IPC对偏瘫病人上肢水肿的治疗..docxVIP

IPC对偏瘫病人上肢水肿的治疗 In termitte nt Compressi on for the treatme nt of the oedematous hand in hemiplegic stroke: a ran domized con trolled trial T. A. ROPER, SYLVIA REDFORDI, RAYMOND C. TALLIS Elderly Services Directorate, St James's Hospital, Beckett Street, Leeds LS9 7TF, UK Departme nt of Physiotherapy Ladywell Hospital, Eccles New Road, Salford M5 2AA, UK 2University Department of Geriatric Medicine, Clinical Sciences Building, Hope Hospital, Eccles Old Road, Salford M6 8HD, UK Address corresp ondence to: T. A. Roper Fax: (+44) I 13 242 9195 Abstract Objective: to evaluate tile efficacy of intermittent pneumatic compression in treating oedema in tile hemiplegic hand of stroke patients. Desig n: sin gle-bli nd ran domized con trol trial. Setting: acute and rehabilitation elderly care wards in a teaching district. Subjects: 37 subjects with a first ever hemisphere stroke were randomized to treatment with sta ndard physiotherapy either alone or comb ined with in termitte nt pn eumatic compressi on. Main outcome measures: the effect of treatme nt on oedema was assessed using measures of the hand volume of the hemiplegic hand. The impact on function was assessedusing the motricity in dex. Results: the treated group showed no change in tile mean stroke hand volume, in the control group the mean stroke hand volume decreased by 3.2 mi. There was no statistically significant differe nces betwee n tile groups. The media n scores tot the motricity in dex in creased for both groups but there was no sig ni fica nt differe nee betwee n the groups and any improveme nt in motor function was in depe ndent of any treatme nt effects. Conclusion: intermittent pneumatic compression at tile prescribed pressure and duration of this study is not an effective treatme nt for the oedematous stroke hand. Keywords: hemiplegia, oedematous hand, pn eumatic compressi on, ran domized con trolled trial, stroke In troductio n In patients with hemiparesis or a hemiplegia following hemispheric stroke, s