Effects of Wheelchair-assisted Upper Limb Movement Combined with Multi-dimensional Cognitive Training in Hemiplegia Stroke Patients with Cognitive Impairment
Objective To explore the effects of wheelchair-assisted upper limb movement combined with multi-dimensional cognitive training on upper limb movement,static balance,and cognitive function in hemiplegia stroke patients with cognitive impairment,and to provide new methods to accelerate the rehabilitation process.Methods From October 2022 to September 2023,119 hemiplegia stroke patients with cognitive impairment hospitalized in the Rehabilitation Department of a hospital were selected by the convenience sampling method as study objects,and were divided into group A(n=40),group B(n=39)and group C(n=40)according to random number table method.All patients in the 3 groups received conventional treatment.Group B added wheelchair-assisted upper limb training,while group C added multidimensional cognitive training on the basis of group B,in 4 weeks.Fugl-Meyer Assessment(FMA)and Montreal Cognitive Assessment(MoCA)were used to evaluate their motor,balance and cognitive functions before and after the interventions.Results After 4 weeks of intervention,the scores of upper limb motor function,balance function and cognitive function in groups B and C were higher than those in group A,and group C was higher than group B,the differences were statistically significant(all P＜0.05).The main benefit and interaction effect were statistically significant(all P＜0.05).Conclusion Wheelchair-assisted upper limb movement combined with multi-dimensional cognitive training can effectively improve the upper limb movement,static balance and cognitive function of stroke patients with hemiplegia and cognitive impairment.
cerebral apoplexywheelchair-assistancemulti-dimensional cognitive training
万方数据
维普
