Therapeutic effect of early rehabilitation on patients with acute anterior circulation macrovascular occlusive stroke after mechanical thrombectomy
Objective To compare the effects of early rehabilitation and routine rehabilitation on the function and activity of patients with acute anterior circulation macrovascular occlusive stroke after mechanical thrombectomy(MT).Methods A total of 142 patients who underwent surgery for anterior circulation large vessel occlusive stroke in the Department of Neurosurgery,Jinjiang City Hospital of Traditional Chinese Medicine,from June 1,2017 to April 30,2023,were randomly divided into early rehabilitation group(n=73)and routine rehabilitation group(n=69).The patients in the early rehabili-tation group received rehabilitation on the second day after operation.Patients in the routine rehabilitation group received rehabilitation 2 weeks after operation.The National Institutes of Health Stroke Scale(NIHSS)score,Modified Barthel Index(MBI)and Fugl-Meyer Assessment scale(FMA)were used to evaluate the degree of neurological impairment,ac-tivities of daily living,and motor function of the two groups of patients at the 2nd day,2nd week,and 4th week after sur-gery.The research data was obtained through clinically relevant evaluations,and independent sample t-tests and repeated measures analysis of variance were used.Results Before intervention,there was no significant difference in NIHSS score,MBI score and FMA score between the two groups(All P＞0.05).After intervention,NIHSS scores in the early rehabili-tation group at the 2nd and 4th weeks were(7.56±1.41)and(4.63±0.89)respectively,lower than those in the stand-ard rehabilitation group(8.75±1.13)and(5.94±1.29),with no statistically significant differences(Finteraction=1.667,P=0.204).MBI scores at the 2nd and 4th weeks in the early rehabilitation group were(44.38±13.02)and(59.06±12.14),higher than those in the standard rehabilitation group(36.88±12.37)and(44.38±12.76),with statistically significant differences(Finteraction=19.571,P＜0.001).FMA scores at the 2nd and 4th weeks in the early rehabilitation group were(37.19±6.84)and(49.50±8.07),higher than those in the standard rehabilitation group(33.50±8.30)and(40.56±7.30),with statistically significant differences(Finteraction=69.977,P＜0.001).Conclusion Early rehabilitation could better improve the neurological impairment and activities of daily living in patients with acute anterior circulation macrovascular occlusive stroke after mechanical thrombectomy.
early rehabilitationstrokeneurological functionactivity of daily livingmotor function
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