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Community-Based Rehabilitation to Improve Stroke Survivors' Rehabilitation Participation and Functional Recovery

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机构: [1]Capital Med Univ, Dept Neuroepidemiol, Beijing Neurosurg Inst, Beijing Tiantan Hosp, Beijing, Peoples R China; [2]Capital Med Univ, Sch Publ Hlth & Family Med, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China; [3]Capital Med Univ, Sch Publ Hlth & Family Med, Dept Rehabil Med, Beijing 100071, Peoples R China; [4]Beijing Hosp, Dept Epidemiol, Beijing, Peoples R China; [5]Beijing Tiantan Hosp, Dept Neurol, Beijing, Peoples R China; [6]Fudan Univ, Shanghai Huashan Hosp, Dept Neurol, Shanghai, Peoples R China; [7]Sichuan Univ, West China Hosp, Dept Neurol, Chengdu, Peoples R China; [8]Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Neuroepidemiol, 6 Tiantanxili, Beijing 100050, Peoples R China
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关键词: Appropriate Technique Community Conductive Education Rehabilitation Stroke

摘要:
Objective: The aim of this study was to evaluate the effectiveness of a community-based rehabilitation appropriate technique (CRAT) intervention program in increasing rehabilitation participation and improving functional recovery of stroke survivors. Design: This study followed a quasi-experimental design. In each of 5 centers servicing approximately 50,000 individuals, 2 communities were designated as either the intervention or control community. A CRAT intervention program, including 2-year rehabilitation education and 3-month CRAT treatment, was regularly implemented in the intervention communities, whereas there was no special intervention in the control community. Two sampling surveys, at baseline and after intervention, were administered to evaluate the rehabilitation activity undertaken. In intervention communities, stroke survivor's motor function, daily activity, and social activity were evaluated pretreatment and posttreatment, using the Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire. Results: The proportion of individuals participating in rehabilitation-related activity was increased significantly (P < 0.05) in intervention communities, as compared with control communities. In intervention communities, the patients' Fugl-Meyer Motor Function Assessment, Barthel index, and Social Functional Activities Questionnaire scores were significantly improved after rehabilitation (P < 0.05) across all ages and disease courses, except for the FAQ scores in patients younger than 50 years (P > 0.05). Conclusions: Community-based rehabilitation appropriate technique increases rehabilitation participation rates and enhances motor function, daily activity, and social activity of stroke survivors.

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出版当年[2016]版:
大类 | 3 区 医学
小类 | 2 区 康复医学 3 区 运动科学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 康复医学 4 区 运动科学
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出版当年[2015]版:
Q1 REHABILITATION Q2 SPORT SCIENCES
最新[2023]版:
Q1 REHABILITATION Q2 SPORT SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Capital Med Univ, Dept Neuroepidemiol, Beijing Neurosurg Inst, Beijing Tiantan Hosp, Beijing, Peoples R China; [2]Capital Med Univ, Sch Publ Hlth & Family Med, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Dept Neuroepidemiol, Beijing Neurosurg Inst, Beijing Tiantan Hosp, Beijing, Peoples R China; [2]Capital Med Univ, Sch Publ Hlth & Family Med, Beijing Municipal Key Lab Clin Epidemiol, Beijing, Peoples R China; [3]Capital Med Univ, Sch Publ Hlth & Family Med, Dept Rehabil Med, Beijing 100071, Peoples R China; [8]Beijing Tiantan Hosp, Beijing Neurosurg Inst, Dept Neuroepidemiol, 6 Tiantanxili, Beijing 100050, Peoples R China
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