Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2123-2126
WU Jin-yi, WU Min-jie, WEI Peng, LEI Xiu-qiang, PAN Yu-xiao, WU Huan-le. Clinical effect of early comprehensive rehabilitation therapy on improving the motor functions and activities of daily living in middle-aged and elderly stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2022, 20(12): 2123-2126. doi: 10.16766/j.cnki.issn.1674-4152.002784
Citation: WU Jin-yi, WU Min-jie, WEI Peng, LEI Xiu-qiang, PAN Yu-xiao, WU Huan-le. Clinical effect of early comprehensive rehabilitation therapy on improving the motor functions and activities of daily living in middle-aged and elderly stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2022, 20(12): 2123-2126. doi: 10.16766/j.cnki.issn.1674-4152.002784
shu

Clinical effect of early comprehensive rehabilitation therapy on improving the motor functions and activities of daily living in middle-aged and elderly stroke patients with hemiplegia

doi: 10.16766/j.cnki.issn.1674-4152.002784
  • 1.

    Department of Rehabilitation Medicine, Anji Branch, the First Affiliated Hospital of Zhejiang University, Huzhou, Zhejiang 321300, China

Funds:

 2019KY569

 2019A610250

  • Received Date: 2022-07-11
    Available Online: 2023-02-07
    Abstract
  •   Objective  To explore the effective method of early comprehensive rehabilitation treatment for improving the activities of daily living (ADL) of elderly stroke patients with hemiplegia.  Methods  A total of 71 convalescent hemiplegia patients who were treated in the Neurology Department of Anji People ' s Hospital and transferred to the Rehabilitation Department from December 2018 to March 2020 were retrospectively collected as research subjects. Based on the year of admission, they were divided into conventional and comprehensive groups. The conventional group (36 cases) included patients who received conventional rehabilitation treatment measures from 2018 to 2019, and the comprehensive group comprised those who received comprehensive rehabilitation treatment afterward (35 cases). In the comprehensive group, physical therapy, occupational therapy supplemented by psychological rehabilitation, cognitive training, intensive exercise and balance function training and guided education were carried out. The patients' limb motor function and ADL were evaluated by Fugl-Meyer assessment (FMA) and Barthel index (BI), respectively.  Results  After treatment, the FMA and BI scores of the conventional group were (44.51±6.60) points and (49.24±13.11) points, respectively, and those of the comprehensive group were (50.28±7.20) points and (59.36±8.74) points, respectively. The differences were statistically significant (t=3.517, 3.837, all P < 0.001). The motor function and ADL of the two groups improved significantly compared with those before treatment, and the improvement of the comprehensive group was more significant (all P < 0.05).  Conclusion  Comprehensive rehabilitation therapy can effectively improve the motor function and ADL, and improve the quality of life of stroke patients with hemiplegia.

     

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