Effect of early rehabilitation on spasticity,activities of daily living and motor function in patients with hemiplegia after stroke

Objective:To study the effect of early rehabilitation on spasticity,activities of daily living(ADL) and motor function in patients with hemiplegia after stroke and design prospective, randomized and controlled trial.Method: One hundred patients were randomly divided into two groups,rehabilitation group(50 cases) and control group(50 cases). Patients in the rehabilitation group were given clinical treatment and regular rehabilitation training, while those in control group were given clinical treatment and unguided self-training. The evaluation was done in pre-treatment and after six months treatment. Result:ADL scores(measured with Barthel index), the motor scores (measured with Fugl-Meyer) and spasticity scores(measured by Modified Ashworth) in the two groups after 1-6 month treatment. The scores in the rehabilitation group were obviously superior of those the control group(P0.05).Conclusion:Early rehabilitation is an effective approach which can improve muscle spasticity、ADL and motor function in patients with hemiplegia after stroke.