http://journals.lww.com/neuroreport/Abstract/publishahead/Long_term_three_stage_rehabilitation_intervention.99036.aspx
Bai, Yu-long; Hu, Yong-shan; Wu, Yi; Zhu, Yu-lian; Zhang, Bei; Jiang, Cong-yu; Sun, Li-min; Fan, Wen-ke
Supplemental Author Material
Published Ahead-of-Print
To investigate the effects of rehabilitation
interventions on spasticity and activities of daily living (ADL) in
ischemic stroke patients. A total of 165 ischemic stroke patients were
recruited and assigned randomly to a control group (CG, n=82) or a
therapeutic group (TG, n=83). Rehabilitation interventions were
performed in the TG. The Modified Ashworth Scale was used to evaluate
the severity of spasticity in the fingers, elbows, and plantar flexors,
and the Modified Barthel Index (MBI) was used to measure ADL
performance. Evaluations were performed at baseline (M0) and at the end
of the first, third, and sixth months (M1, M3, M6) after enrollment. At
M0, 20.8% (16/77) in the CG and 29.9% (23/77) in the TG developed
spasticity, whereas at M6, the incidence of spasticity increased to
36.4% (28/77) in the TG and 42.9% (33/77) of patients in the CG. Fewer
patients developed spasticity in the fingers, elbows, and ankles in the
TG than CG, respectively. Both groups showed significant improvements in
MBI scores (M6 vs. M0, P<0.01). MBI scores correlated negatively
with the severity of spasticity in both groups at M6. Long-term
standardized rehabilitation interventions alleviate spasticity and
promote ADL with the presence of minor spasticity (Supplementary video,
Supplemental digital content 1, http://links.lww.com/WNR/A291).
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