Ping Li1, Yongning Deng1, Xiaojuan Guo1, Jin Wang1. 1. Department of Neurology, The First Affiliated Hospital of Xi'an Jiaotong University Xi'an, Shaanxi Province, China.
Abstract
OBJECTIVE: To investigate the nursing effects of finger exercise training on cognitive function and others for patients with cerebral ischemic stroke (CIS). METHODS: A total of 200 patients with CIS were selected in this prospective study. According to the random number table method, they were divided into control group (n=100, routine nursing) and research group (n=100, routine nursing combined with finger exercise training). Various scales were used to evaluate the cognitive function, hand function, upper limb motor function, wrist flexor muscle tone, degree of neurological impairment and ability of daily living (ADL) in the two groups before and after intervention. And the incidence of mild vascular cognitive impairment (VCI) after intervention was compared. RESULTS: After intervention, Montreal Cognitive Assessment (MoCA), Mini Mental State Examination (MMSE), hand function, Fugl-meyer Assessment (FMA) and ADL scores in both groups were significantly increased, and those in the research group were significantly higher than those in the control group (all P<0.05). There were opposite trends in the Neurologic Functional Defect (NIHSS) and Modified Ashworth Scale (MAS) for wrist flexor scores (all P<0.05). The incidence of mild VCI in the research group was significantly lower than that in the control group (P<0.05). CONCLUSION: On the basis of early rehabilitation nursing, combined finger exercise training can improve cognitive function, hand function, upper limb function and ADL for patients with CIS. AJTR
RCT Entities:
OBJECTIVE: To investigate the nursing effects of finger exercise training on cognitive function and others for patients with cerebral ischemic stroke (CIS). METHODS: A total of 200 patients with CIS were selected in this prospective study. According to the random number table method, they were divided into control group (n=100, routine nursing) and research group (n=100, routine nursing combined with finger exercise training). Various scales were used to evaluate the cognitive function, hand function, upper limb motor function, wrist flexor muscle tone, degree of neurological impairment and ability of daily living (ADL) in the two groups before and after intervention. And the incidence of mild vascular cognitive impairment (VCI) after intervention was compared. RESULTS: After intervention, Montreal Cognitive Assessment (MoCA), Mini Mental State Examination (MMSE), hand function, Fugl-meyer Assessment (FMA) and ADL scores in both groups were significantly increased, and those in the research group were significantly higher than those in the control group (all P<0.05). There were opposite trends in the Neurologic Functional Defect (NIHSS) and Modified Ashworth Scale (MAS) for wrist flexor scores (all P<0.05). The incidence of mild VCI in the research group was significantly lower than that in the control group (P<0.05). CONCLUSION: On the basis of early rehabilitation nursing, combined finger exercise training can improve cognitive function, hand function, upper limb function and ADL for patients with CIS. AJTR