Effect of motor relearning programme on motor function recovery of acute stroke patients with hemiplegia

Abstract

Objective To explore the effect of motor relearning programme (MRP) on motor function recovery of patients with hemiplegia after acute stroke.  Methods A total of 64 hemiplegic patients with acute stroke (duration ≤ 14 d) were randomly divided into 2 groups: control group (N = 32) and observation group (N = 32). Control group received routine drug therapy and conventional rehabilitation training, and observation group was treated by routine therapy and MRP training. Fugl-Meyer Assessment Scale - Balance (FMA - Balance), Modified Rivermead Mobility Index (MRMI) and modified Barthel Index (mBI) were used to assess the motor function of patients in both groups before and after treatment.  Results All patients successfully completed the rehabilitation training without severe adverse events. A few patients felt fatigue occasionally after training and recovered after rest. Compared to before treatment, the FMA-Balance score (P = 0.000), MRMI score (P = 0.000) and mBI score (P = 0.000) after treatment in both groups were significantly increased. Compared to control group, the FMA-Balance score (P = 0.031), MRMI score (P = 0.013) and mBI score (P = 0.049) after treatment in observation group were significantly increased.  Conclusions MRP training in the early stage of stroke is beneficial to the recovery of motor function of patients.

DOI: 10.3969/j.issn.1672-6731.2017.03.007