Effect of occupational skills relearning on hemiplegic arm function after stroke:a randomized controlled trial
10.3969/j.issn.1006-9771.2024.07.011
- VernacularTitle:作业技能再学习策略对脑卒中偏瘫上肢功能效果的随机对照试验
- Author:
Aiqun HE
1
;
Jingbo LI
;
Maoli HE
;
Simei YE
;
Qiushuang SONG
;
Haiou LIU
;
Youshu XIE
Author Information
1. 广东省工伤康复医院,广东广州市 510440
- Keywords:
stroke;
occupational skills relearning;
upper limb;
motor function;
activities of daily living;
randomized controlled trial
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(7):823-830
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of occupational skills relearning programme on hemiplegic arm motor function and ac-tivities of daily living(ADL)in stroke patients. Methods From February,2022 to August,2023,74 stroke patients in Guangdong Work Injury Rehabilitation Hospital were enrolled and randomly divided into control group(n=37)and experimental group(n=37).The control group received conventional rehabilitation training,and the experimental group received additional occupational skills relearning programme,for three weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremi-ties(FMA-UE),Functional Test for the Hemiplegic Upper Extremity-Hong Kong(FTHUE-HK),Motor Activity Log(MAL)-amount of use(AOU)and MAL-quality of movement(QOM),modified Barthel Index(MBI),and Stroke Impact Scale(SIS)-Hand and SIS-ADL before and after treatment. Results The scores in all assessments improved significantly in both groups(|t|>3.597,P<0.05)after treatment,while the scores of FMA-UE,FTHUE-HK,MAL-AOU,MAL-QOM were higher in the experimental group than in the control group(|t|>2.352,P<0.05). Conclusion Occupational skills relearning programme could promote the recovery of hemiplegic arm motor and activity,and facilitate the use of the hemiplegic arm in daily life in stroke patients.