A Clinical Research On The Self-designed Upper Limb Function Trainer For Rehabilitation Of Upper Limb Function In Hemiplegic Patients After Stroke

Objective:To observe the comparison of homemade upper limb function training device to promote the effect of upper limb function in patients with stroke rehabilitation, in order to find a method of rehabilitation training that is economical, safety and simply.Methods:Selecting the standard stroke patients,70 cases of upper limb disorder and randomly divided into electrical stimulation group and training group, each group of 35 cases. In the process of training, electrical stimulation group fall off in 5 cases, trainers group fall off in 3 patients. Finally the study, a total of 62 patients completed test, in which electrical stimulation group of 30 cases, training group of 32 cases. In addition to rehabilitation guidance, electrical stimulation group also implemented functional electrical stimulation and the training device group implemented upper limb training device. Before and after two weeks/three months of training in each group, simple type Fugl-Myer upper extremity motor function scale (FMA) to evaluate the upper limb function; Methods muscle testing scale to evaluate the hemiplegic upper limb strength; Modified Barthel index (MBI) scale to assess the patient’s ability to care for daily life; After training in 3 months statistics compared two groups of patients with adverse reactions and to investigate what is happening on the rehabilitation training method adopted by the satisfaction; Then make an analysis and summary. The data obtained with SPSS19.0 statistical software for statistical analysis.Results:①There was no statistically difference in the two groups of patients with gender, age, type of stroke and hemiplegic side, the hemiplegic upper limb FMA score, upper limb’s muscle strength of stroke, MBI, before treatment, (P>0.05).② There was significant difference in the two groups of patients with the hemiplegic upper limb FMA score, upper limb’s muscle strength of stroke, MBI score, after 2 weeks treatment, (P<0.01), training 2 weeks is better than before training. ③Training for 2 weeks, the hemiplegic upper limb FMA score between the two groups, hemiplegic upper limb muscle strength, MBI scores comparison, there was no statistically significant difference, (P>0.05); ④After training 3 months and compared with training 2 weeks, there was statistically significant difference in the two groups of patients with upper limb FMA score, (P<0.01); ⑤After training 3 months and compared with training 2 weeks, there was difference in the electrical stimulation group patients with upper limb’s muscle strength of stroke(P<0.05); after training 3 months and compared with training 2 weeks, there was statistically significant difference in training device group with upper limb’s muscle strength of senile stroke(P<0.01); ⑥After training 3 months, there was no statistically difference in the two groups of patients with the hemiplegic upper limb FMA score of stroke (P>0.05); ⑦After training 3 months, there was statistically significant difference in the two groups of patients with upper limb’s muscle strength, MBI scores of stroke (P<0.01), training group is better than the electrical stimulation group; ⑨There was statistically difference in the two groups of patients with adverse reaction in the training process (P<0.05), training device group is less than the electrical stimulation group; ⑨After training, there was statistically significant difference of the satisfaction of the training method (P<0.01), training device group is better than the electrical stimulation group.Conclusion:Using function electrical stimulation, homemade upper limb function training device training, can effectively improve the upper limb function in hemiplegic patients, increase the muscle strength and ability of activities daily living (ADL) in patients; Homemade upper limb function training device to promote cerebral apoplexy hemiplegia effect of upper limb movement function recovery with electrical stimulation treatment on basic equivalent, but the recovery of the hemiplegic upper limb strength and ability to care for daily life to improve curative effect more effective than electrical stimulation treatment; And through the comparison, found that homemade upper limb function training device less adverse reactions, high patient satisfaction.