居家物理治療成效:以高雄市社區居民為基礎之初步調查報告

Effect of Home Physical Therapy: A Preliminary Report Based on Community Study in Kaohsiung City

楊舜顯(Shan-Hsien Yang) ； 林卷立(Chuan-Li Lin) ； 林昭宏(Jau-Hong Lin) ； 陳昆鴻(Kun-Hong Chen) ； 吳汀原(Ting-Yuan Wu) ； 曾芸家(Yun-Chia Tzeng)

《物理治療》 37卷4期 (2012/12) Pp. 329-337

摘要

Background and Purpose: The need of home physical therapy services has been rising during recent years with the endorsement of the Ten-Year Plan for Long-term Care. This study aimed to investigate the condition for the clients using the home physical therapy services provided by the Ten-Year Plan for Long-term Care project and evaluate the effects of home physical therapy. Methods: AII subjects who had been referred by the care managers of the Kaohsiung Long-Term Care Resource Management Center to the Long-Term Care Team of Society of Kaohsiung Physical Therapist were received at least 6 times of the home physical therapy services during 2011. Results: During 2011, there were 221 clients received home physical therapy for at least 6 times. Only 141 of the clients had completed both assessments before the commencement and after the completion of physical therapy services. Paired t-test was used to determine the difference between the first and final assessments in activities of daily living (ADL) function (Banhel Index, BI), balance performance (short form Berg Balance Scale), muscle strength (Motricity Index, MI) and walking velocity (timed 5-meter walking test). Significant Improvement was found in both ADL function (BI: 27.9±29.9 vs. 36.5±33.5, p＜.01) and muscle strength of lower extremity (MI: 46.4±27.4 vs. 55.6±29.3, p＜.01), but not in the balance performance walking speed. Conclusion: Six times or more home physical therapy provided by the current Ten-Year Plan for Long-term Care project is effective in improving ADL and muscle strength of lower limb. Clinical implications: The preliminary finding can provide insights into issues related to home physical therapy services provision in the future project planning.

關鍵字

居家物理治療 ； 長期照顧 ； 日常生活功能 ； 肌力

並列摘要

Background and Purpose: The need of home physical therapy services has been rising during recent years with the endorsement of the Ten-Year Plan for Long-term Care. This study aimed to investigate the condition for the clients using the home physical therapy services provided by the Ten-Year Plan for Long-term Care project and evaluate the effects of home physical therapy. Methods: AII subjects who had been referred by the care managers of the Kaohsiung Long-Term Care Resource Management Center to the Long-Term Care Team of Society of Kaohsiung Physical Therapist were received at least 6 times of the home physical therapy services during 2011. Results: During 2011, there were 221 clients received home physical therapy for at least 6 times. Only 141 of the clients had completed both assessments before the commencement and after the completion of physical therapy services. Paired t-test was used to determine the difference between the first and final assessments in activities of daily living (ADL) function (Banhel Index, BI), balance performance (short form Berg Balance Scale), muscle strength (Motricity Index, MI) and walking velocity (timed 5-meter walking test). Significant Improvement was found in both ADL function (BI: 27.9±29.9 vs. 36.5±33.5, p＜.01) and muscle strength of lower extremity (MI: 46.4±27.4 vs. 55.6±29.3, p＜.01), but not in the balance performance walking speed. Conclusion: Six times or more home physical therapy provided by the current Ten-Year Plan for Long-term Care project is effective in improving ADL and muscle strength of lower limb. Clinical implications: The preliminary finding can provide insights into issues related to home physical therapy services provision in the future project planning.

並列關鍵字

Home physical therapy ； Long-term care ； Activities of daily living ； Muscle strength