EFFECTS OF EARLY REHABILITATION ON THE ACTIVITIES OF DAILY LIVING IN PATIENTS WITH STROKE
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[Objective]To investigate the effects of early rehabilitation on the activities of daily living(ADL)in patients with stroke.[Methods]The patients were divided into rehabilitation group and control group.Modified Barthel Index was used to evaluate daily living activities after 40 days of treatment.[Results]Before treatment,Barthel index score in the rehabilitation group was 28.75±13.55,while 29.33±14.07 in the control group.The difference was not significant(P﹥0.05).But,after the treatment,Barthel index score in the rehabilitation group was 69.50±16.67,52.33±19.08 in the control group.The difference was significant(P﹤0.05).[Conclusion]Early rehabilitation could improve the activities of daily living effectively in patients with stroke.Keywords:
Barthel index
Stroke
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Objective:To study the effect of early rehabilitation on balace function and activities of daily living(ADL) in patients with hemiplegia after stroke.Method:80 patients were randomly divided into two groups, the rehabilitation group(40 cases) and the control group(40 cases). Patients in the rehabilitation group were given clinical treatment and regularly physical therapy, while those in control group were given clinical treament and unguided self-training, and the evaluation was done in pre-treatment and 3 months and 6 months after stroke. Balance function was assessed with Fugl-Meyer and ADL was assessed with Modified Barthel Index(MBI).Result:The balace function scores and MBI scores in each groups and between two groups rised had a significant difference(P0.05), the process of scores in the rehabilitation group were obviously superior to that in the control group(P0.001).The balance function is positive correlation to ADL(r=0.791).Conclusion:Early rehabilitation training on the patients with hemiplegia after stroke may obviously improve balance function and ADL.
Barthel index
Stroke
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Objective To explore the effect of rehabilitation education intervention manner on activity of daily living(ADL) of stroke patients.Methods A total of 64 patients with acute stroke were divided into individualized education group(n=31) and control group(n=33) at random.Individualized education group's nurses carried out rehabilitation education to the patients(one by one) and family members at least twice everyday,and checked their compliance.The control group was given collective rehabilitation education.There were no differences in total time and content of rehabilitation education between the two groups.The patients were followed up three months.ADL was evaluated by Barthel exponent.Results The changes in Barthel exponent were apparently different between the two groups(P0.05).Conclusion Individualized education can ameliorate ADL apparently in the patients with stroke.
Stroke
Barthel index
Acute stroke
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Objective:To observe early rehabilitating efficacy of the body function and activities of daily living (ADL) of the stroke patients in the nerve ward.Methods:120 stroke patients were randomly divided into the rehabilitation group and treatment group, based the conventional treatment,early rehabilitation was added in the rehabilitation group.Effect pre and post treatment were estimated with Fugl- Meyer's index numbers, index numbers of Barthel between two groups.Result:After one month treatment, the body function and activities of daily living (ADL) of two groups were markedly improved (P0.01), but the effect in rehabilitation group was better than the other group (P0.05).Conclusion:The early rehabilitation can improve not only the body function but also ADL in the nerve ward.
Barthel index
Stroke
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Objective: To explore the effects of community -and -family based rehabilitation management on the activities of daily living (ADL) of stroke patients. Method: A total of 276 stroke patients were divided randomly into the community-based rehabilitation management group (treatment group, n=141) and the control group (n=135), The patients of the community -based rehabilitation management group were treated with rehabilitation and following -up, those of the control group were only by following -up. Both groups were evaluated with modified Barthel index before and 2, 5 months after treatment. Result: The ability of ADL in treatment group were more remarkable better than that in control group in the following-up after 5 months treatment (P0.01). In treatment group the Barthel index of the patients with a history of 3 to 18 months was significantly higher than that of 3 months (P0.01). The data showed that the effect of the disease time has no difference(P0.05) after 2,5 months of treatment, whereas the mark of the treatment group was higher in each stage after 5 months of treatment (P0.01). Conclusion: Community-based rehabilitation management has significant effect on the ADL in stroke patients. The regular community-based rehabilitation management also has positive effect on the patients with a history of 3 to 18 months.
Barthel index
Stroke
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Objective:To study the effect of early rehabilitation on ADL in hemiplegics after stroke. Method:129 patients were randomly divided into two groups, rehabilitation group(74 cases) and control group(55 cases). Patients in the rehabilitation group were given clinical treatment electric stimulation therapy and regularly physical therapy, while those in control group were given clinical treatment and unguided self-training, and the evaluation was done in pre-treatment and post a month respectively. ADL was assessed with Barthel index(BI). Result:The BI scores in each groups rised had a significant difference( P0.001 ), the process of scores in the rehabilitation group were obviously superior to that in the control group. Conclusion:Early rehabilitation training on hemiplegias after stroke may obviously improve ADL scores.
Barthel index
Stroke
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Objective:To study the effect of rehabilitation in hemiplegics after stroke.Method:181patients were randomly divided into two groups,rehabilitation group and control group.Patients in the rehabilitation group were giv-en clinical treatment electric stimulation therapy(EST)and regularly physical therapy,while thoss in control group were given clinical treatment and unguided self-training,and the evaluation was done in pre-treatment,post-one-month,post-three-month and after six months respectively.Motor function was assessed in Fugl-Meyer Assessment(FMA),activities of daily living(ADL)was assessed in Barthel's index(BI).Result:The scores between groups had a significant difference(P0.001).The process of scores in the rehabilitation group were obviously superior to those in the control group(P0.001),especially in first three month.Conclusion:Rehabilitation training on hemiplegics after stroke may obivously improve motor function and ADL,decrease the disability and increase the quality of living.
Barthel index
Stroke
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Objective To observe the influence of the remote home rehabilitation guidance on daily living activities among recovery patients after cerebral infarction.Methods Ninety-one cerebral infarction patients of recovery stage discharged from our hospital were randomly divided into the control and the rehabilitation group.Patients in the rehabilitation group accepted remote rehabilitation guide,while patients in the control group underwent rehabilitation training according to the oral rehabilitation guidance right before discharge.Comparison of Barthel index between the two groups were analyzed both at discharge and 3 months later.Results No statistically significant differences in Barthel scores between the two groups were noted at discharge(P0.05).At the end of the 3rd month,Barthel scores in both groups were remarkbaly elevated(P0.05),with the rehabilitation group higher than the control group(P0.05).Conclusion Remote home rehabilitation guidance for recovery of daily living activities among post-cerebral infarction patients exhibits innegligible promoting effects.
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Objective To investigate the effect of multi-stage rehabilitation nursing on activities of daily living(ADL) in hemiplegic stroke patients.Methods Eighty hemiplegic stroke patients were randomly divided into rehabilitation group(n=40) and control group(n=40).All patients were given routine treatment and care,and patients in rehabilitation group were provided with a multi-stage rehabilitation care.End treatment for 3 months,ADL was assessed by modified barthel index(MBI) in both groups.Comparison of admission and discharge ADL levels of the end 3 months in 2 groups.Results There were no significant differences in MBI between the two groups on admission(P0.05).However,MBI scores in rehabilitation group(78.62±5.70) were higher than that in control group(62.88±8.80)(P0.001).Conclusion The multi-stage rehabilitation and participation of family members in care can significantly improve ADL of hemiplegic stroke patients.
Barthel index
Stroke
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Objective: To explore the effects of early rehabilitation training on motor functions of upper and lower extremities and activities of daily living (ADL) in patients with hemiplegia after stroke. Methods: 60 patients were randomly divided into two groups. 40 cases in the rehabilitation group and 20 cases in the control group. Patients in the rehabilitation group were given clinical treatment and regular rehabilitation training; while those in control group were given clinical treatment and unguided self training. Motor function was assessed by FUGL MEYER assessment (FMA), ADL assessed by BARTHEL Index.Results: The ADL scores (measured by BARTHEL index) and the motor scores (measured by FMA) in the two groups increased after 90 days of treatment, but there was a significant difference between the two groups. The scores of the rehabilitation group were obviously higher than those of the control group (P0.001). Conclusion: Early rehabilitation training of the patients with stroke hemiplegia may obviously improve the motor function of the limbs and raise ADL scores.
Barthel index
Stroke
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Objective To observe the effect of early multidisciplinary rehabilitation therapy on stroke patients.Methods 80 cases of acute stroke were randomly divided into the rehabilitation group (n=40) and control group (n=40). All patients of two groups were treated with routine treatment, and those of the rehabilitation group were added with early multidisciplinary rehabilitation therapy. The degrees of clinical neural function defect, motor function and activities of daily living (ADL) of all patients in two groups were assessed by the clinical neural function defect assessment (NIHSS), Fugl-Meyer Assessment (FMA) and Barthel Index (BI) before and one month after treatment.Results The scores of NIHSS, FMA and BI of patients in two groups were not different before treatment ( P0.05). After treatment, the scores of patients of the rehabilitation group were significantly higher than that of the control group ( P0.01).Conclusion Early multidisciplinary rehabilitation therapy can improve the neural function, ADL and raise the quality of life of post stoke patients.
Barthel index
Stroke
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