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(Effect of systematic rehabilitative training on motor function and activity of daily life in post-stroke hemiplegic patients) [Chinese - simplified characters]
Wang W-L
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2005 Jun 7;9(21):14-15
clinical trial
6/10 [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: Yes; 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 observe the effect of systematic rehabilitative training, such as sensation and movement training, on motor function and activity of daily life in post-stroke hemiplegic patients. METHODS: A total of 62 post-stroke hemiplegic patients selected from the Department of Neurology, Fourth Affiliated Hospital of Harbin Medical University between November 2001 and November 2002 were divided randomly into rehabilitation group and control group. Both groups received normal treatment and general nursing, based on which rehabilitation group received rehabilitation training. The therapy of movement was divided into four stages, which included posture in lying training, eating training, standing training and walking training. We designed several examination methods in activity of daily life such as beating ball, picking up beans, stirring abacus, taking off clothes, using dishware, etc. Six-period opinion method and modified Bathel Index were used to evaluate motor function of limbs and activity of daily life in the first week of hospitalization and before discharge. RESULTS: All 62 patients were involved in the result analysis. (1) After three-month treatment, myodynamia of upper limbs reached to grade IV in 19 patients in rehabilitation group and in 10 cases in control group (p < 0.05). Myodynamia of lower limbs reached to III grade in 24 patients in rehabilitation group and in 21 cases in control group (p < 0.05). (2) Scores on modified Bathel Index of 26 patients reached to 50 and were higher than those of 21 patients in control group (p < 0.05). CONCLUSION: The rehabilitation training improves the motor function of limbs and the activity of the daily life of the patients significantly.

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