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《Chinese Journal of Rehabilitation Medicine》 2001-05
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A study of early rehabilitation of stroke

FANG Dinghua, WANG Maobin, HU Dameng,et al. (Author′s addressDepartment of Neurorehabilitation, China Rehabilitation Research Center, Beijing,100077. )  
Objective: To investigate the effect of physical therapy on stroke rehabilitation and institute a normative scheme of rehabilitation therapy which fits to China. Method: This was a randomly controlled test. 1027 patients in 15 hospitals from 1996 June to 2000 April were assigned to the rehabilitation group and control group randomly. The rehabilitation group was divided into two subgroups: early rehabilitation subgroup whom got rehabilitation 14 days after the onset and the delay rehabilitation subgroup received rehabilitation after 14 days of onset. The drug treatment in two groups was almost the same. The patients in rehabilitation group carried out physical therapy. By the end of therapy, the score of Clinical Nerve Function Limitation Score (CNS), Fugl-Meyer Assessment (FMA) and Modified Barthel Index (MBI) and incidence rate of complication were compared.Result: The patients in the rehabilitation group(both early and delay treated) got much better scores in CNS, FMA and MBI than the control group and the incidence rate of complication in the rehabilitation group was lower than in the control group. The difference was statistic significant. The early rehabilitation subgroup got much better scores in CNS, FMA and MBI than the delayed. The rehabilitation efficiency in the patients got 45 days rehabilitation therapy was better than in those got 28 days rehabilitation therapy. Conclusion: ①The early rehabilitation after stroke is effective. It can reduce the complications and improve the patients impairment, handicap and disabilities. The early rehabilitation after stroke should be spread into the whole country. ② The early rehabilitation after stroke is safety. It should be started as soon as possible. ③The rehabilitation should continue for a long time.
【Fund】: 本课题受国家科技部“九五”科技攻关项目“急性脑卒中的早期康复的研究”资助。重点课题号96-906-02-23
【CateGory Index】: R743
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