Effects of ADL based self-management program on hemiplegic upper limb functions after stroke
Objective:To investigate the effects of a 3-week ADL based self-management program on hemiplegic upper limb functions after stroke.Methods:A total of 93 eligible inpatients with stroke were divided into observa-tion group(n=47)and control group(n=46)according to the random number table method.Both groups received routine rehabilitation training.The observation group was given ADL based self-management program for 1 h every day,7 days a week,for 3 weeks,while the control group was given routine hemiplegic upper limb supplementary program.Assessments were administered at baseline and immediately after all the intervention.The Fugl-Meyer as-sessment-upper extremity(FMA-UE)was used to assess the upper limb motor functions,the functional test of hemiplegic upper extremity-Hong Kong(FTHUE-HK)was used to assess occupational performance,and the MAL was used to assess amount of use(AOU)and quality of use(QOM)of the hemiplegic upper limb.The modified Bathel index(MBI)was used to assess the independence of daily living.Results:After 3 weeks,the scores in all scales were improved significantly in both groups(P＜0.05),more significantly in the observation group than in the control group(P＜0.05).Conclusion:ADL based self-management program can increase effectively the daily use of the hemiplegic upper limb outside the treatment and improve the upper limb functions.
万方数据
维普
