Application of ADL task-oriented training based on Brunnstrom staging in hemiplegic patients with stroke
Objective To explore the application effect of activities of daily living(ADL)task-oriented training based on Brunnstrom staging in hemiplegic patients with stroke,aiming to provide a reference for formulating rehabilitation training programs for these patients.Methods A total of 130 hemiplegic patients with stroke admitted to Nanjing First Hospital from January 2021 to October 2023 were selected as the study participants.The implementation time of ADL task-oriented training based on Brunnstrom staging(June 2022)was used as the dividing line.Overall,65 patients admitted from January 2021 to May 2022 who underwent conventional rehabilitation training were included in the control group,and 65 patients ad-mitted from June 2022 to October 2023 who underwent ADL task-oriented training based on Brunnstrom staging in the ob-servation group.The neurological function,limb muscle strength,motor function,walking ability,ADL,and quality of life indicators of the two groups of patients before and after treatment were compared.Results Before intervention,no signifi-cant difference was noted in the National Institutes of Health Stroke Scale(NIHSS)scores between the two groups(P＞0.05);after intervention,the NIHSS scores of both groups were significantly lower than before intervention,and the obser-vation group was significantly lower than the control group(P＜0.05).Before intervention,no significant difference was found in the upper and lower limb Lovett muscle strength scores between the two groups(P＞0.05);the upper and lower limb Lovett muscle strength scores of both groups were significantly increased after intervention,and the observation group was significantly higher than the control group(P＜0.05).Before intervention,no significant difference was observed in the upper and lower limb Fugl-Meyer Assessment(FMA)scores between the two groups(P＞0.05);the upper and lower limb FMA scores of both groups showed an increase after intervention,and the observation group was significantly higher than the control group(P＜0.05).Before intervention,no significant difference was found in the 10 m walk time and the Func-tional Ambulation Category(FAC)scores between the two groups(P＞0.05).The 10 m walk time of both groups showed a decline after intervention,and the observation group was significantly shorter than the control group;the FAC scores of both groups increased after intervention and the observation group was significantly higher than the control group(P＜0.05).Before intervention,no significant difference was noted in the modified Barthel Index(MBI)scores between the two groups(P＞0.05);the MBI scores of both groups were increased after intervention,and the observation group was signifi-cantly higher than the control group(P＜0.05).Before intervention,no significant difference was observed in the four sub-scales(physical function,psychological function,social function,and material life)scores of the Generic Quality of Life In-ventory-74(GQOL-74)between the two groups(P＞0.05);the subscale scores of the GQOLI-74 questionnaire of both groups were increased after intervention,and the observation group was significantly higher than the control group(P＜0.05).Conclusion Implementing ADL task-oriented training based on Brunnstrom staging in hemiplegic patients with stroke is conducive to promoting the recovery of patients'neurological function and limb muscle strength,enhancing their motor function and walking function,further raising patients'ADL,and increasing their quality of life.
Hemiplegic patients with strokeADL task-oriented trainingBrunnstrom stagingMotor functionActivities of daily livingNeurological functionQuality of life
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维普
