ĐÁNH GIÁ HIỆU QUẢ KẾT HỢP CAN THIỆP AEROBIC Ở BỆNH NHÂN SUY GIẢM NHẬN THỨC DO ĐỘT QUỴ NHỒI MÁU NÃO

Abstract

Objective: Evaluate the effectiveness of combined aerobic intervention in patients with cognitive impairment after ischemic stroke. Subjects and methods: 50 patients with mild cognitive impairment following an ischemic stroke participated in a randomized controlled trial at the Central Geriatric Hospital’s Rehabilitation department between October 2022 and May 2023. The chosen subjects were split into the intervention and control group. The intervention group was treated with sequential aerobic and cognitive training, while the control group received regular motor and cognitive exercises, 3 sessions per week, for 12 weeks. Before and after intervention, patients were evaluated for cognitive functioning using the Montreal Cognitive Assessment, the Frontal Assessment Battery, and motor function using the Fulg - Meyer assessment of lower extremity, the Six - Minute Walk Test and the EuroQoL – 5 Dimension – 5 Level. Results: The MoCA and FAB scales showed a significant improvement in cognitive function in both groups after 3 months of treatment when compared to baseline (p<0.01). The intervention group’MoCA significantly outperformed the control group in terms of improvement (p<0.01). Through 6MWT, FMA – LE scales, the study also assessed the improvement in motor function in both groups, finding that both significantly outperformed their pre – treatment states (p<0.01). Following treatment, the intervention group’s quality of life significantly improved (p<0.01). Conclusion: In patients with mild cognitive impairment following an ischemic stroke, incorporating aerobics into a cognitive rehabilitation program is more effective than the traditional cognitive exercise program.