Long-term Effect Of Upper Extremity Function And The Activities Of Daily Living On Stroke Patients With Community-based Rehabilitation

ObjectiveTo explore Long-term effect of upper extremity function and the activities of daily living (ADD on stroke patients with Community-based rehabilitation.Methods80 stroke patients were randomly divided into the control group (n=40) and rehabilitation group (n=40). The patients of rehabilitation group were treated with regular following-up, functional assessment and community-based rehabilitation (CBR), while the control group only treated with following-up and functional assessment, no rehabilitation. The Barthel Index (BI),Clinical Neural Impairment Measures Scale (NIM),functional comprehensive assessment(FCA) and quality of life(QOL) were applied to assess patients at the beginning of enrollment,after 5 and 17 months.ResultsAt the beginning of enrollment, the difference in score of NIM and ADL between the two groups was not obvious(P>0.05). There was significant difference in score between the two groups 5 and 17 months later (P<0.05).The rehabilitation group had a better outcome to he controlled group. The controlled group had no significant difference in score from the 5th month to the 17th month (P>0.05).ConclusionCommunity-based rehabilitation has long-term effect of upper extremity function and (ADL) on stroke patients; The earlier the patients receive the CBR , the better the improvement on upper extremity function and ADL they will acquire.