|
|
|
| Early rehabilitation activity for stroke patients: a review |
| ZHOU Shuya1, YANG Zhao2, ZHENG Tianhui1
|
1. Department of Nursing, Yongchuan Hospital Affiliated to Chongqing Medical University, Chongqing 402160, China;
2. Yongchuan Hospital Affiliated to Chongqing Medical University, Chongqing 402160, China |
|
|
|
|
Abstract Early rehabilitation activity is an important way to improve functional impairment in stroke patients. However, there are no clear standards and opinions on the optimal start time, dosage and frequency of early rehabilitation activity. It is generally believed that early rehabilitation activity should start at 24 to 48 hours after stroke, and individual programs should be developed according to the assessment of stroke type, severity of disease, tolerance degree and other factors. This review searches domestic and international literature related to early rehabilitation activity and summarizes the start time, dose, frequency and content of early rehabilitation activity, as well as the cognition and attitude of medical workers towards it, so as to provide insights into studies and clinical applications of early rehabilitation activity.
|
|
Received: 03 November 2023
Revised: 07 January 2024
Published: 21 February 2024
|
|
|
|
|
|
[1] SAINI V,GUADA L,YAVAGAL D R.Global epidemiology of stroke and access to acute ischemic stroke interventions[J]. Neurology,2021,97(20 Suppl. 2):S6-S16.
[2] 张通,赵军.中国脑卒中早期康复治疗指南[J].中华神经科杂志,2017,50(6):405-412.
[3] 徐云辉,应丹丹,杨静. 中青年脑卒中患者功能锻炼依从性研究[J]. 预防医学,2023,35(2):171-175.
[4] ALIA C,TERRIGNO M,BUSTI I,et al.Pluripotent stem cells for brain repair:protocols and preclinical applications in cortical and hippocampal pathologies[J/OL]. Front Neurosci,2019,13 [2024-01-07].https://doi.org/10.3389/fnins.2019.00684.
[5] XING Y,BAI Y L.A review of exercise-induced neuroplasticity in ischemic stroke:pathology and mechanisms[J]. Mol Neurobiol, 2020,57(10):4218-4231.
[6] 高蓓瑶,江山,谢欲晓. 脑卒中后运动功能代偿和神经可塑性机制[J]. 中国康复医学杂志,2021,36(8):1015-1020.
[7] 郭金赫,夏青,范文,等. 康复训练促进大鼠脑缺血半暗带区星形胶质细胞向神经元转化的作用研究[J]. 中国康复医学杂志,2019,34(12):1403-1410.
[8] 范晨雨,谢鸿宇,吴毅. 早期康复训练促进脑卒中神经重塑机制的研究进展[J]. 中国康复医学杂志,2020,35(11):1377-1380.
[9] 姚辉,范凯婷,王冉,等. 急性缺血性脑卒中患者超早期活动的研究进展[J]. 神经疾病与精神卫生,2022,22(1):64-67.
[10] 胡昔权. 运动训练促进脑卒中后神经可塑性的机制研究[J]. 中山大学学报(医学科学版),2021,42(4):481-486.
[11] YANG Y R,WANG R Y,WANG P S.Early and late treadmill training after focal brain ischemia in rats[J]. Neurosci Lett,2003,339(2):91-94.
[12] BERNHARDT J,INDREDAVIK B,DEWEY H,et al.Mobilisation “in bed” is not mobilisation[J]. Cerebrovasc Dis,2007,24(1):157-158,159.
[13] ANTJE S,BENTE T,MORTEN R O.Outcome after mobilization within 24 hours of acute stroke:a randomized controlled trial[J]. Stroke,2012,43(9):2389-2394.
[14] BERNHARDT J,HELEN D,AMANDA T,et al.A very early rehabilitation trial for stroke(AVERT):phase Ⅱ safety and feasibility[J]. Stroke,2008,39(2):390-396.
[15] BERNHARDT J,BORSCHMANN K,COLLIER J M,et al.Fatal and non-fatal events within 14 days after early,intensive mobilization post stroke[J]. Neurology,2020,96(8):1156-1166.
[16] CUMMING B T,THRIFT G A,COLLIER M J,et al.Very early mobilization after stroke fast-tracks return to walking:further results from the phase Ⅱ AVERT randomized controlled trial[J]. Stroke,2011,42(1):153-158.
[17] 王清,陈湘玉,沈小芳. 超早期活动在急性脑梗死患者早期康复中的应用及效果评价[J]. 护士进修杂志,2015,30(19):1743-1745.
[18] LANGHORNE P,WU O,RODGERS H,et al.A very early rehabilitation trial after stroke(AVERT):a phase Ⅲ,multicentre,randomised controlled trial[J]. Health Technol Assess,2017,21(54):1-120.
[19] JULIE B,LEONID C,FIONA E,et al.Prespecified dose-response analysis for a very early rehabilitation trial(AVERT)[J]. Neurology,2016,86(23):2138-2145.
[20] ZHANG M,WANG Q,JIANG Y Y,et al.Optimization of early mobilization program for patients with acute ischemic stroke:an orthogonal design[J/OL]. Front Neurol,2021,12 [2024-01-07]. https://doi.org/10.3389/fneur.2021.645811.
[21] MARIANA D A M J,MENDES B V,BAZAN R,et al. Early mobilization in acute stroke phase:a systematic review[J]. Top Stroke Rehabil,2023,30(2):157-168.
[22] ZHANG T,ZHAO J,LI X P,et al.Chinese Stroke Association guidelines for clinical management of cerebrovascular disorders:utive summary and 2019 update of clinical management of stroke rehabilitation[J]. Stroke Vasc Neurol,2020,5(3):250-259.
[23] POWERS W J,RABINSTEIN A A,ACKERSON T,et al.Guidelines for the early management of patients with acute ischemic stroke:2019 update to the 2018 guidelines for the early management of acute ischemic stroke:a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke,2019,50(12):344-418.
[24] TEASELL R,SALBACH N M,FOLEY N,et al.Canadian Stroke Best Practice Recommendations:rehabilitation,recovery,and community participation following stroke. Part one:rehabilitation and recovery following stroke;6th edition update 2019[J]. Int J Stroke,2020,15(7):763-788.
[25] MEAD G E,SPOSATO L A,SAMPAIO S G,et al.A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization[J]. Int J Stroke,2023,18(5):499-531.
[26] KWAKKEL G,STINEAR C,ESSERS B,et al.Motor rehabilitation after stroke:European Stroke Organisation(ESO) consensus-based definition and guiding framework[J]. Eur Stroke J,2023,8(4):880-894.
[27] CUMMING T B,CHURILOV L,COLLIER J,et al.Early mobilization and quality of life after stroke:findings from AVERT[J]. Neurology,2019,93(7):717-728.
[28] SJÖHOLM A,SKARIN M,LINDEN T,et al. Does evidence really matter? Professionals' opinions on the practice of early mobilization after stroke[J]. J Multidiscip Healthc,2011,4:367-376.
[29] LYNCH E A,CUMMING T,JANSSEN H,et al.Early mobilization after stroke:changes in clinical opinion despite an unchanging evidence base[J]. J Stroke Cerebrovasc Dis,2017,26(1):1-6.
[30] 王清,张敏,汪梦月,等. 医务人员对急性缺血性脑卒中患者早期活动知识和态度现状调查[J]. 中国护理管理,2019,19(6):952-957.
[31] 张元鸣飞,杨延砚,张娜,等. 2021年度国家康复医学专业医疗服务与质量安全报告[J]. 中国康复理论与实践,2022,28(12):1365-1379. |
|
|
|
