Effect Of Cognitive Intervention On Fall Risk Of Patients With Mild Cognitive Impairment After Stroke

Objective: To explore the impact of cognitive intervention on the risk of falls in patients with mild cognitive impairment after stroke.Methods:(1)Literature review.Through reviewing,collating and analyzing domestic and international literature on the effects of falls,cognition,and cognition on falls,and collating the theoretical basis and research methods of falls,cognition,and cognition on falls,etc.Explore the effect of cognition on falls in patients with mild cognitive impairment after stroke.(2)Test methods.According to the inclusion criteria and exclusion criteria,the stroke patients who visited a tertiary hospital in Wuhan from July 2017 to December 2017 were randomly divided into a control group and a trial group.Before the intervention,all subjects were assessed for fall risk factor assessment,posture control for stroke patients,and scales related to cognitive function.An appropriate exercise prescription was formulated based on the results of the assessment,and exercise therapy and routines were performed in a one-to-one fashion,clinical treatment and related care.In addition to the above conventional treatment,the experimental group also used cognitive function training to intervene.In addition to the above conventional treatment,the experimental group also used cognitive function training to intervene.The intervention time of each subject was two months.Before the intervention,4 weeks of intervention,and 8 weeks of intervention,the researchers evaluated and scored each score according to the scoring criteria.Finally,the effects of the intervention were analyzed and evaluated.(3)Statistical analysis.Use SPSS19.0 statistical software for processing.The statistical methods used included independent sample t test,Pearson correlation analysis,multiple linear regression analysis,and statistical description analysis.P < 0.05 difference was statistically significant.Results: There was no significant difference in age,gender,education level,stroke type,and course of disease between the two groups(P>0.05),and they were balanced and comparable.(1)Comparison of cognitive status after treatment between the two groups: At 4 weeks of intervention,there was no significant difference between the two groups in cognitive level;at 8 weeks of intervention,the cognitive function of the experimental group was higher than that of the control group.(2)Comparison of the balance function after treatment between the two groups: After the intervention,the balance function of the experimental group was higher than that of the control group.(3)Comparison of exercise compliance after treatment in both groups: After the intervention,exercise compliance in the test group was higher than that in the control group.(4)Correlation between cognitive and postural control: At the level of mild cognitive impairment,there was no significant correlation between pre-intervention cognitive function and post-intervention control of postural control;post-intervention control group had higher postural control ability than the control group..(5)The role of cognitive control of posture control: The degree of improvement in posture control ability of the patient with high frontal vision space,ability to perform,and attention and orientation was high.Conclusion: Cognitive intervention in patients with mild cognitive impairment after stroke can reduce the risk of falls;the visual space and execution ability of cognitive interventions,attention and orientation training have a positive effect on the recovery of post-stroke patients' postural control.