80 patients with post-stroke have come to the Rehabilitation Dep. of Bach Mai hospital for rehabilitation. All of them have participated in two randomized divided groups with different ways of rehabilitation intervention. In the first group, 40 patients have received only moving exercises, while in the 40 patients have received moving exercises with ankle foot orthosis (AFO). In our study, it found that the patients of the second group have improvement in their walking gain. After 3-6 months of rehabilitation intervention, they have a good weight bearing on the affected leg. 80% of them with good mark(P<0,01); average cadence also increases 81,95 walk/minute(p<0.01); independence in walking is about 82,5% compared with patients of group without AFO (P<0,05). AFO could prevent drop foot for hemiplegics. It is useful for the hemiplegics to improve their walking gait.
Cerebrovascular Accident ; therapeutics

This study is an evaluation of functional capacity after stroke with special emphasis on activities of daily living. In this study there were 269 patients after stroke living in 5 provinces (Thai Binh, Nam Dinh, Ha Nam, Ninh Binh, Hoa Binh) where have been implemented CBR programme sposored by AIFO (Italy). The crieria of evaluation were following the Barthel index scoring. It found that independent level in ADL is 46.84%. There is no difference of ADL in two sides of affected one age seemed to have an effect on the recovery of patients with moderately severe and severe impairment. The younger patients showed greater improvement than older ones with equivalent impairment.
Cerebrovascular Accident ; Activities of Daily Living ; Delivery of Health Care

Backgrounds: Fecal occult blood testing (FOBT) is commonly used in colorectal cancer screening programs. Many studies have compared different FOBT methods, but the correlation between traditional red cell microscopy and FOBT remains unclear. Objectives: 1) To evaluate the rate of positive FOBT in patients with different disease groups; 2) To compare the sensitivity and specificity of red blood cells detection in fresh stool by microscopy technique and FOBT. Materials and methods: This was a cross-sectional study involving 120 patients from Hue University of Medicine and Pharmacy Hospital who requested a stool test from 4/2021 to 4/2022. Fresh stool samples were examined for the presence of red blood cells using traditional microscopy and FOBT technique. Results: The overall positivity rate of FOBT was 20%, and in the group of gastrointestinal diseases (n = 24), clinical anemia (n = 21), hepatobiliary diseases (n = 26) and other diseases (n = 49), it was 37.5%, 23.8%, 11.5% and 14.3%, respectively. In comparison with the FOBT technique, microscopic RBC detection had a sensitivity of 33.3% and a specificity of 100%. Conclusions: A high rate of fecal occult blood tests was observed in patients with gastrointestinal disorders. Microscopic erythrocyte detection has low sensitivity and many disadvantages compared to the rapid test. This rapid test should be widely used in clinical practice to aid in the diagnosis of gastrointestinal bleeding