The Effect Of Modified YiJinJing Group Training On Patients With Cognitive Impairment During Convalescent Period Of Stroke

Objective:To observe the rehabilitation effect of Yijinjing group training on patients with cognitive impairment during convalescent period of stroke,and to provide evidence for its application and promotion in clinical.Methods:From June 2018 to March 2019,90 eligible inpatients with stroke were recruited through the Shanghai New Beginning Rehabilitation Hospital.They were randomly divided into three groups,including 30 in the control group,30 in the group occupational group,and 30 in the Yijinjing group.The control group underwent routine rehabilitation treatment.The group occupational group and the Yijinjing group were treated with group occupational therapy and Yijinjing on the basis of routine rehabilitation,3 times a week for 60 minutes within 4 weeks.Montreal Cognitive Assessment(Mo CA)scale was used to assess cognitive function,Barthel Index(BI)scale was used to assess daily function,Pittsburgh Sleep Quality Index(PSQI)scale was used to assess sleep quality,and Short Form 36 Health Survey Questionnaire(SF-36)was used to assess quality of life.All project evaluations were performed before and 4 weeks after intervention.After data collection,the database was established in Excel,and statistical analysis was performed using SPSS21.0 statistical software.Results:(1)Cognition function: After the intervention,the Mo CA total score and the orientation score of the control group were significantly higher than those before the intervention(P<0.05).The attention score,language score,abstraction score,delayed recall score,orientation score and Mo CA total score of the group occupational group were significantly higher than those before the intervention(P<0.05).The naming score,attention score,language score,abstraction score,delayed recall score,orientation score and Mo CA total score of Yijinjing group were significantly higher than those before intervention(P<0.05).In the attention,delayed recall,orientation and total score,the difference between the group occupational group was higher than the control group(P<0.05).In the attention and total score,the difference between the Yijinjing group was higher than the control group(P<0.05).In the total score,the difference between the group occupational group was higher the Yijinjing group(P<0.05).(2)Sleep quality: The sleep time score and PSQI total score of the control group were significantly lower than those before the intervention(P<0.05).The daytime function score and PSQI total score of the occupational group were significantly lower than those before the intervention(P<0.05).The sleep quality score,sleep time score,daytime function score and PSQI total score of the Yijinjing group were significantly lower than those before intervention(P<0.05).Comparing the differences before and after the intervention,the PSQI total score difference between the Yijinjing group was higher than the occupational group and the control group(P<0.05).(3)Daily function: After the intervention,the BI score of the three groups were significantly higher than those before the intervention(P<0.05).Comparing the differences before and after the intervention,the BI score difference between Yijinjing and group occupational group was higher than the control group(P<0.05).(4)Quality of life: After the intervention,the SF-36 average score and MCS score of the control group were significantly higher than those before the intervention(P<0.05).The SF-36 average score,PCS score and the MCS score of the group occupational group and the Yijinjing group were significantly improved before the intervention(P<0.05).Compared with the difference values before and after the intervention,the difference values of the group occupational group and the Yijinjing group were higher than those of the control group in terms of SF-36 average scores and the PCS(P<0.05).Conclusion:The 4 weeks of Yijinjing exercise may improve the cognitive function,the activities of daily living and quality of life in patients with cognitive impairment after stroke.The effect is not worse than group occupational therapy.