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(Preventive and therapeutic effect of early isolated and resisted movement training on stroke genu recurvatum and hemiplegic gait) [Chinese - simplified characters]
Gao S-H, Ni C-M, Han R, Li C, Wu X-H
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2006 Sep 25;10(36):33-35
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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 preventive and therapeutic effect of early isolated and resisted movement training on stroke patients with genu recurvatum and hemiplegic gait. METHODS: Totally 100 first-onset patients with acute stroke aged between 40 and 80 admitted in the Department of Neurology, Anhui Medical University between November 27th, 2001 and February 28th, 2005 were chosen. The course was no more than three weeks. They all agreed to sign the informed consent. One hundred patients were randomly divided into two groups according to sequence of entering the group: rehabilitative group and control group, with 50 cases in each group. Conventional neurology therapies were given to all patients of the two groups. The patients in the control group were not treated with rehabilitative group. Those in the rehabilitative group received isolated and resisted movement training, once a day, 45 to 60 minutes every time, 5 times a week, totally for 6 months. In addition, the amounts of stroke patients with genu recurvatum and hemiplegic gait were calculated at both groups. Effective rate was expressed with percentage. Efficiency referred to significant improvement of genu recurvatum and hemiplegic gait. RESULTS: One case and two cases were dead in the rehabilitative group and the control group, respectively. One case in the rehabilitative group was dropped-out, so, 48 cases in the rehabilitative group and the control group, respectively were involved in the result analysis. The incidence rate of genu recurvatum in patients of the rehabilitative group was obviously lower than that of the control group (20.8%, 45.8% (Chi2 = 6.75, p < 0.01)), and the effective rate was markedly higher than that of the control group (60.0%, 31.8% (p < 0.05)). The incidence rate of hemiplegic gait in patients of the rehabilitative group was remarkably lower than that of the control group (27.1%, 54.2% (Chi2 = 7.29, p < 0.01)), and the effective rate was distinctly higher than that of the control group (61.5%, 26.9% (p < 0.05)). CONCLUSION: Early isolated and resisted movement training is helpful for preventing and curing genu recurvatum and hemiplegic gait in patients with stroke and hemiparalysis.

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