Clinical Observation Of Simultaneous And Non-synchronized Occupational Therapy Combined With Functional Electrical Stimulation In The Treatment Of Upper Limb Dysfunction In Stroke Patients

Objective:To explore the clinical effect of synchronous and non-synchronized occupational therapy combined with functional electrical stimulation on upper limb dysfunction in stroke patients.Method:Choose conform to the standard of diagnosis and the standard of incorporated into the patients who with upper limb dysfunction after stroke according to admission order randomly into treatment group and control group,each group 30 cases,a total of 60 cases.The control group was given routine treatment of stroke rehabilitation on the basis of the application of non-synchronous occupational therapy combined with functional electrical stimulation training method for treatment.One treatment per day,every6days for a course of treatment,1 day rest between each course of treatment,treatment of eight consecutive period of treatment.The treatment group was given routine treatment of stroke rehabilitation on the basis of the application of synchronous occupational therapy combined with functional electrical stimulation training method for treatment.Once treatment per day,every6days for a course of treatment,1 day rest between each course of treatment,treatment of eight consecutive periods of treatment.We observed the two groups of patients before and after treatment in patients with upper limb Tian Min score,the motor function test score of WOLF(WMFT),Fugl-Meyer upper limb function score(FMA-A)and modified Barthel index(MBI)change.Result:1:WMFT score:There was no significant difference in WMFT score between the two groups before treatment(p>0.05);There were significant differences in WMFT scores between the two groups after treatment(p<0.05);The treatment group was significantly higher than the control group,the difference was significant(p<0.05);2:Fugl-Meyer score:There was no significant difference in Fugl-Meyer score between the two groups before treatment(p>0.05);There were significant differences in Fugl-Meyer scores between the two groups after treatment(p<0.05);The treatment group was significantly higher than the control group,the difference was significant(p<0.05);3:MBI score:There was no significant difference in MBI scores between the two groups before treatment(p>0.05);There were significant differences in MBI scores between the two groups after treatment(p<0.05);The treatment group was significantly higher than the control group,the difference was significant(p<0.05).Conclusion:1.Both synchronous and non-synchronous methods can improve the patients' superior limb function,and synchronous treatment is significantly better than non-synchronous treatment.2.Both synchronous and non-synchronous methods can improve the daily living ability of patients,and synchronous treatment is superior to non-synchronous therapy.