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(Evaluation of curative effect of early rehabilitation treatment in patients with cerebral hemorrhage by using National Institute of Health Stroke Scale and Mini-Mental State Examination) [Chinese - simplified characters]
Xue W, Zhang S-Q, Xiang L
Zhongguo Linchuang Kangfu [Chinese Journal of Clinical Rehabilitation] 2004 Sep 5;8(25):5222-5223
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 evaluate the effect of different rehabilitation treatment on the functional recover in patients with cerebral haemorrhage (CH) by using the National Institute of Health Stroke Scale (NIHHS) and Mini-Mental State Examination (MMSE). METHODS: Eighty-six CH patients, who were treated in the Department of Neurology, Three Gorge Central Hospital of Wanzhou District, were involved in the study. All the patients were of the first episode and in accordance with the diagnostic criteria of the National Fourth Academic Meeting about Cerebrovascular Disease in 1995. They were identified by clinical manifestation, lumbar puncture and skull CT examinations and without haemorrhage any more, and then they were randomly divided into early rehabilitation group (n = 43) and control group (n = 43). All the patients received routine rehabilitation treatment within 48 hours and 15 days after haemorrhage respectively in the early rehabilitation group and control group, once a day, 20 to 60 minutes every day, and they were evaluated with NIHSS and MMSE 30 days and 3 months after CH. RESULTS: The scores of NIHSS and MMSE in the two groups were both improved. The scores of NIHSS and MMSE on the 30th day in the early rehabilitation group (10.22 +/- 6.32, 19.44 +/- 6.12) were superior to those in the control group (12.87 +/- 5.21, 16.83 +/- 5.78), and these was very significant difference (t = 4.21, 5.43, p < 0.01). The scores and clinical recovery 3 months after CH in the early rehabilitation group were all obviously better than those in the control group. CONCLUSION: Motor function and cognitive function of patients with CH are both improved after early rehabilitation treatment proved by NIHSS and MMSE.

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