| Objective: To investigate the effects of occupational lifestyle redesign programme on the motor function recovery of stroke patients who discharged from hospital. Methods: Forty stroke discharged patients were chosen and randomly divided into experimental group (n=20, discharged training plan based on occupational lifestyle redesign programme) and control group (n=20, traditional discharged training plan). All patients were assessed with Barthel Index (BI), Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) at the day when they discharged and one month after discharging. Results: One month after discharging, BI, FMA and MAS scores were significantly elevated in all patients as compared with those before discharging (P<0.05). The overall scores of FMA and MAS in experimental group were significantly increased as compared with those in control group (P<0.05). At 1st month after discharging, lower extreme related scores of BI, FMA and MAS were significantly higher than those at the discharging day (P<0.05), but there was no significant difference between the two groups. The upper extreme related scores of FMA and MAS in the experimental group were obviously increased one month after discharging as compared with those immediate after leaving hospital and in the control group (P<0.05), but the difference in those scores in the control group between the discharging day and one month after discharging had no statistically significant difference. Conclusion: The training plan after discharging from hospital which based on occupational life redesign programme is more efficient in upper extreme function recovery of stroke patients. |
