Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《National Medical Journal of China》 2004-23
Add to Favorite Get Latest Update

Effects of three-stage rehabilitation treatment on acute cerebrovascular diseases:a prospective,randomized,controlled,multicenter study

ZHANG Tong *, LI Li-lin, BI Sheng, MEI Yuan-wu, XIE Rui-man, LUO Zu-ming, WANG De-sheng, WANG Wei-zhi, WANG Ning-hua, JIA Jian-ping, TAN Lan, DING Xin-sheng, CUI Li-ying, WANG De-xin, HU Xue-qiang, NIU Zhu. *Neurorehabilitation Department of China Rehabilitation Research Center Affiliated to Capital University of Medical Sciences, Beijing 100068, China  
Objective To evaluate the effect of tertiary rehabilitation treatment on acute cerebrovascular diseases. Methods Fifteen tertiary rehabilitation networks were set up throughout the country. 1078 patients with acute cerebrovascular diseases were randomly divided into 2 groups: rehabilitation group and control group, out of which 19 patients died, 157 dropped out, and 7 successive evaluations were completed in 902 patients that. 439 of the remaining 902 patients in the rehabilitation group, 266 males and 173 females, aged 61±11, 278 cases with cerebral infarction and 161 with cerebral hemorrhage, received routine treatment and early rehabilitation for 28 days in the ward of neurology, and then went home and received community rehabilitation for 6 months or underwent specialized reinforcement training for 2 months and after that went home and received community rehabilitation for 4 months. The 463 patients in the control group, 281 males and 182 females, aged 60±11, 291 of which with cerebral infarction and 172 with cerebral hemorrhage, received only routine treatment and early rehabilitation for 28 days in the ward of neurology, and then went home to conduct rehabilitation training by themselves or their family members for 6 months. Evaluation was conducted 7 times, with National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer motor function scale, Barthel index, SF-36 scale, Lowenstein occupational therapy cognitive assessment (LOTCA), Westen aphasia battery, Hamilton depression scale, and modified Ashworth spasm scale, one week after the onset and by the ends of 1, 2, 3, 4, 5, and 6 months after the onset respectively. Results The scores of clinical neurological impairment, Fugl-Meyer scores, SF-36 scores, incidence of PSD, and modified Ashworth scores (for upper and lower limbs) were lower, and LOTCA scores and Barthel indexes were higher at different time points in the rehabilitation group than in the control group; and the differences were statistically significant since the 2nd month after the onset. By the end of the 6th month, the patients of the rehabilitation group basically re-achieved the ability of self-care in daily activities with a Barthel index of 84±33. The patients of the control group also recovered to a certain degree, however, to a smaller extent in comparison with the rehabilitation group. Conclusion Tertiary rehabilitation treatment of cerebrovascular diseases is effective in improving motor function, ability of daily living activities, and quality of life and reducing the incidence rates of secondary complications.
【Fund】: 国家科技部“十五”攻关基金资助项目 (2 0 0 1BA70 3B18B)
【CateGory Index】: R743.3
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
Chinese Journal Full-text Database 10 Hits
1 ZHANG Jun,HUANG Yan(Guangzhou University of TCM,Guangzhou 510120,Guangdong,China);The Study of the Effect on National Institute of Health Stroke Scale under Using of the TCM Combined Therapy Regimen in Acute Stage in Acute Ischemic Stroke[J];Liaoning Journal of Traditional Chinese Medicine;2009-05
2 CAO hua ,GUO jian-yi ,JU ke-ju, et al.Department of Neurology Huaian The First Peoples Hospital Affiliated to Nanjing University Of Medical Sciences ,Huaian 223300 .;Effect of Three-stage Rehabilitation Treatment For 6-months on Acute Stroke Patients[J];Journal of Brain and Nervous Diseases;2007-05
3 CHENG Xian-kuan,DONG Hao,WANG Zheng-mei,SUN Lan (Rehabilitation School of Capital Medical University,China Rehabilitation Research Center,Beijing 100068);Some Ideas on Rehabilitation of Acupuncture on Hemiplegia of Stroke[J];Liaoning Journal of Traditional Chinese Medicine;2010-03
4 Xu Gui-hua,Wang Ai-hong(Nursing School,Nanjing University of Traditional Chinese Medicine,Nanjing 210046,China);Effects of Meridian Dredges and Functional Exercises on Extremity Function in Patients with Stroke[J];Nursing Journal of Chinese People's Liberation Army;2010-09
5 PAN Feng, GUO Jian-wen, WANG Xin-zhi, et al (The Internal Department of Neurology,Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China);Clinical trial of comprehensive therapeutic protocal in multicenter on acute ischemic stroke treated with traditional Chinese medicine[J];Tianjin Journal of Traditional Chinese Medicine;2007-06
6 LIU Jing, XU Jing, LIANG Zhan-hua, et al. First-author's address Department of Neurology,The First Affiliated Hospital,Dalian Medical University,Dalian, 116011,China;The Effectiveness Evaluation of Standard Tertiary Stroke Unit on Economic Burden of Stroke[J];Chinese Health Economics;2007-04
7 Chen Wen-hua, Yu Bo, Xie Xiang-hua, Tu Xia-fen Department of Rehabilitative Medicine, First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China;Application and cost-effectiveness analysis of three-stage rehabilitation program in treating acute stroke[J];Chinese Journal of Clinical Rehabilitation;2006-48
8 HU Yongshan,BAI Yulong,CHEN Wenhua,et al. Dept.of Rehabilitation,Huashan Hospital,Fudan University,Shanghai,200040;Effects of standardized three stage rehabilitation treatment on motor function in ischemic stroke patients[J];Chinese Journal of Rehabilitation Medicine;2007-07
9 YOU Guoqing, YAN Tiebin, Christina WY HUI-CHAN Affiliated Hospital, Sun Yat-sen University, Guangzhou,510120;Effectiveness of functional electrical stimulation on functional recovery of the lower extremity in subject with early stroke: a randomized controlled trial[J];Chinese Journal of Rehabilitation Medicine;2007-10
10 WANG Dong-sheng , XIE Rui-man, WU Yi-ying, YAO Jin-rong, WU Han, WANG Wei-zhen. Department of Gerontology, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai 200080, China;Analysis of multiple factors correlated with the long-term prognosis of stroke patients receiving a rehabilitation program[J];Chinese Journal of Physical Medicine and Rehabilitation;2006-03
China Proceedings of conference Full-text Database 3 Hits
1 Yan HUANG,Jian PEI,Xinzhi WANG,et al (The Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,510120,China);Outcome and Safety Assessment of YIN Pattern of Acute Ischemic Stroke Treated with an Herbal Medicine Protocol[A];[C];2009
2 HUANG Yan,CAI Yefeng,GUO Jianwen,PEI Jian,WANG Xinzhi (The Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120,China);Outcome and Safety Assessment of YIN Pattern of Acute Ischemic Stroke Treated with an Herbal Medicine Protocol[A];[C];2009
3 HUANG Yan,PEI Jian,WANG Xinzhi,et al The First Department of Neurology,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou(510120);Outcome and Safety Assessment of YIN Pattern of Acute Ischemic Stroke Treated with an Herbal Medicine Protocol[A];[C];2010
Chinese Journal Full-text Database 3 Hits
1 XU Nan-yan,JIANG Xian-di. The People's Hospital of Mao ming City, Guang Dong,Mao ming 525000,China;The follow-up study of the depression state after stroke[J];MODERN REHABILITATION;2000-09
2 DAI Hong, WANG Wei, YU Shicheng, et al.;The status of stroke disability of Beijing city residents and their community rehabilitation needs[J];Chinese Journal of Rehabilitation Medicine;2000-06
3 CHEN Jun *, YAN Hua, LI Ze bing, LIN Yue jun, WANG Qing qing, CHEN Dong dong. *Department of Rehabilitation Medicine, Zhongshan Hospital of Fudan University, Shanghai 200032, China;The functional status of community-dwelling adults with stroke[J];Chinese Journal of Physical Medicine and Rehabilitation;2003-03
Chinese Journal Full-text Database 10 Hits
1 ZHANG Wen(Department of Physical Therapy,The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022);Comprehensive treatment for scapulohumeral periarthritis:a report of 98 cases[J];Anhui Medical and Pharmaceutical Journal;2008-02
2 LI Li,ZHAO Ming-fang(Department of Neurology,Mengcheng County Second People′s Hospital,Mengcheng Anhui 233500,China);Cognitive behavioral therapy for patients with post-stroke depression in the restoration process[J];Journal of Bengbu Medical College;2009-03
3 Lin Jiaju,Chen Lifang Third Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou(310009);Sky Moxibustion Treat Knee Joint Bone Arthritis[J];Journal of Zhejiang University of Traditional Chinese Medicine;2008-03
4 MAO Kai-ping,ZHOU Jie,RONG Gang.Department of Stomatology,Wuhan Hospitial of Integrated Traditional Chinese and Western Medicine,Wuhan 430022,China;Therapeutic effect of Goldthread decoction for the treatment of burning mouth syndrome[J];Beijing Journal of Stomatology;2008-01
5 Liu Yan,Yu Huafeng (Department of Neurology,Beijing Tongren Hospital,Beijing 100730);A study of incidence and related factors of depression after cerebral infarction[J];Beijing Medical Journal;2004-03
6 ;Curative effects of botulinum toxio type A in treatment of spasticity after strock[J];Journal of Jilin University of (Medicine Edition);2004-04
7 LI Jiang ZHU Qixiu SUN Ximei et alDepartment of Rehabilitation Medicine,Affiliated Hospital of Qingdao Medical College,Qingdao University,Qingdao 266003;The clinical effect on hemiplegic muscle spasticity with medicine treatment plus comprehensive rehabilitation therapy[J];Journal of Binzhou Medical College;2006-06
8 Wang Rui-lan,Li Rong,Long Yun-shu The First People's Hospital of Yibin,Yibin 644000 Sichuang;The Effect of Trunk Control Training on Balance and Lower Limb Function in Patients with Hemiplegia[J];Today Nurse;2009-06
9 Cao Zhu Zhong Ru-hua Wu Li-kuan The People's Hospital of Lianjiang,Lianjiang 524400,China;Study on the Effect of Early Rehabilitation Treatment on the Motor Dysfunction in Patients with Ischemic Stroke[J];Chinese Journal of Medicinal Guide;2007-04
10 HUANG Yuan-fang,QU Ze,ZHANG Li-ping,ZHANG Shi-xing(Department of Rehabilitation of the Indirectly Affiliated Hospital of Dali University,Dali,Yunnan 671000,China);Rehabilitation of Spastic Paralysis of Cerebral Apoplexy[J];Journal of Dali University;2008-08
China Proceedings of conference Full-text Database 10 Hits
1 Li Qi-fu He Li Kong Shuang-yan,Department of neurology,West China Hospital SCU,Chengdu,Siehuan Province,China. Liu Ming Ci-ren Sang-zhu,Department of surgery,West China Hospital SCU,Chengdu,Sichuan Province,China. Li Qi-fu Male,Han Nationality,Born in 1980 in Anyue county,Sichuan Province,China,a postgraduate for neurology.Research direction: neurology rehabilitation.;The study and practice on the treatment for dysphagia after stroke[A];[C];2006
2 ;脑卒中恢复期综合康复训练疗效观察[A];[C];2006
3 SANG De-chun,YANG Jin The Rehabilitation college of The Capital medical University Department of the comprehensive of China Rehabilitation Research Center;The rehabilitation therapy for Shoulder-hand syndrome of cerebral vascular[A];[C];2008
4 ;The demand for rehabilitation physicians in Beijing health organizations over the next 5 years[A];[C];2008
5 DUAN Jun - feng, LONG Ceng - hua Guangzhou Liu Hua Qiao Hospital, Guangzhou 510010 China;Anatomical study of the disease correlated to spine[A];[C];2004
6 Yang Leigang,Yang Yungang,Yang Xiuming. cervicodynia and lumbago institute, Xianyang, Shaanxi, China 712021;Clinical Study of cervical vertigo treated by rotatory reduction manipulation[A];[C];2004
7 ;The therapeutic effect of integrated rehabilitation intervention for patients with osteoarthritic injury of lower limb[A];[C];2007
8 ;“舒心运动疗法”在脑瘫康复治疗中的运用[A];[C];2007
9 FU Jian-ming,,GU Xu-dong,,Wang Jia-yu,YAO Yun-hai, Gu Min,Ren Yun,Yin Han-kui,Li Liang Jiaxing NO.2 Hospital Rehabilitation Medicine Center. Jiaxing 314000,Zhejiang,China.;Effect of Scalp Acupuncture(SA) and Motor Relearing Program(MRP) Therapy on Motor Function of Stroke Patients[A];[C];2009
10 JIAO Zhihua DONG Guirong (Yueyang Hospital of Inte-grated Traditional and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China);Regulate effects of Yin-Yang Balancing Penetration Acupuncture on treating ischemic patients with muscle tension A Randomized Controlled clinical Observation[A];[C];2009
Chinese Journal Full-text Database 10 Hits
1 LI Bao-ling1,ZHAO Fu-run1,LIU Li-jun1,ZHAO Xiao-xia2,HOU Tian-lin1,LI Jing1 ( 1 Shanxi Hospital of Traditional Chinese Medicine,Taiyuan 030012,China; 2 People, s Hospital of Shanxi Province, Taiyuan 030012,China);Effect of Xuenaoxin capsule on expression of endothelin and calcitonin gene-related peptide in patients with acute cerebral infarction[J];China Journal of Traditional Chinese Medicine and Pharmacy;2008-11
2 FU Yu 1, FAN Dongsheng 1△ , ZHANG Yuanjin 1, LIU Xiaoxuan 1,ZHANG Xinyu 1, ZHANG Weiwei 2, ZHANG Zhuo 3 (1.Department of Neurology, Peking University Third Hospital, Beijing 100083, China; 2.General Hospital of Beijing Military Command; 3.Anzhen Hospital of Capital Medical University);Study of delaying hospital admission after acute stroke[J];Journal of Beijing Medical University;2003-03
3 LI ning, FENG bin, ZOU jun, et al West China Hospital of Sichuan University (Chengdu,610041,China);Meta-analysis of Acupuncture for Semiplegia Caused by Stroke[J];Journal of Chengdu Unversity of Tarditional Chinese Medicine;2002-02
4 DU Gan-qin*, Huang Li-na*, Fu Qi-zhi*, SHANG Xue-lan. *Department of Neurology, First Affiliated Hospital, Henan University of Science and Technology, Luoyang 471003, China;Risk factors affecting prognosis in stroke patients[J];Chinese Journal of Neuromedicine;2005-01
5 ;Progress in Study on Stroke Rehabilitation[J];;2000-02
6 Wu Qiang\ \ Chen Lidian\ \ Su Caiping * (Dept.of Acupunction & Massage,FCTCM; *Gulou District Hospital of Fuzhou));Integrated Acupuncture & Promoting Inducing Technique for Improving Leg Function in Hemiparalysis[J];JOURNAL OF FUJIAN COLLEGE OF TRADITIONAL CHINESE MEDICINE;1997-02
7 ZHANG Yajing,ZHANG Xiaolan,MA Yanai,et al.General Hospital of PLA,Beijing,100853 China;Assessments of reliability of Barthel Index in patients after acute stroke[J];Chinese Nursing Management;2007-05
8 Zeng Xueqing,Wen Deshu,Lu Yeling;Study for the nursing effect for patients with severe acute stroke in stroke intensive care unit[J];Journal of Nurses Training;2009-04
9 SHEN Bing (Traditional chinese medicine Hoseital of Xiarnen city Fujian province,xiamen,361001);Clinical Observation on acupuncture points injects for instauration of CVA Patients[J];Attend to Practice and Research;2005-03
10 TAN Wanwen,YANG Bingxia(Department of Rehabilitation,Affiliated Hospital of Guangdong Medical College,Zhanjiang 524001,China);Effect of Trunk Control Training on Walking Ability and ADL of Stroke-Induced Hemiplegia Patients[J];Journal of Nursing Science;2008-09
【Secondary References】
Chinese Journal Full-text Database 10 Hits
1 LIU Jia-ming,ZHAO Bao-gang,FANG Ye-peng(Department of Neurosurgery,Daxing Hospital of Capital University of Medical Sciences,Beijing 102600);Minimally invasive surgery therapy for hypertensive intracerebral hemorrhage by CT scan[J];Beijing Medical Journal;2009-02
2 ZHONG Guo-rong.Deptment of Neurology,Lu-He Hospital,Beijing 101149,China;Clinical Analysis of 98 Cases with Cerebellar Strokes[J];Neural Injury and Functional Reconstruction;2007-04
3 WEI Qing-lin1,YANG Tan-fen1,SHANG Ya-ting2,CHENG Tao3,JIN Yu-jun2,XING Fu-jun3,LI Jun4,ZHANG Xiao-ling1,FAN E1 1 Affiliated Hospital of Gansu College of TCM,Lanzhou Gusu China 730020;2 GanSu Province Hospital of TCM;3 GanSu Province Academy of TCM;4 Zhuhai 2nd People's Hospital;76 Cases of Motor Dysfunction after Stroke Treated by"Interactive Acupressure"[J];Gansu Journal of Traditional Chinese Medicine;2010-07
4 LI Shu-ting, JI Xun-ming, LUO Yu-ming. Cerebrovascular Diseases Laboratory, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China;The neuroprotective effect of nimodipine in the time window on cerebral ischemia/ reperfusion in rats[J];Journal of Rare and Uncommon Diseases;2009-02
5 WEI Lugang,LI Rui,JIN Yaju,ZHANG Linsen,TIAN Weimeng. The Second Hospital of Kunming,Yunnan 650204,China.;Analysis of rehabilitation treatment for 66 patients with stroke hemiplegia who are more than 80 years old[J];Chinese Journal of Geriatric Care;2009-04
6 WANG Ai-hong1,XU Gui-hua1,WU Qiu-di2,LIU Yue-xian1,GE Xin-Ru1(1.Nursing School of Nanjing University of Traditional Chinese Medicine,Nanjing 210046,China;2.Neurology Department,First Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing 210029,China);Influence of Comprehensive Nursing Intervention on Extremities Function in Community Patients with Convalescent Stroke[J];Nursing Journal of Chinese People's Liberation Army;2009-24
7 LI Shu-ting,JI Xun-ming,LUO Yu-min. Cerebrovascular Diseases Laboratory,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Affect therapeutic time window of combined ligustrazine with salvia miltiorrhiza and angelica sinensis diels on cerebral ischemia/reperfusion in rats[J];Journal of Brain and Nervous Diseases;2010-01
8 WANG Su XIA Jun-jie;Effects of High Foliate Danhong Injections on Motor Function on the Rats with Acute Cerebral Infarction[J];Continuing Medical Education;2010-04
9 LONG Yue-xiang (The Fifth Hospital of Shenzhen city,Shenzhen 518001)TAN Gui-xiang(Yiyang Central Hospital,Yiyang 413000);Influence of stroke unit on the length of staying hospital and mortality for patients with stroke[J];Nursing Practice and Research;2011-01
10 LIU Jun-qing,YAO Li-chun.Beijing Xicheng District Shichahai Community Health Care Service Center,Beijing 100035,China;Investigation of Level-Classified Rehabilitation Management Mode in Community for Acute Stroke Patients[J];Chinese General Practice;2009-17
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 Chen Jun,Li Zebing,Department of Re habilitation Medicine,Zhongshan Hospital of Fudan University,Shanghai 200032.Zheng Jiejiao,Department of Rehabilitation Medicine,Huadong Hospita l,Shanghai 200040.[;A MULTI-FACTOR ANALYSIS OF ELDER PATIENTS WITH HEMIPLEGIA REGARDING CLINICAL CHARACTERISTIC S,MOVEMENT FUNCTION OUTCOMES AND HOSPITAL COSTS IN REHABILITATION[J];Gereatrics & Health Care;2002-03
2 OU Li ming.Department of Rehabilitation Medicine,Sun Yat Sen Memory Hospital,Zhongshan Medical University,Guangzhou 510120,China;The Psychologic Treatment of the Hemiplegic Upper Limb[J];MODERN REHABILITATION;2000-04
3 HE Xiao-ying, (The Sixth people Hospital of Guangzhou City, Guangzhou 510655, China);The relationship between the curative effect and interfered factors on the post stroke depression(PSD)[J];MODERN REHABILITATION;2000-08
4 Guo Zhiying Rehabilitation Cente Shanxi Hospital, Xi'an;Evaluation of functional rehabilitation in hemiplegia[J];Chinese Journal of Rehabilitation Medicine;1990-04
5 Jiang Guoxin Institute of Neurology, Shanghai Medical University;Evaluation of ADL on long-term survivors of cerebrovascular diseases[J];Chinese Journal of Rehabilitation Medicine;1990-05
6 Dai Hong, et al Author's address: Capital Institute of Medicine;Effects of unilateral cerebral focal infarction on activities of daily living(ADL) two to three weeks after infarction[J];Chinese Journal of Rehabilitation Medicine;1992-02
7 CHEN Jun,LI Zebing Author′s address Dept. of Rehabilitation Medicine of Zhongshan Hospital, Shanghai Medical University, Shanghai, 200032;A study on validity of the stroke rehabilitation assessment of movement[J];Chinese Journal of Rehabilitation Medicine;2001-03
8 /He Chengsong; Nan Dengkun; Liu Sui;//;The effects of comprehensive medical rehabilitation on the quality of life of stroke patients[J];CHINESE JOURNAL OF REHABILITATION MEDICINE;1995-02
9 /Shen Shu; Xie Yuxiao;Sun Qiliang;A study on depression symptoms and relative factors after stroke[J];CHINESE JOURNAL OF REHABILITATION MEDICINE;1996-06
10 HUANG Liping,JIA Zishan,CUI Wenzhu,et al;An investigation of life satisfaction in patients after stroke[J];CHINESE JOURNAL OF REHABILITATION MEDICINE;1998-03
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved