ĐÁNH GIÁ KẾT QUẢ CAN THIỆP VẬN ĐỘNG CƯỠNG BỨC BÊN LIỆT CƯỜNG ĐỘ THẤP TRONG PHỤC HỒI CHỨC NĂNG CHI TRÊN Ở NGƯỜI BỆNH NHỒI MÁU NÃO GIAI ĐOẠN CẤP TẠI BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ NĂM 2023

Abstract

Objective: Evaluating the results of low intensity constraint induced movement therapy (CIMT) on the paralyzed side in upper limb rehabilitation in patients with acute cerebral infarction at the Stroke Center of Phu Tho Provincial General Hospital from January to August, 2023. Materials and methods: Prospective study, with intervention, comparing before and after treatment, 52 patients with acute ischemic stroke treated as inpatients at the Stroke Center of Phu Tho Provincial General Hospital from January 2023 to August 2023. Result: The average age was 69.46 ± 10.28 years old. The ratio of men and women is 1.48/1. The average time from onset to intervention with low-intensity CIMT on the paralyzed side was 4.69 ± 3.11 days. Cerebral infarction of the anterior cerebral circulatory system, accounting for 71.15%. The rate of moderate stroke (NIHSS 8-15) is 75%. The average score for assessing upper limb motor function using the motor activity diary (MAL) before and after intervention is: frequency of use (AOU) is 1.28 ± 0.27 and 2, respectively. 67 ± 0.56; quality of movement execution (QOM) was 1.39 ± 0.30 and 2.85 ± 0.52. The average upper limb motor function assessment score (ARAT) before and after intervention was 23.63 ± 8.46 and 43.50 ± 8.52. The average Barthel score before and after intervention was 30.67 ± 8.46 and 77.98 ± 12.53. Conclusion: Patients with acute ischemic stroke undergoing low-intensity CIMT intervention in our study are older, most have moderate stroke and damage to the anterior cerebral circulatory system. The rate of improvement in upper limb function increases in the latter group intervention compared to the pre-intervention group.