Analysis Of Rehabilitation Of Limbs Function In Hemiplegic Patients After Intracerebral Hemorrhage

Intracerebral hemorrhage (ICH) is non-invasive cerebral parenchymal hemorrhage,and is an important type of cerebrovascular disease. Hemiplegia is one of the mostcommon disorders of cerebral hemorrhage patients. Although subject to varyingdegrees of brain damage, through gradual, sustained rehabilitation training, there isstill great potential for rehabilitation. Currently, study on the impact factors of limbfunction rehabilitation in hemiplegic patients with ICH is still very limited with mostfocus only on the impact of care, which ignores the influence of the patients’ ownfactors, disease, treatment and family and social factors.Objective Compare the limb muscle strength level before and after treatment tounderstand the rehabilitation of limb function, and analyze the impact factors ofrehabilitation to identify appropriate measures to improve the recovery of limbfunction in hemiplegic patients with ICH, and provide evidence for further studies.Methods A self-designed questionnaire was used to collect relevant information ofthe subjects that were selected from the neurology and neurosurgery of the centralhospital of Siping during May2013and July2014. Information collected includedgeneral information, clinical features and information on treatment and care.Diagnostic criteria of cerebral hemorrhage was Adult diagnostic criteria forspontaneous intracerebral hemorrhage promulgated by ministry of health in2010.Database was established using Epidata3.1, and statistical analysis was done bySPSS16.0. Continuous variables were presented using mean±standard deviation, andcategorical variables were presented using rate or composition ratio. Difference oflimb muscle strength level and limb function rehabilitation between groups weretested using two samples rank sum test, analysis of the impact factor of limb function recovery were analyzed using t test or chi-square test. All analyses were two-sided test,with P<0.05considered statistically significant.Results①In total,105cases were included in the study, with an average age of55.89years old and male to female ratio of1:0.6. The main educational level,occupation, income were high school and below(74.2%), farmer (56.8%), and2000-3000yuan per month (37.2%), respectively. Most subjects had no history ofsmoking (61.2%), and74.3%of the subjects had suffered from hypertension. Only7.2%of the subjects visited the doctors within one hour after attracted by the disease, andmost of the subjects were treated with conventional therapy (79.5%).②Beforetreatment, the limb muscle strength levels of hemiplegic limbs are mostly0,accounting for46.0%and41.4%for upper limb and lower limb, respectively. Aftertreatment, the limb muscle strength levels are mostly4, accounting for25.0%and28.4%respectively. The differences of hemiplegic upper and lower limbs musclestrength level before and after treatment were statistically significant (P<0.001),whereas before treatment and after treatment, differences between upper and lowerlimb muscle strength level were not statistically significant (P>0.05).③Aftertreatment, among the subjects whose muscle strength had been improved, the mostimproved level number of muscle strength for both upper and lower limbs were2,accounting for22.4%and19.7%, respectively. After treatment, the improved level oflimb muscle strength and rehabilitation of limb function of upper and lower limbswere not statistically significant (P>0.05).④Age, passive joint training, initiativejoint training and rehabilitation training were influence factors for upper limb functionrehabilitation (P<0.05).⑤Age was an influence factor for lower limb functionrehabilitation (P<0.05).Conclusions①Age, passive joint training, initiative joint training andrehabilitation training were influence factors for upper limb function rehabilitation ofpatients with ICH.②Age was an influence factor for lower limb functionrehabilitation of patients with ICH.③No association was found between sex,occupation, health insurance type, education level, marital status, income, smoking and drinking history, diet tastes, hypertension history, treatment and limb functionrehabilitation of patients with ICH.