Abstract
To explore the improvement value and treatment safety of neurological rehabilitation strengthening training on upper-limb functions of cerebrovascular patients. A total of 80 patients with cerebrovascular hemiplegia were divided into two groups. The 40 patients in the regular group were instructed to carry out regular rehabilitation training for 20 min/day, lasting for 5d/week; another 40 patients in the strengthening group were instructed to carry out neurological rehabilitation strengthening training on the basis of regular training. Before the intervention, there was no significant difference in fma-ue, ARAT, MBI scores and EDV, RI, PSV of carotid and vertebral arteries between the two groups (P > 0.05); after treatment, fma-ue, ARAT, MBI, EDV, PSV of the study group were higher than those of the control group, RI was less than that of the control group, the differences were statistically significant (P<0.05), after the intervention, the number of patients with grade IV ~ VI in the study group was more than that of the control group, the difference was statistically significant (P<0.05). The application of neurological rehabilitation strengthening training might improve the upper-limb motor functions of patients with cerebrovascular hemiplegia and promote the rehabilitation of limb nerve functions.
Highlights
Cerebrovascular disease is referred to various diseases that occurs in brain blood vessels, including cerebral atherosclerosis, thrombosis, stenosis, occlusion, cerebral arteritis, cerebral artery injury, cerebral aneurysms and intracranial vascular malformations, cerebral arteriovenous fistula pathological changes and etc. whose common characteristic is causing ischemic or hemorrhagic accident in brain tissues, such as cerebral infarction, cerebral hemorrhage and etc., which may lead to disability or death of patients (Lanzino & Brown, 2014; Caplan et al, 2009)
It is clinically believed that brain plasticity and brain function recombination theory are the important basis for functional rehabilitation after central nervous system injury, and the disability of cerebrovascular patients is mainly caused by cerebral cortex, pyramidal tract, sensory conduction tract and other nerve damages (Lu et al, 2015; Wang et al, 2021; Lee et al, 2020)
Thrombosis, stenosis, occlusion, inflammation and other pathological changes are the main basis of cerebrovascular disease which causes serious damage to the nervous system of the body
Summary
Cerebrovascular disease is referred to various diseases that occurs in brain blood vessels, including cerebral atherosclerosis, thrombosis, stenosis, occlusion, cerebral arteritis, cerebral artery injury, cerebral aneurysms and intracranial vascular malformations, cerebral arteriovenous fistula pathological changes and etc. whose common characteristic is causing ischemic or hemorrhagic accident in brain tissues, such as cerebral infarction, cerebral hemorrhage and etc., which may lead to disability or death of patients (Lanzino & Brown, 2014; Caplan et al, 2009). It is clinically believed that brain plasticity and brain function recombination theory are the important basis for functional rehabilitation after central nervous system injury, and the disability of cerebrovascular patients is mainly caused by cerebral cortex, pyramidal tract, sensory conduction tract and other nerve damages (Lu et al, 2015; Wang et al, 2021; Lee et al, 2020). A large number of studies have shown that repeated limb movement training courses will promote the regeneration and reorganization of nerve circuits effectively and strengthen the connections between synapses, so as to rehabilitate nerve functions and body functions. The aim of the study is to explore the improvement value and treatment safety of strengthened training mode of neurological rehabilitation on the upper-limb function of cerebrovascular disease patients through comparative analysis
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