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(Effects of early rehabilitation therapy on the motor function of limbs and ability of daily living in patients with hemiplegia after stroke) [Chinese - simplified characters]
Pan C-H, He J-Q, Pu S-X, Wan X-L, Gao C
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2004 May 5;8(13):2404-2405
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To study the role of early rehabilitation in motor function of upper and lower extremities and activities of daily living (ADL) for the patients with hemiplegia after stroke. METHODS: Totally 96 patients were randomly assigned into rehabilitation group (n = 48) and control group (n = 48). Patients in the rehabilitation group were given clinical drugs, acupuncture and regular rehabilitation training, while those in the control group were given drugs, acupuncture and unguided self-training. Fugl-Meyer assessment (FMA), Barthel Index (BI) and clinical nerve those function limitation score (CNS) were made 24 hours before treatment and 3 to 4 weeks after treatment. RESULTS: After 3 to 4 weeks of treatment, the scores of BI (73.63 +/- 20.33) and CNS (15.32 +/- 12.79) had a significant improvement in the rehabilitation group as compared with those before treatment (33.32 +/- 12.06, 32.24 +/- 12.45), and those in the control group (48.23 +/- 16.22 and 23.56 +/- 15.36) (t = 9.57, -2.87, p < 0.001). FMA in the upper and lower limbs showed a significant difference between the two groups (p < 0.01). CONCLUSION: Early rehabilitation training for the elderly with post-stroke hemiplegia may obviously improve their motor function of limbs, and promote their ADL and quality of life.

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