The Effect Of Task-oriented Training On Limb Function In Elderly Patients With Acute Stroke

Background and objective:Stroke is an acute cerebrovascular disease that is a group of diseases,including ischemic and hemorrhagic stroke,caused by sudden rupture of blood vessels in the brain or brain damage caused by blood vessels that cannot flow into the brain.With the advancement of medical technology,despite the increase in the survival rate of stroke patients,30-66% of patients still have persistent dyskinesia.In recent years,the importance of rehabilitation of cerebral infarction has been fully recognized in clinical work.Evidence-based medicine has proven that rehabilitation is one of the effective methods to improve function and reduce the morbidity of cerebral infarction.Task-oriented training is a commonly used rehabilitation method in clinical practice.It is supported by the basic principles of neural plasticity and motor learning.Task-oriented training is not a simple and repeated training of normal sports patterns.It is the interaction between individuals,tasks and the environment.Based on the functional tasks formulated by the foundation,patients can actively adapt to the environment through active trials,and accordingly solve related training problems and achieve training goals.This study was designed to investigate the effects of task-oriented training on limb function and daily living ability in patients with acute cerebral infarction.Methods:The Department of Neurology,China-Japan Union Hospital of Jilin University,selected from 132 patients with acute cerebral infarction fromJune 2017 to June 1818,was divided into three groups: TOT group,routine group and control group.All three groups received routine clinical drug treatment.A total of 48 patients in the TOT group underwent task-oriented training,42 in the regular group underwent routine rehabilitation training,and 42 in the control group did not undergo any rehabilitation.Fugl-Meyer motor function scoring(FMA)was used to evaluate the motor function of hemiplegia and improve the Barthel index(MBI)for self-care ability evaluation.Results:There were no significant differences in limb motor function scores and daily living self-care ability scores between the three groups before treatment(p>0.05).After treatment,the FMA total scores and MBI scores of the three groups were significantly improved,compared with those in the groups.Statistically significant(p<0.05);the differences in motor function scores and daily living self-care ability scores between the three groups were statistically significant(p<0.05),and the difference between the TOT group and the conventional group was compared with the control group.Statistical significance(P<0.05);The difference between the TOT group and the conventional group was statistically significant(P<0.05).Conclusion:1.Elderly patients with acute cerebral infarction can significantly improve their limb function and self-care ability after routine rehabilitation training and task-oriented training.2.The task-oriented training method is more effective than the conventional rehabilitation training for the recovery of limb function.