[논문]Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke: a randomised trial

de Sousa, Davide G; Harvey, Lisa A; Dorsch, Simone; Varettas, Bronwyn; Jamieson, Serena; Murphy, Abby; Giaccari, Sarah

doi:10.1016/j.jphys.2019.05.007

Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke: a randomised trial 원문보기

Journal of physiotherapy, v.65 no.3, 2019년, pp.152 - 158

de Sousa, Davide G (Graythwaite Rehabilitation Centre, Ryde Hospital, Northern Sydney Local Health District) , Harvey, Lisa A (John Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School Northern, University of Sydney) , Dorsch, Simone (Faculty of Health Sciences, Australian Catholic University) , Varettas, Bronwyn (Physiotherapy Department, Royal North Shore Hospital, Northern Sydney Local Health District) , Jamieson, Serena (Physiotherapy Department, Royal North Shore Hospital, Northern Sydney Local Health District) , Murphy, Abby (Physiotherapy Department, Royal North Shore Hospital, Northern Sydney Local Health District) , Giaccari, Sarah (Physiotherapy Department, Royal North Shore Hospital, Northern Sydney Local Health District)

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Abstract Question Does intensive sit-to-stand training in addition to usual care improve sit-to-stand ability in people who are unable to stand up independently after stroke? Design A multi-centre randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis. Participants Thirty patients from two Sydney hospitals, < 3 months after stroke, with a mean Modified Rankin Scale score of 4 points (SD 0.5). Intervention All participants received usual care. Participants in the experimental group attended two additional sessions of physiotherapy per day for 2 weeks. These sessions were individualised to the needs of each participant in order to increase the amount and intensity of sit-to-stand training. Outcome measures Outcome measures were taken at baseline and at 2 weeks. The primary outcome was clinicians’ impressions of sit-to-stand change, measured using videos and a 15-point Global Impressions of Change Scale. Secondary outcomes were sit-to-stand ability, composite strength of key muscles of the affected lower limb, gross lower limb extension strength, the Goal Attainment Scale, and ranking of change in ability to move from sitting to standing. Results All participants completed the trial. The mean between-group difference for clinicians’ impressions of sit-to-stand change was 1.57/15 points (95% CI 0.02 to 3.11). The secondary outcomes that indicated a treatment effect were gross lower limb extension strength and ranking of change in ability to move from sitting to standing, with mean between-group differences of 6.2 deg (95% CI 0.5 to 11.8) and −7 (95% CI −1 to −13), respectively. Conclusion Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke. Trial registration ANZCTR 12616001288415.

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참고문헌 (18)

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Two weeks of intensive sit-to-stand training in addition to usual care improves sit-to-stand ability in people who are unable to stand up independently after stroke: a randomised trial 원문보기

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