Effect of early rehabilitation treatment on prognosis of old patients with acute stroke
Yang Hon, WU Jun-f, Gao Wei-we
Abstract
Yang Hon, WU Jun-f, Gao Wei-we
Abstract
Objective To explore the effect of early rehabilitation treatment on prognosis of old patients with acute stroke. Methods The 150 patients with acute stoke from Neurology Ward in our hospital from Jan 2008 to Nov 2010 were randomly divided into rehabilitation group (80 cases) and control group (70 cases). Both groups received the medication and nutrition therapy, but the rehabilitation group received rehabilitation therapy. All the patients were used the NIHSS to evaluate their limbs movement function at admission, after 21 days and after 35 days. Meanwhile, the patients were applied with Barthel Index(BI) to evaluate the ability of activities of daily living after 35 days. Furthermore, complications and the hospitalization expense were gathered. Results The scores on limbs movement function in the rehabilitation group were significantly lower than those of control group (P0.05)and the scores on BI in the rehabilitation group were significantly higher than those of control group(P0.05), however, complications and the hospitalization expense were significantly lower in the rehabilitation group. Conclusions The early rehabilitation therapy can increase the recover of limbs movement function, strengthen the self management ability, reduce the complications and the expense burden. It was safe and effective for the old patients of acute stroke.
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Objective To explore the effect of early rehabilitation treatment on prognosis of old patients with acute stroke. Methods The 150 patients with acute stoke from Neurology Ward in our hospital from Jan 2008 to Nov 2010 were randomly divided into rehabilitation group (80 cases) and control group (70 cases). Both groups received the medication and nutrition therapy, but the rehabilitation group received rehabilitation therapy. All the patients were used the NIHSS to evaluate their limbs movement function at admission, after 21 days and after 35 days. Meanwhile, the patients were applied with Barthel Index(BI) to evaluate the ability of activities of daily living after 35 days. Furthermore, complications and the hospitalization expense were gathered. Results The scores on limbs movement function in the rehabilitation group were significantly lower than those of control group (P0.05)and the scores on BI in the rehabilitation group were significantly higher than those of control group(P0.05), however, complications and the hospitalization expense were significantly lower in the rehabilitation group. Conclusions The early rehabilitation therapy can increase the recover of limbs movement function, strengthen the self management ability, reduce the complications and the expense burden. It was safe and effective for the old patients of acute stroke.
Key concepts: Medicine, Rehabilitation, Barthel index, Acute stroke, Stroke (engine), Physical therapy, Treatment and control groups, Neurology