肌肉萎縮性側索硬化症之居家物理治療服務模式之建立與其療效: 初步結果

林 光華, 胡 名霞, 簡 文仁, 楊 智超, 蔡 清標, 鄭 悅承, Mei-Wun Tsai

研究成果: Article

摘要

Purpose: To develop the care pattern and to investigate the effect of home physical therapy on the functional ability and quality of life in individuals with amyotrophic lateral sclerosis (ALS). Methods: Subjects diagnosed as ALS and lived in Taipei and Keelung area were selected and classified as mild (ambulatory group) and moderate-severe (wheelchair group). This experiment used an A-B-A design with A-period as observation (1.5 months), B-period as treatment (1.5 months) and a second A-period as follow-up (1.5 months). Assessments included Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), Barthel Index (BI), Postural Assessment Scale (PASS), and Quality of life (SF-36). Home physical therapy was performed once a week for 1.5 months and the treatment programs included thera-band low resistance exercise, leg paddling aerobic exercise and basic functional activity training. Results: (1)The mean age of ambulatory group (N=17) was 61.18±12.9lyears old(range: 34-8 1), and the duration of illness was 2.17±2.24 years (range:0.5-10.0). The mean age of wheelchair group (N=11) was 55.55±12.13 years old (range:30-73), and the duration of illness was 5.61±6.96 years(range:1.0-25). (2)The ALSFRS was significantly decreased during observation and follow-up periods (p=0.036 & 0.006 respectively); no significant change during treatment period (p=0.27). However, the wheelchair group did not show significant changes in observation, treatment and follow-up periods. (3)The BI and PASS were not significantly changed during observation period but was significantly decreased during follow-up in the ambulatory group. (4)The BI, PASS and SF36 in wheelchair group did not show significant change in all periods, but the person who could maintain the previous ability levels were increased. Conclusions: The home physical therapy once a week for 6 weeks could maintain or even refard the deterioration of the physical and mental function in some individuals with ALS.
貢獻的翻譯標題The Care Pattern and Effect of Home Physical Therapy in Individuals with Amyotrophic Lateral Sclerosis : A Preliminary Report
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頁(從 - 到)384-395
頁數12
期刊物理治療雜誌
29
發行號6
出版狀態Published - 12月 2004

Keywords

  • 肌肉萎縮性側索硬化
  • 功能評估量表
  • 姿勢控制量表
  • 生活品質量表

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