Effect of upper limb posture intervention and rehabilitation training on upper limb function in patients with cerebral vascular accident
Objective To analyze the effect of upper limb posture intervention and rehabilitation training on upper limb function in patients with cerebral vascular accident(CVA).Methods 70 patients with CVA were randomly divided into an observation group and a control group,with 35 cases in each group.The observation group took upper limb position intervention and rehabilitation training,and the control group took routine nursing.The upper limb function[visual analogue scale(VAS)score,Barthel Index(BI),Fugel-Meyer Assessment Scale(FMA)score],shoulder range of motion and complications were compared between the two groups.Results Before treatment,there was no statistically significant difference in VAS score,BI index and FMA score between the two groups(P>0.05).After treatment,VAS score of(2.82±1.41)points in the observation group was lower than that of(5.30±1.67)points in the control group;BI score of(71.91±6.70)points and FMA score of(43.14±11.33)points in the observation group were higher than those of(52.40±6.15)and(19.45±10.71)points in the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in flexion,abduction and external rotation between the two groups(P>0.05).After treatment,the observation group had anterior flexion of(142.61±14.81)°,abduction of(147.80±13.61)°and external rotation of(69.32±8.37)°,which were higher than those of(114.72±15.05),(109.26±14.10)and(52.23±8.70)° in the control group.The differences were statistically significant(P<0.05).The incidence of complications in the observation group was 22.86%,which was lower than that of 45.71%in the control group,and the difference was statistically significant(P<0.05).Conclusion The upper limb position intervention and rehabilitation training for CVA patients can significantly improve their upper limb function and reduce the incidence of complications.It is worthy of clinical promotion.
Upper limb functionCerebral vascular accidentUpper limb posture interventionShoulder range of motionRehabilitation training
NETL
NSTL
万方数据
维普
