|
|
Effect of Timing of Rehabilitation Treatment on Recovery of Cognitive and Motor Functions in Patients with Cerebral Unfarction |
LI Shuo-hua |
Department of Rehabilitation, Xiangya Hospital of Center South University, Changsha, Hunan, 410008 |
|
|
Abstract 【Objective】To investigate the effects of different start times of rehabilitation therapy on cognitive and motor functions in patients with cerebral infarction. 【Methods】We collected 160 patients with cerebral infarction admitted to our hospital from January 2016 to January 2021 who met the inclusion criteria, and retrospectively analyzed the clinical rehabilitation effects of the treatment of patients with cerebral infarction after different rehabilitation treatment intervention times, and divided them into two groups according to the time point at which the patients received the rehabilitation intervention. Eighty of the patients started rehabilitation treatment on day 2 after onset(experimental group) and the other 80 patients started rehabilitation treatment on day 7 after onset(control group), and the same interventions were used in both groups(see Methods section for details). The patients' cognitive and motor functions were evaluated using the Mini-mental State Examination(MMSE) scale score, the Fugl-Meyer-FMA scale score and the Activities Of Daily Living(ADL) scale score. The prognosis of the patients was evaluated before, one month and three months after treatment, and the clinical rehabilitation effects of the two groups were compared at different times of rehabilitation treatment intervention. 【Results】The differences in MMSE score, FMA score and ADL score before treatment were not statistically significant in both groups(P>0.05). The MMSE scores, FMA scores and ADL scores were significantly higher in both groups at 1 month after treatment and 3 months after treatment than before treatment, and were significantly higher in the experimental group than in the control group at 3 months after treatment, and the differences were statistically significant(P<0.05). 【Conclusion】 Early rehabilitation interventions for patients with cerebral infarction are more effective in improving cognitive function and limb movement function.
|
Received: 08 May 2021
|
|
|
|
|
[1] NOH J S, LIM J H, CHOI T W,et al. Effects and safety of combined rTMS and action observation for recovery of function in the upper extremities in stroke patients:A randomized controlled trial[J].Restor Neurol Neurosci,2019,37(3):219-230. [2] FU J, ZENG M, SHEN F, et al. Effects of action observation therapy on upper extremity function, daily activities and motion evoked potential in cerebral infarction patients[J].Medicine(Baltimore),2017 ,96(42):e8080. [3] SVEINSSON O A, KJARTANSSON O, VALDIMARSSON E M, et al.Cerebral ischemia/infarction - epidemiology, causes and symptoms[J].Laeknabladid,2014,100(5):271-279. [4] COLEMAN ER, MOUDGAL R, LANG K, et al. Early Rehabilitation After Stroke:a Narrative Review[J].Curr Atheroscler Rep,2017 ,19(12):59. [5] KRAKAUER J W, CARMICHAEL S T, CORBETT D, et al. Getting neurorehabilitation right:what can be learned from animal models [J].Neurorehabil Neural Repair,2012,26(8):923-931. [6] HENDRICKS H T.Motor recovery after stroke: a systematic review of the literature.[J]. Arch Phys Med Rehabil,2002,83(11):1629-1637. [7] VAN VELUW S J, SHIH A Y, SMITH E E, et al. Detection, risk factors, and functional consequences of cerebral microinfarcts[J].Lancet Neurol,2017,16(9):730-740. [8] GAO JING, ZHANG HUIJUN. Effects of chin tuck against resistance exercise versus Shaker exercise on dysphagia and psychological state after cerebral infarction[J].Eur J Phys Rehabil Med,2017 ,53(3):426-432. [9] MANDON L, BRADAÏ N, GUETTARD E, et al. Do patients have any special medical or rehabilitation difficulties after a craniectomy for malignant cerebral infarction during their hospitalization in a physical medicine and rehabilitation department? [J].Ann Phys Rehabil Med,2010,53(2):86-95. [10] CHEN JIAJUN, YAO MIN, ZHAO YUNHUA, et al. Use of acupuncture to treat cerebral infarction in the last 10 years:A Scopus-based literature analysis[J].Neural Regen Res,2012,7(36):2944-2951. [11] 翟青玲,曹淑华.不同康复介入治疗时间对中青年脑梗死患者疗效的影响[J].现代中西医结合杂志,2014,23(1):14-16. [12] LI FENGWU, PENDY J T JR, DING J N, et al. Exercise rehabilitation immediately following ischemic stroke exacerbates inflammatory injury[J].Neurol Res,2017 ,39(6):530-537. [13] LYNCH E, HILLIER S, CADILHAC D. When should physical rehabilitation commence after stroke:a systematic review[J].Int J Stroke,2014,9(4):468-478. [14] NOUWENS F, DE LAU L M, VISCH-BRINK E G, et al. Efficacy of early cognitive-linguistic treatment for aphasia due to stroke:A randomised controlled trial(Rotterdam Aphasia Therapy Study-3)[J].Eur Stroke J,2017,2(2):126-136. |
|
|
|