Functional prognosis of early comprehensive rehabilitation applied to the patients with acute stroke

Objective: To investigate the functional prognosis of early comprehensive rehabilitation applied to patients with acute stroke . Method: 123 cases of acute stroke were randomly devided into two groups, rehabilitation group and control group. The patients in the rehabilitation group were treated with early comprehensive rehabilitation (including limb function exercises, physical therapy and acupuncture) besides routine medicine therapy in the third day (in cerebral infarction patients) or one week (in cerebral hemorrhage patients) after onset when physical signs were stable and conditions didn′t deteriorat. The patients were followed up through telephone, evaluated neurologic impairment by Assessment Standard of Neuroligic Function Impairment, evaluated activities of daily living (ADL) by Barthel′s index. Result: Neuroligic function impairment degree was obviously reduced and ADL was greatly improved in both groups after a month′s therapy compared with the admission time ( P 0.01). The improvement in the rehabilitation group was greater than the control group ( P 0.05). Furthermore, the difference had existed for one year. Conclusion: Early comprehensive rehabilitation applied to patients with acute stroke not only can obviously reduce the neurologic impairment, improve the ADL index and self-care ability, but also shows future effect in some degree.