| Objective: To observe the effect of upper limb occupational therapy in two different postures on functional activities in patients with cerebral infarction. Methods: Sixty patients with upper limb dysfunction after cerebral infarction were randomly divided into sitting group and standing group. Two group were given routine rehabilitation therapy in the sitting position and standing position, respectively. The Fugl-Meyer assessment (FMA), and the modified Barthel index (MBI) were performed before, and 2 weeks and 4 weeks after the treatment. Results: There were no significant differences between the two groups at baseline. In sitting group, the scores of BBS and MBI increased after 4 weeks, but FMA had no obvious improvement. In the standing group, the scores of BBS, MBI and FMA all increased and were higher than those in the sitting group at 2nd and 4th week after treatment (P<0.05). Conclusion: Occupational therapy in standing position can strengthen the general muscle, promote the balance and stability in patient with hemiplegia, then improve the motor function and quality of life. |
