Application Of Otago Exercise Programme In Early Rehabilitation Of Patients With First Cerebral Infarction

Objective:To explore the intervention effect of Otago Exercise Programme on the balance ability,fall self-efficacy,mobility,self-care ability and quality of life of patients with first-term cerebral infarction.Methods:A total of 54 inpatients with cerebral infarction who met the inclusion criteria and exclusion criteria were enrolled in the Department of Encephalopathy,The First Affiliate Hospital of Guangxi University of Chinese Medicine from March 2018 to September 2018.There were 27 patients in the control group and 27 in the observation group.The patients in the control group were treated according to the nursing routine of the encephalopathy department.The patients in the observation group were given intervention of Otago Exercise Programme(OEP)on the basis of the control group.The plan consists of two parts.The first part includes warm-up exercise(5 items),muscle exercise(5 items)and balance training(12 items).Exercise 3 times a week for 30 minutes each time.The second part is walking exercise.30 times a week for 30 minutes(can be divided into 3 times,each 10 minutes),the patient is taught by the investigator Otago during the hospitalization,and urged to practice,to give the patient the Otago exercise instruction manual and personal exercise The calendar table informs the patient to record the daily exercise and exercise.After the patient is discharged from the hospital,the family urges the patient to continue the Otago Exercise Programme and records the personal exercise calendar.The two groups are followed up for telephone after 12 weeks of intervention.After the patient was reexamined,the data of each observation index were collected to evaluate the balance ability(BBS),fall self-efficacy(MFES),mobility(TUGT),self-care ability(BI)and quality of life(SS-QOL)of the two groups.Improve the situation.Results:(1)After the 12-week intervention,a total of 47 patients completed the collection of all data.Among them,3 patients in the observation group were absent from the control group,and Fisher's exact probability test was used to compare the exit rates of the two groups.The results showed no significant difference in the withdrawal rate between the two groups(P>0.05).During the study period,2 patients in the observation group fell down twice,1 patient in the control group fell down twice and 1 patient in the control group fell down once.The non-parametric rank sum test was used to compare the difference between the two groups during the intervention.The results showed that there was no significant difference in the fall between the two groups(P>0.05).(2)After 12 weeks of intervention,compared with the control group,the BBS score and MFES score of the observation group were significantly increased,and the difference was statistically significant(P < 0.01).(3)After 12 weeks of intervention,compared with the control group,the TUGT time of the observation group was shortened,the difference was statistically significant(P<0.01),and the SS-QOL score was increased,the difference was statistically significant(P<0.01),but The increase in BI score was not significant,and the difference was not statistically significant(P>0.05).(4)After 12 weeks of intervention,the comparison results in the control group showed statistical significance of BBS score,MFES score,TUGT time,SS-QOL score,and BI score(P<0.05),the comparison results in the observation group showed BBS score,MFES score,TUGT time,SS-QOL score,and BI score were statistically significant(P<0.01).Conclusion:In patients with cerebral infarction,starting otago exercise in the acute phase can improve patients' balance ability,mobility and self-efficacy of falls,alleviate the degree of FOF,and improve the quality of life of patients.