ĐÁNH GIÁ KẾT QUẢ CỦA LIỆU PHÁP TẬP TÁC VỤ NHÓM TRONG PHỤC HỒI CHỨC NĂNG ĐI LẠI VÀ THĂNG BẰNG Ở BỆNH NHÂN SAU ĐỘT QUỴ NHỒI MÁU NÃO

Abstract

Objective: To compare the effectiveness of circuit class. Therapy (CCT) and individual physiotherapy (PT) sessions in improving walking ability and functional balance for people recovering from stroke. Design: Nonrandomized, single-blind controlled trial. Setting: Medical rehabilitation ward of Ha Noi rehabiliation hospital. Participants: 41 persons receiving inpatient rehabilitation after a stroke. Interventions: Subjects received group circuit class therapy or individual treatment sessions as the sole method of PT service delivery for the duration of their inpatient stay. Main Outcome Measures: Ten-meter walk test (10MWT), the Berg Balance Scale (BBS) measured 3 weeks after admission. Secondary outcome measures included patient satisfaction. Measures were taken on admission and 3 weeks later. Results: Subjects in both groups showed signifificant improvements between admission and week 3 in all primary outcome measures. There were signifificant between group differences in the primary outcome measures at week 3 (10MWT mean difference, .06 m/s; p =0.001; BBS mean difference 1.5 points, p = 0.005, TUG test mean difference 1.86 s; p= 0.008). A signifificantly higher proportion of subjects in the circuit class therapy group were satisfified with the amount of therapy received (P < .01). Conclusions: Circuit class therapy appeared more effective than individual PT sessions for this sample of subjects receiving inpatient rehabilitation poststroke. Favorable results for circuit classes in terms of increased walking independence and patient satisfaction suggest this model of service delivery warrants further investigation.