PDF(Pubmed)
Abstract：
Acute ischemic stroke (AIS) affecting the posterior cerebral artery (PCA) represents a unique clinical challenge, necessitating a multifaceted approach to rehabilitation. This review aims to provide a comprehensive overview of physiotherapeutic interventions tailored specifically for individuals with AIS involving the PCA territory. The PCA supplies critical areas of the brain responsible for visual processing, memory, and sensory integration. Consequently, patients with PCA infarcts often exhibit a distinct set of neurological deficits, including visual field disturbances, cognitive impairments, and sensory abnormalities. This case report highlights evidence-based physiotherapy strategies that encompass a spectrum of interventions, ranging from early mobilization and motor training to sensory reintegration and cognitive rehabilitation. Early mobilization, including bed mobility exercises and upright activities, is crucial to prevent complications associated with immobility. Motor training interventions target the restoration of functional movement patterns, addressing hemiparesis and balance impairments.
摘要：
影响大脑后动脉（PCA）的急性缺血性卒中（AIS）代表了独特的临床挑战，需要采取多方面的康复方法。这篇综述旨在全面概述专门为涉及PCA领域的AIS患者量身定制的物理治疗干预措施。PCA提供负责视觉处理的大脑关键区域，记忆,和感觉统合。因此,PCA梗死患者通常表现出一组明显的神经功能缺损，包括视野干扰，认知障碍，和感觉异常。本病例报告重点介绍了基于证据的物理治疗策略，包括一系列干预措施，从早期动员和运动训练到感觉重新融合和认知康复。及早动员,包括卧床活动和直立活动，对于预防与不动相关的并发症至关重要。运动训练干预措施的目标是恢复功能性运动模式，解决偏瘫和平衡障碍。
