Effects of standardized three-stage rehabilitation program on upper extremity spasticity and motor function after cerebral hemorrhage
10.3760/cma.j.issn.0254-1424.2014.011.003
- VernacularTitle:规范的三级康复治疗对脑出血后患者上肢痉挛程度及运动功能的影响
- Author:
Bei ZHANG
;
Qiang HE
;
Yingying LI
;
Yulong BAI
;
Yongshan HU
;
Yi WU
;
Yulian ZHU
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhage;
Spasticity;
Motor function;
Three-stage rehabilitation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2014;36(11):828-831
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of standardized three-stage rehabilitation program on spasticity and motor function in the upper extremities after cerebral hemorrhage.Methods A total of 364 patients were included and randomly assigned to a control group (n =181) and a rehabilitation group (n =183).The standardized three-stage rehabilitation program,which included early-stage bedside rehabilitation,specialized treatment in rehabilitation ward during recovery and rehabilitation follow-up at regular intervals was applied in the rehabilitation group,but only rehabilitation guidance and follow-up after discharge were provided for the control group.The modified Ashworth scale (MAS) and Fugl-Meyer assessment (FMA) were performed at the time of recruitment,1 month (M1),3 months(M3) and 6 months(M6) later.Results There was no statistical difference between the groups at recruitment.The occurrence rate of spasticity was 22.7％ in the control and 23.5％ in the rehabilitation group.At M6 the occurrence rate of spasticity was about 59.7％ and 43.2％ in control group and rehabilitation group respectively,and the number of patients grade 1 + and grade 2 on the MAS was 50/181 in the control group,significantly more than in the rehabilitation group (25/183).At all time points,MAS grade 0 accounted for a large proportion of both groups.At M6,both MAS distributions and scores of the two groups were different statistically (P ＜ 0.01).FMA scores in both groups increased significantly (P ＜ 0.01) with time,with the score being (17.13 ± 16.46),(24.87±18.36),(30.68±19.41) at M1,M3 and M6 in the control group and (24.71 ±19.80),(39.83 ± 19.50),(48.87 ± 18.25) in the rehabilitation group,but the average scores of the latter were consistently significantly higher than the former (P ＜ 0.01).Conclusions Standardized three-stage rehabilitation can alleviate spasticity and improve motor function of the upper extremities in cerebral hemorrhage patients.
