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The study aims to evaluate the efficacy of each category in physical therapy for improving motor function of patients with stroke, focusing on physical therapy alone. 106 patients who received the str...oke physical therapy program in seven hospitals from April 2020 to March 2021 participated in the study. The contents of the program were classified into the following five categories; having no physical therapy (PT0), preparatory exercise in a static position (PT1), exercises to improve basic activities (PT2), gait exercises without special tools (PT3), and therapy with special tools (PT4). The endpoint of the study was the relative shortening ratio (RSR) that compared hours of supine-to-sitting before and after the program. The hours of supine-to-sitting before the program was identified as a confounder. Adjusting for the confounder, the relationship of PT1, PT2, PT3, and PT4 with RSR was evaluated by the method of multiple linear regression. Only PT2 was significantly related to the RSR; PT1, PT3, and PT4 were not. An equation was developed to predict the RSR based on PT2 adjusting for the confounder. The study indicates that the program putting higher percentage of hours for PT2 in stroke physical therapy could be more effective for improving the motor function of patients with stroke.続きを見る
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