Multidisciplinary rehabilitation for adults with neuromyelitis optica spectrum disorders: A pilot study
| Autor: | Dong-Mei Suo, Lin-lin Liu, Kun Jia, Lin-jie Zhang, Li-Min Li, Jing Wang, Yuan Qi, Hai-jie Liu, Chun-Xiao Wan, Li Yang |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of Rehabilitation Medicine, Vol 51, Iss 9, Pp 692-697 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1650-1977 1651-2081 16501977 |
| DOI: | 10.2340/16501977-2587 |
| Popis: | Objective: To provide detailed data on the effects of multidisciplinary rehabilitation for patients with neuromyelitis optica spectrum disorder with moderate to severe disability. Design: A pilot randomized control study. Subjects/patients: A total of 39 patients with neuromyelitis optica spectrum disorder were randomized into intervention or control groups. Methods: The intervention group received multidisciplinary rehabilitation 5 times/week for 4 weeks in a hospital, and the patients were guided to continue community- or home-based rehabilitation for 3 months. The control group did not receive any specific rehabilitation intervention. Disability was assessed using the Extended Disability Status Scale (EDSS) and Functional Systems (FS) scores after 4 weeks of rehabilitation and 3 months of follow-up. Results: The mean EDSS score was 7.5 at admission for both groups. Improvements (p< 0.05) in the EDSS score and domains of bowel, bladder and motor functions (pyramidal and walking function) were noted in the multidisciplinary rehabilitation group after 4 weeks. After 3 months, the patients in the usual care group showed improvement in EDSS score and walking ability score; however, no significant changes in other variables were noted. Conclusion: These results suggest that multidisciplinary rehabilitation potentially promotes motor functional recovery in patients with neuromyelitis optica spectrum disorders. |
| Databáze: | Directory of Open Access Journals |
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