2008•Chinese Journal of RehabilitationRequires access
The Effect of Early Positive Rehabilitative Intervention on Cerebral Blood Flow of Patient with Hemiplegia Following Cerebral Infarction
Xiong Xun-bo
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Abstract
Objective:To observe the effect of early positive rehabilitative intervention on cerebral blood flow of patients with hemiplegia following cerebral infarction and evaluate the outcome and markers of early positive rehabilitative intervention.Methods:Eighty-seven patients with hemiplegia following cerebral infarction were divided into observation group (n=48) and routine group (n=39) consecutively.Forty-six healthy volunteers at the same period served as healthy control groups.The patients in rehabilitation group were treated with drug and rehabilitative intervention (Bobath technique),and those in control group only with drug.The average cerebral blood flow of both middle cerebral artery in rehabilitation group,control group and health control group was examined by using transcranial Doppler.The function of paralysis limbs was assessed by using Fugl-Meyer technique.Results:The scale of Fugl-Meyer was obviously increased in both groups after treatment for 30 days as compared with that before treatment (P0.01).The average cerebral blood flow of MCA on the abnormal and normal sides in observation and routine groups was less than in control group (P0.01 or 0.05) before treatment.After treatment,the average cerebral blood flow of MCA in observation group was increased obviously as compared with that before treatment,and there was no significant difference in comparison with control group.The average cerebral blood flow of MCA on the affected side in routine group was obviously increased after treatment in comparison with that before treatment,but less than in control group and observation group.Conclusion:The early positive rehabilitative intervention can increase the average cerebral blood flow of MCA in patients with hemiplegia following cerebral infarction and accelerate the functional restoration.TCD can be regarded as an early marker to evaluate the early outcome and is superior to the scale of Fugl-Meyer.