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. 王隴德, 劉建民, 楊弋, 等. 我國腦卒中防治仍面臨巨大挑戰—《中國腦卒中防治報告 2018》概要. 中國循環雜志, 2019, 34(2): 105-119.
2. 王擁軍. 中國腦血管病臨床研究年鑒. 北京: 科學出版社, 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. 中華人民共和國國家衛生健康委員會. 衛生部辦公廳關于開展建立完善康復醫療服務體系試點工作的通知. 衛辦醫政函﹝2011﹞777 號. (2011-09-02)[2020-07-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=52825.
7. 中華人民共和國國家衛生健康委員會. 衛生部關于印發《“十二五”時期康復醫療工作指導意見》的通知. 衛醫政發﹝2012﹞13 號. (2012-03-05)[ 2020-07-01]. http://www.nhc.gov.cn/cms-search/xxgk/getManuscriptXxgk.htm?id=54232.
8. 何成奇. 解讀《衛生部建立完善康復醫療服務體系試點工作方案》的基本思路. 中國康復醫學雜志, 2012, 27(6): 494-496.
9. 張通, 趙軍, 白玉龍, 等. 中國腦血管病臨床管理指南 (節選版)—卒中康復管理. 中國卒中雜志, 2019, 14(8): 823-831.
10. Do?an-Aslan M, Nakipo?lu-Yüzer GF, Do?an 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, 茍巍, 等. 陽極經顱直流電刺激治療腦卒中后手功能障礙的 meta 分析. 中國康復醫學雜志, 2016, 31(9): 1001-1007.
15. 黃格朗, 唐夏林, 黃燕. 1 Hz 低頻重復經顱磁刺激對腦卒中后偏癱上肢痙攣及運動功能作用的 meta 分析. 中國康復醫學雜志, 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. 中華醫學會神經病學分會神經康復學組, 中華醫學會神經病學分會腦血管病學組, 衛生部腦卒中篩查與防治工程委員會辦公室. 中國腦卒中康復治療指南 (2011 完全版). 中國康復理論與實踐, 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.
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West China Medical Journal

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

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