Effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia
ZHENG Zhida1 LIU Ya2
1.Department of Rehabilitation Medicine, the Affiliated Huai’an First Hospital of Nanjing Medical University, Jiangsu Province, Huai’an 223300, China; 2.Department of Children’s Rehabilitation, the Affiliated Huai’an First Hospital of Nanjing Medical University, Jiangsu Province, Huai’an 223300, China
Abstract：Objective To explore the effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia. Methods Eighty patients with stroke and hemiplegia admitted to the Affiliated Huai’an First Hospital of Nanjing Medical University were selected from July 2018 to January 2020 as research objects. They were divided into the control group and the combined treatment group according to the treatment method, with 40 cases in each group. The control group was received individualized occupational therapy for rehabilitation, and the combined treatment group was combined with modified compulsory exercise therapy for rehabilitation based on the control group. The motor function of the two groups of limbs (Fugl-Meyer assessment scale [FMA] and Carroll upper extremities functional test [UEFT]), quality of life (the MOS 36-item short from health survey [SF-36]), ability of daily living (Barthel index), neurological function (national institutes of health stroke scale [NIHSS]), cognitive function (Montreal cognitive assessment scale [MoCA]) were compared after three months of treatment. Results Before treatment, there were no significant differences in upper limb FMA score, lower limb FMA score, UEFT score, BI score, NIHSS score and MoCA score between the two groups (P > 0.05). After three months of treatment, upper limb FMA score, lower limb FMA score, UEFT score, BI score and MoCA score in two groups were higher than those before treatment, and the combined treatment group was higher than the control group; NIHSS score of two groups were lower than that before treatment, and the combined treatment group was lower than the control group, and the differences were statistically significant (P < 0.05). Before treatment, there was no significant difference in SF-36 score between the two groups (P > 0.05). After three months of treatment, SF-36 score in two groups were higher than those before treatment, and the combined treatment group was higher than the control group, and the differences were statistically significant (P < 0.05). Conclusion Modified compulsory exercise therapy combined with individualized occupational therapy can improve limb disorders, cognitive function and neurological function in patients with stroke and hemiplegia, and can also improve the quality of life and daily activity ability.
郑志达1 刘亚2. 改良强制性运动疗法联合个体化作业疗法对脑卒中偏瘫患者肢体障碍及认知功能影响[J]. 中国医药导报, 2021, 18(20): 74-77.
ZHENG Zhida1 LIU Ya2. Effect of modified compulsory exercise therapy combined with individualized occupational therapy on limb disorders and cognitive function in patients with stroke and hemiplegia. 中国医药导报, 2021, 18(20): 74-77.
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