Clinical Effect Of Early Rehabilitation Training On Acute Stroke Patients

Background: Acute stroke is a group of diseases caused by sudden obstruction of cerebral blood circulation, which mainly presents with focal neurological deficiency including dysfunction of perception, cognition, speaking, and emotion. It occurs mainly in the elderly with high morbidity, mortality and recurrence, which will greatly change a patient's daily life and increase social and family burdens if disability developed. Currently, early rehabilitation intervention after stroke has been advocated by many physicians. The aim of our study was to evaluate the effectiveness of such intervention in the acute stroke patients, in aspect of spasticity, activity of daily living (ADL) and motor function recovery of the affected limbs.Methods: One hundred eight patients with acute stroke were divided randomly into two groups: early rehabilitation group (intervention group) and control group. All the patients in the two groups were given routine treatment of medications and psychological support, but the patients in the intervention group were added early rehabilitation. The baseline of myospasm, motor function, and activities of daily living was recorded for all the subjects with Modified Ashworth table (MAS), Simplified Fugl-Meye table (FMA), and Barthel Index (BI), and then evaluated one month and three months after the treatment, respectively.Results: At the baseline, the scores of MAS, FMA, and BI between two groups have no significant difference (P>0.05). One month after stroke, the MAS score of the intervention group was higher than the one of the control group (P<0.05), and three months after stroke, the MAS score of the control group was higher than the one of intervention group. One month and three months after stroke, FMA and BI scores of both groups were much higher than their previous ones (P<0.001). Three months after stroke, FMA and BI scores of the intervention group were higher than the ones of control group (P<0.01).Conclusions: (1)Early rehabilitation for stroke patients can shorten the duration of flaccid paralysis. (2)Early rehabilitation can reduce spasticity of the affected limbs for stroke patients, thus, to improve patients' motor function and then improve patients' ADL.