Analyse The Effect Of Individual Occupational Therapy On Mild Cognitive Impairment After Stroke

Mild cognitive impairment(MCI) is a frequent consequence of stroke and can impact on a patient's ability to perform activities of daily life. There are a number of different intervention strategies that Individual occupational therapy may be use when working with people who have cognitive impairment poststroke. The aim of this study is to determine whether Individual occupational therapy improves functional performance of basic activities of daily living (ADL) ,depression and specific cognitive abilities in people who have MCI following a stroke.Individual occupational therapy is a kind of intervention strategy that utilize mechanism of pattern recognition and theory of occupational therapy. Between Jan. 2009 and Feb.2010,there were 309 inpatients after stroke in the department of rehabilitation medicine,Sixty-five inpatients with MCI following stroke were randomly divided into two groups: Experimental group and control group.Both groups received drugs of symptomatic treatment, conventional comprehensive training for the physical functions, physical therapy, acupuncture and moxibustion, which Experimental group received Individual occupational therapy, and control group received therapy traditional cognitive intervention. Mini-mental state examination(MMSE), the montreal cognitive assessment(MoCA), evaluation scale of instrumental activities of daily living (IADL) and Zung Self-rating Depression Scale (SDS) were applied between two groups for cognition function, ADL and state of depression respectively.The study found no significant difference in scores of three scales(P >0.05). Treatment for 6 months, MoCA, evaluation scale of IADL and SDS were applied between two groups again. Each group is 30 patients successfully follow-up. The MoCA score in experimental group after treatment is 24.06±3.22 which is higher than 18.33±2.10 before treatment (t=-11.786,P <0.05) and 18.00±2.00 in control group after treatment. The evaluation scale of IADL scores in experimental group after treatment is 44.73±9.26 which is lower than 59.40±10.60 before treatment (t=13.843,P <0.05) and 47.77±10.04 in control group after treatment. The SDS scores in experimental group after treatment is 43.10±8.60 which is lower than 52.07±9.33 before treatment (t=7.749,P <0.05) and 48.23±7.38 in control group after treatment. There are significant(P <0.05) differences between two groups, not only cognitive deficits poststroke, but also recovery of ADL and depression.Individual occupational therapy is a treatment that easy to implement and effective for MCI following stroke. Individual occupational therapy has a certain academic value.Of course, more experiments and more sample are needed to proving the effectiveness of the individual occupational therapy.