CÁC YẾU TỐ LIÊN QUAN ĐẾN KHẢ NĂNG ĐI TRÊN BỆNH NHÂN LIỆT NỬA NGƯỜI DO NHỒI MÁU NÃO

Abstract

Objectives: To study the factors related to the outcome of walking rehabilitation in patients with hemiplegia due to ischemic stroke. Patients and methodology: Including 31 patients diagnosed with hemiplegia due to ischemic stroke for the first time being treated at Hanoi Rehabilitation Hospital from August 1, 2020 to May 30, 2021. The patient received rehabilitation training focusing on exercises to increase walking ability during 1 month at the hospital. Evaluation after 2 weeks, 1 month of ability to put weight on the paralyzed side, walking speed, walking rate, stride length, lower limb muscle strength, FAC scale and Tinetti scale. Results: The common age is ≥ 60, accounting for 80,6%, the mean age is 63,6 ± 9,8. The male/female ratio is 1,38. The rate of patients with hemiplegia on the right side is 74,2% and the left side is 25,8%. The common stroke time in the study group was ≤ 12 weeks, accounting for 93,5%. After 1 month of treatment, the result of stroke time before 8 weeks was better than the group with stroke time after 8 weeks and excellent weighting has better walking ability than average and good weighting (p<0.05). However, the results of walking rehabilitation and age group, the results of walking rehabilitation between men and women, the results of walking rehabilitation and the paralyzed side were not different (p>0.05). Conclusion: Time to stroke before 8 weeks resulted in better walking recovery compared to group with stroke time after 8 weeks and excellent weighting had better walking ability than average and good weighting. However, there was no difference between the results of walking rehabilitation and age group, the results of walking rehabilitation between men and women, the results of walking rehabilitation and the paralyzed side.