patients wit h pushing symptoms has prognostic implications for recovery. In light of this po tential recovery, rehabilitation specialists need to refine treatment approaches for the pushers to further improve functional outcome.
