Randomized Control Trials And Relating Factor Analysis Of Training The Fuctions Of Motor,Balance And Activities Of Daily Living

Partâ… A randomized controlled trial on the influence of upper extremity function of stroke patients by NMS-1 Low-frequency therapeutic apparatusObjective The aim of this work is to evaluate the therapeutic effects of domestic low-frequency therapeutic apparatus on upper extremity function and daily activities of stroke patients.Methods Sixty stroke patients were randomly divided into three groups: domestic group, imported group and control group, with 20 patients per group. Patients in all groups received normal rehabilitation treatments, while those in the domestic group were also treated with low-frequency electrical stimulation therapeutic instrument made in China, and those in the imported group were also treated with the similar instrument made in Denmark. The regimen is:20 min/time/day,5 times/week,20 times/treatment. Fugl-Meyer Motor Assessment (FMA) was applied to evaluate the upper extremity motor function and Modified Barthel Index (MBI) was exploited to determine the activities of daily living (ADL) Measurements were recorded before treatment and after 4 weeks of treatment.Results All patients in three groups got increased scores of FMA and MBI after treatment, with statistically significant differences (P<0.05). The difference between the control and other two groups was statistically significant (P<0.05). There existed no significant difference between the domestic and imported groups (P>0.05).Conclusions Domestic and imported low-frequency electrical stimulation therapeutic instruments possess similar therapeutic efficacy, both of which can significantly improve upper extremity function and ADL of stroke patients. Partâ…¡Multivariate Analysis on the Factors Affecting the Stroke Patients' Rehabilitation Effect of Activities of Daily Life by electrical stimulationObjective The aim of this work is to study various factors affecting the stroke patients'rehabilitation effect of activities of daily life.Methods Sixty stroke patients were randomly divided into three groups:domestic group, imported group and control group, with 20 patients per group. Patients in all groups received normal rehabilitation treatments, while those in the domestic group were also treated with low-frequency electrical stimulation therapeutic instrument made in China, and those in the imported group were also treated with the similar instrument made in Denmark. Modified Barthel Index (MBI) was exploited to determine the activities of daily life (ADL), Measurements were recorded before treatment and after 4 weeks of treatment. multiple linear regression method of statistical analysis was applied to evaluate the results.Results All patients in three groups got increased scores of ADL after treatment, with statistically significant differences (P<0.001). multiple linear regression analysis shows that,the rehabilitation effect of ALD after treatment was influenced statistically significantly (P<0.05) only by group, ADL score before treatment and age in all factors.Conclusion Rehabilitation therapy can improve the curative effect of the patients.the higher ADL score before treatment with same group and age,the better therapeutic effect; On the other hand, Younger patients often get better therapeutic effect in the same group and also with the same ADL score before treatment. Partâ…¢:Randomized control studies and relating factor analysis to prevent community elders from tumblingObjective Observation the effect of therapeutic recreation to prevent the fall incidence of community elders. Investigation the living habits, the physical and mental characteristics of fell community elders. Discussing the fall related factorsMethods 248 elders coming from 4 communities,128 elders were as intervention group,120 elders were as control group. The intervention group accepted therapeutic recreation for 2 months, and were assessed balance and attention ability before and after intervention. All the elders were followed up for 12 months,and their falling were recorded.Results 190 elders were completed the studies. The fall incidence of intervention groups were descended 47.6%, but (p=0.077),the fall numbers were descended 62.1%(p<0.01); The fall incidence and fall numbers of control groups were not significantly changed (both p>0.05). Comparing with fell and not fell community elders, the group of fell elders received lower education, fewer exercise, more fear for fall, fewer fall precautions, and poor balance ability, the most important related factor to fall is more alcohol users, fall precaution (all p<0.05). Comparing with fell and not fell community elders who have received intervention, the group of fell elders spent little time to body exercise, more alcohol users, have poor attention and balance ability, the most important related factor is fewer exercise,poor balance ability (all p<0.05)Conclusion Therapeutic recreation can decrease the numbers of falling of community elders. In proceeded the program, we should pay more attention to the community elders who have fell history in education, decreasing fear for fall, boosting prevent measures, control alcohol users, emphasizing improve balance ability. If we prolong exercise time for the community elders, further improve their attention and balance ability, control alcohol users, we can increase the effect of fall prevention program.