PDF(Pubmed)
Abstract：
Cerebral embolism presents a significant challenge for recovery of motor and neurological function. Early integrated rehabilitation therapy (EIRT) has been proposed as a beneficial approach, yet its efficacy requires thorough evaluation. This retrospective study, conducted from January 2020 to January 2023, involved 117 patient\'s post-cerebral embolism, divided into an EIRT group (n = 56) receiving EIRT and a control group (n = 61) receiving standard care. The Fugl-Meyer Assessment (FMA) and the National Institutes of Health Stroke Scale (NIHSS) were used to evaluate motor and neurological functions, while muscle strength was categorized from Level 0 (complete paralysis) to Level V (normal strength) to assess physical recovery. Eligibility centered on confirmed cerebral embolism diagnosis, timing of poststroke admission, and baseline functional status. The study adhered to strict ethical standards, with informed consent obtained from all participants. The EIRT group showed substantial improvements in both FMA and NIHSS scores compared to the control group, indicating better motor and neurological recovery. Significant differences were found in the posttreatment FMA (P < .01) and NIHSS scores (P < .01). Muscle strength analysis further confirmed the positive impact of EIRT with more patients in the EIRT group achieving higher levels of muscle strength at discharge. The study demonstrates the potential of EIRT to significantly improve motor and neurological outcomes for patient\'s post-cerebral embolism. The marked improvements in the observation group suggest that EIRT should be considered for broader application in stroke rehabilitation to enhance recovery and improve quality of life.
摘要：
脑栓塞对运动和神经功能的恢复提出了重大挑战。早期综合康复治疗（EIRT）已被提出作为一种有益的方法，然而，它的疗效需要彻底的评估。这项回顾性研究,从2020年1月至2023年1月进行，涉及117名患者的脑栓塞后，分为接受EIRT的EIRT组（n=56）和接受标准护理的对照组（n=61）。Fugl-Meyer评估（FMA）和美国国立卫生研究院卒中量表（NIHSS）用于评估运动和神经功能，而肌肉力量从0级(完全瘫痪)到V级(正常力量)来评估身体恢复。资格集中在确认的脑栓塞诊断上，卒中后入院时间,和基线功能状态。这项研究坚持严格的道德标准，获得所有参与者的知情同意。与对照组相比，EIRT组的FMA和NIHSS评分均有显著改善，表明更好的运动和神经恢复。治疗后FMA(P<.01)和NIHSS评分(P<.01)差异有统计学意义。肌肉力量分析进一步证实了EIRT的积极影响，EIRT组中更多的患者在出院时达到更高水平的肌肉力量。该研究表明EIRT可显著改善患者脑栓塞后的运动和神经系统预后。观察组的显着改善表明，应考虑将EIRT更广泛地应用于中风康复中，以增强康复并改善生活质量。
