Abstract
Family rehabilitation therapy for hemiplegic patients with limb spasm after stroke
  
DOI:
EN KeyWords: stroke  spasm  dysfunction  family therapy
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作者单位
孔莉 上海交通大学医学院附属仁济医院康复医学科上海200127 
林智 上海交通大学医学院附属仁济医院康复医学科上海200127 
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EN Abstract:
  Objective: To observe the effect of family rehabilitation therapy on the stroke patients with limb spasm. Methods: All 107 patients with hemiplegia and spasm after stroke were divided into control group (53 cases) and rehabilitation group (54 cases) randomly. Both groups were treated with conventional antispasmodic drugs. On the basis of routine drug treatment, the patients in the rehabilitation group were treated with antispasmodic rehabilitation training. These rehabilitation treatments were carried out by family members and patients themselves under the regular guidance of rehabilitation doctors. Both groups were assessed by modified Ashworth, simplified Fugl-Meyer motor function score and modified Barthel index (MBI) before admission, 1 month after admission, 3 months after admission and 6 months after admission. Results: One month after admission, there was no significant difference in Ashworth Spasm Scale, FMA score and MBI score between the two groups (P>0.05). Three months and 6 months after admission, there were significant differences in Ashworth Spasm Scale, FMA score and MBI score between the two groups (P<0.01). Conclusion: Under the guidance of rehabilitation physicians or therapists, it is effective for patients to take anti-spasmodic rehabilitation training while taking anti-spasmodic drugs, which can better improve their limb motor function and activities of daily life.
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