The Effects Of Different Times To Rehabilitation Intervene Improving Motor Function And Activities Of Daily Living In Patients With Hemiplegic After Cerebral Infarction

Objective: Discussion comparison of early versus late rehabilitation intervention to improve the role ofpatients with hemiplegic cerebral infarction on motor function and activities of daily living.Methods: Collected in December2012-2014in February in which our hospital neurology and earlyrehabilitation group (A group,32cases), post-rehabilitation group (group B,28patients) RehabilitationMedicine hospitalized cases,60cases. All patients received conventional therapy in patients withcerebral infarction, cerebral edema, including control, nutrition nerves, improve circulation, anti-platelet,regulate lipid metabolism, regulation of blood pressure. A group of patients within14d after the onsetthat is receiving rehabilitation intervention, group B patients after the onset of14d-30d receivingrehabilitation intervention. Respectively, before rehabilitation, rehabilitation after2and4weeks afterrehabilitation of the rehabilitation of patients evaluated. Evaluation of rehabilitation applicationssimplify Fugl-Meyer motor function assessment, modified Barthel index method was used to assess theimpact of early intervention and rehabilitation of post-infarction patients with hemiplegia motorfunction and activities of daily living skills. The acquired data to establish a database to collate inputSPSS, using statistical software SPSS19.0analysis.Results:1. Comparison of Motor function between two groupsA group of patients before rehabilitation, rehabilitation after two weeks, four weeks afterrehabilitation of motor function score was23.84±4.57,55.72±9.89,78.47±7.11; former rehabilitationpatients in group B, two weeks after rehabilitation treatment, rehabilitation after4weeks of treatmentmotor function score was22.96±3.41,45.43±6.70,64.07±6.07. Compared with group B, group Aafter two weeks of rehabilitation therapy and rehabilitation treatment for4weeks significantly increasedmotor function score, the difference was statistically significant (P <0.01); A group and B grouprehabilitation premotor function score was not statistically difference (P>0.05).2. Comparison of Activity of Daily Living (ADL) between two groups A group of patients before rehabilitation, two weeks, four weeks after rehabilitation afterrehabilitation Barthel index were4.25±1.41,11.06±1.34,14.97±2.01; former rehabilitation patients ingroup B, two weeks after rehabilitation treatment, rehabilitation after four weeks after the Barthel indexwere4.50±1.26,9.57±2.12,12.39±2.06. Compared with group B, group A after four weeks ofrehabilitation activities of daily living and rehabilitation after two weeks of treatment capacity score wassignificantly higher, the difference was statistically significant (P <0.01); A group and B group beforerehabilitation activities of daily living scores were not statistically significant (P>0.05).Conclusion: Early and late rehabilitation intervention could significantly promote the recovery of motorfunction in stroke patients with cerebral infarction and activities of daily living, but the clinical effect ofearly rehabilitation is better than post-rehabilitation.