Impacts of early systemic rehabilitative nursing on movement and cognitive functions of cerebral infarct patients

doi:10.3321/j.issn:1673-8225.2004.22.018

Abstract：BACKGROUND:Early rehabilitative nursing greatly affects the restorative extents in the activities of daily life(ADL) of cerebral infarct hemiplegia patients.OBJECTIVE: To discuss the impacts of early systemic rehabilitative nursing on the restoration of limbs moversents, ADL and cognitive functions in cerebral infarct patients.DESIGN: A case-control study.SETTINGS and PARTICIPANTS: Settings: Department of Neurology,Southwestern Hospital. Participants: Fifty subjects were allocated into rehabilitation group(25 subjects) and control group(25 subjects) according to order sequences from January 2000 to September 2002.INTERVENTIONS: Interveners: Ding Y, Chen ZF, Zhen HH, Liu XL and Chen KN. Interventions: Normal systemic rehabilitative nmsing was operated in rehabilitation group in addition to routine therapy. And control group was only under routine neurological therapy. Limbs movements and ADL were assessed by mini-Fugl-Meyer(FMA) scale and Barthel index, and the cognitive function was evaluated by MMSE scale before and 6-week after systemic rehabilitative nursing.MAIN OUTCOME MEASURES: FMA score, ADL score, and MMSEscore.RESULTS: After 6-week of systemic rehabilitative nursing, limbs movements of rehabilitation group distinctly restored, and the scores of upper and lower limbs movements were(upper limbs: 35.82 t 10. 28, lower limbs: 22. 89 ±6. 31 ), which were significantly higher than that of control group(upper limbs:20.13±6.63, lowerlimbs: 16.52±4.10, t=6.413, 4.233, P ＜0.01) .ADL scores of rehabilitation group was (13.83 ±7.23), which was significantly higher than that of control group(28.12 ± 14.65, t = 5. 246, P ＜0.01 ) . There was no significance in MMSE scores between rehabilitation group(16.70 ±8.28) and control group(13.83 ±7.23) . However, the iraprovement in orientation and memory of rehabilitation group(8.69 ± 3.31) was significanfly better than that of control group(5.22 ± 3.10, t = 3. 716, P ＜0. 01).CONCLUSION: Early systemic rehabilitative nursing can significantly improve limbs movements and ADL of cerebral infarct patients.