ABSTRACT
@#Objective To investigate the effect of the rehabilitative therapy on functional recovery of patients with cervical cord injury.Methods 92 cases with spinal cord injury(SCI),including cervical,thoracic and lumbar cord injury,accepted normal rehabilitation.They were assessed with the Barthel Index and Functional Independence Measure(FIM)before and after treatment.Results After rehabilitation of 60~426 d,the scores of the Barthel Index and FIM were significantly improved(P<0.001)in all the patients,but it was the worst in the cervical cord injured ones,and the best in lumbar ones(P<0.05).Conclusion Rehabilitation can promote the functional recovery of patients with cervical spinal cord injury,but it is not as effective as on the thoracic and lumbar cord injury.
ABSTRACT
Objective: Although exercise therapy intervention for frail elderly people was not of great interest in the past, it has recently drawn attention as a method to prevent and improve conditions requiring care since the enforcement of the Long-Term Care Insurance Law and the revision of the long-term care insurance system. This randomized controlled trial was performed to evaluate the effects of exercise therapy using the Takizawa Program. Methods: In this randomized controlled trial, we evaluated the effects of exercise therapy on the frail elderly, including those who need a high level of care, in terms of two factors: the range of motion and the functional independence measure. The subjects were 145 females admitted to special nursing homes for the elderly. They were stratified according to their care levels and randomly assigned to either the exercise therapy intervention group or the control group. Results: The range of motion values in the flexions of both shoulders, the right knee extension, and the dorsal flexions of both ankles significantly increased only in the exercise therapy intervention group. The functional independence measure score did not improve in the exercise therapy intervention group. Conclusion: Exercise therapy should be used for the frail elderly requiring a high level of care.
Subject(s)
Exercise Therapy , Frail Elderly , Randomized Controlled TrialABSTRACT
<p><b>OBJECTIVE</b>Although exercise therapy intervention for frail elderly people was not of great interest in the past, it has recently drawn attention as a method to prevent and improve conditions requiring care since the enforcement of the Long-Term Care Insurance Law and the revision of the long-term care insurance system. This randomized controlled trial was performed to evaluate the effects of exercise therapy using the Takizawa Program.</p><p><b>METHODS</b>In this randomized controlled trial, we evaluated the effects of exercise therapy on the frail elderly, including those who need a high level of care, in terms of two factors: the range of motion and the functional independence measure. The subjects were 145 females admitted to special nursing homes for the elderly. They were stratified according to their care levels and randomly assigned to either the exercise therapy intervention group or the control group.</p><p><b>RESULTS</b>The range of motion values in the flexions of both shoulders, the right knee extension, and the dorsal flexions of both ankles significantly increased only in the exercise therapy intervention group. The functional independence measure score did not improve in the exercise therapy intervention group.</p><p><b>CONCLUSION</b>Exercise therapy should be used for the frail elderly requiring a high level of care.</p>
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OBJECTIVE: To examine the relationship of the Berg Balance Scale (BBS) and Functional Independence Measure (FIM) in stroke patients. METHOD: Ninety-two subjects with the first attack of stroke were enrolled to assess BBS, FIM at admission and discharge following rehabilitation programs. We divided subjects into three groups by severity of BBS at the first evaluation. Group I was low BBS (score or =43). The admission BBS and the admission FIM, and the admission BBS and the discharge FIM were compared, and also the relationship between them were assessed at the admission and/or discharge. RESULTS: Admission and discharge BBS of all three groups were significantly different, respectively (p <0.01). Admission and discharge FIM of all three groups were also significantly different (p <0.01). There was highly correlated with admission BBS and admission FIM (r=0.529, p <0.01), and moderately correlated between admission BBS and discharge FIM (r=0.43, p <0.05). Also there was high relationship between BBS gain and FIM gain (r=0.516, p <0.01). CONCLUSION: These results indicated that balance function could affect functional ability during rehabilitation programs and BBS was a useful tool to predict discharge functional status in hemiplegic subjects with stroke.
Subject(s)
Humans , Rehabilitation , StrokeABSTRACT
Cerebral ischemia in experimental animals was worsened by hyperthermia, whereas was improved by hypothermia. Whether these observations apply to human beings with stroke is unknown. The objective of this study is to determine the relation between body temperature of stroke patient on admission and infarct size and functional recovery. In a retrospective study, 101 charts of stroke patients who had been admitted to the hospital were reviewed. Initial body temperature on admission, infarct size, and functional recovery were checked and analyzed. Based on body temperature differences, cases were divided into three groups, hypothermia, normothermia, and hyperthermia group. Infarct size was measured by computed tomography. Functional recovery was evaluated with functional independence measure(FIM) on admission and discharge. Multiple regression of ANOVA and Student's T-test were used for statistical analysis. Results disclosed that body temperature had no correlation with functional recovery but cases with initial high body temperature trended to increase in infarct size.