ĐÁNH GIÁ KẾT QUẢ PHỤC HỒI KHẢ NĂNG ĐI TRÊN BỆNH NHÂN LIỆT NỬA NGƯỜI DO NHỒI MÁU NÃO

Abstract

Stroke causes many defects, which is not a small challenge for clinical practitioners specializing in Rehabilitation. In which walking function is extremely important so that the patient can participate in activities of living, working and integrating. Objectives: to evaluate the results of walking ability recovery in hemiplegic patients 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, 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, the ability to weight paralyzed leg, walking cadence, stride length and walking speed improved. The probability of going FAC independently is 51.6% and the Tinetti score also increases significantly. Conclusion: Rehabilitation of walking ability for patients with hemiplegia due to ischemic stroke brought significant improvement, helping patients to walk better.