Effects Of Early Rehabilitative Training After Modified Hemodilution On Motor And Walking Function Of The Paralytic Lower Extremity In Patients With Acute Cerebral Thrombosis

The aim of our research is to study the effect of early rehabilitative training after modified hemodilution of the paralytic lower extremity motor and walking function in the patients with acute cerebral thrombosis (ACT).First, sixty-two hemiplegic patients with ACT served as hemodilution group, receiving modified hemodilution; Second, the sixty-two hemiplegic patients who had received the modified hemodilution were divided into rehabilitation group (31 cases) and conventional medication group (31 cases) randomly. Rehabilitation program based on the Bobath and the Carr technique was given to all patients in the rehabilitation group for three months. As a results, the hemacrit after modified hemodilution in the hemodilution group was obviously lower than that in the control group , and the velocity of CBF in middle cerebral artery (MCA) in the hemodilution group were also increased significantly than control. Motor and walking function of the paralytic lower extremity in the rehabilitation group who had just received the modified hemodilution were increased significantly, and the walking rate was 80.7% in the rehabilitation group. The difference was significant statistically before and after early rehabilitative training in the rehabilitation group, and between rehabilitation and control groups. Our research has suggested that the modified hemodilulion therapy can improve CBF more effectively in the hemiplegic patients with ACT, and the early rehabilitative training based on the modified hemodilutioncan promote the recovery of the paralytic lower extremity motor and walking function and obtain greater therapeutic effect clinically.