Effect Of Simulated Eating Movement Training On Upper Limb Function In Hemiplegic Stroke Patients

ObjectiveTo observe the effect of simulated eating movement training based on the principle of training and learning to brain apoplexy hemiplegia patients with upper limb on motor function,the degree of neurological deficits,activities of daily living to explore simulated eating movement training on the rehabilitation of upper limb movement function promoting effect in patients with cerebral stroke,in order to provide a economic.effective,easy rehabilitationnursing method.Methods44 objects were recruited according to the inclusion and exclusion criteria.They were randomly divided into experimental group and control group of 22 cases.All objects take routine treatment and rehabilitation nursing,while experimental group receive simulated eating movement training to eat every day,the successful completion of the action of the above 50 times,1 month for a course of treatment,continuous three course of treatment. Respectively before test,1 month,3 months after the observation of changes in the values of the two groups of patients with hemiplegia patients with upper limb Fugl-Meyer assessment scale (FMA),the scale of clinical neurological deficit of stroke patient score(CNDS),and Barthel Index (BI),Dability of Arm-Shoulder-Hand and evaluate its effect.Results1 Baseline comparisonThere was no statistically difference significant in the age,gender,type of stroke, Brunnstrom stage,duration (months) data between groups before intervention (P>0.05),that were two groups of subjects in the general information equilibrium than.Before the test of two groups of patients with hemiplegia patients with upper limb Fugl-Meyer assessment scale (FMA).the scale of clinical neurological deficit of stroke patient score (CNDS).and Barthel Index (BI),Dability of Arm-Shoulder-Hand comparison between groups,the difference was not statistically significant (P>0.05),with comparability.2 Fugl-Meyer assessment scaleWithin group comparisons:Test 1 month after two groups of patients with hemiplegia upper limb FMA score than the test has improved,with statistically significant differences (with each P=0.000、0.000);test 3 month after two groups of patients with hemiplegia upper limb FMA score than the test has improved,with statistically significant differences (with each P=0.000、0.000);test 3 months after the two groups of patients with hemiplegia upper limb FMA score were compared to 1 month after improved,with statistically significant difference(with each P=0.000、0.000).Comparison between groups:Test 1 month after patients in experimental group with hemiplegic upper limb FMA score increased significantly compared with the control group, the difference was statistically significant(P=0.005).Test 3 months after patients in experimental group with hemiplegic upper limb FMA score increased significantly compared with the control group,the difference was statistically significant(P=0.000).3 the scale of clinical neurological deficit of stroke patient scoreWithin group comparisons:Test 1 month after two groups of patients with the scale of clinical neurological deficit of stroke patient score than before were decreased,with were statistically significant(with each P=0.000、0.007);test 3 month after two groups of patients with the scale of clinical neurological deficit of stroke patient score than before were decreased,with were statistically significant(with each P=0.001、0.001);After 3 months of patients in experimental group with the scale of clinical neurological deficit of stroke patient score were compared to 1 month after decreased,and the difference is statistically significant (P=0.001).Test 3 months after the patients in the control group of the scale of clinical neurological deficit of stroke patient score and 1 month after treatment,there was no statistically significant difference(P=0.248).Comparison between groups:No significant test 1 month after the scores of the two groups of patients with neurological deficit difference(P=0.220).No significant test 3 months after scores of the two groups of patients with neurological deficit difference(P=0.076).4 Barthel Index (BI)Within group comparisons:Test 1 month after BI scores of the two groups were have im-proved, with were statistically significant(with each P=0.000、0.000);Test 3 month after BI scores of the two groups were have improved,with were statistically significant(with each P= 0.000、0.000);test 3 months after patients in the experimental group BI score were compared to 1 month after improved, the difference is significant(P=0.000).Test 3 months after the BI score of the control group and 1 month after treatment,there was no statistically significant difference(P=0.059).Comparison between groups:no significant test 1 month after two groups of patients BI score difference (P=0.059).The 3 month trial test after 3 months the patients in experimental group with BI score increased significantly compared with the control group,the difference was statistically significant(P=0.000).5 Dability of Arm-Shoulder-HandWithin group comparisons:Test 1 month after DASH values.the patients in the two groups value compared to before has been reduced,with significant difference (with each P= 0.000、0.002);Test 3 month after DASH values, the patients in the two groups value compared to before has been reduced,with significant difference (with each P=0.000、0.000);testing 3 months after two groups of DASH values were higher than 1 month were all decreased after has significant difference (with each P=0.000、0.000).Comparison between groups:1 month after patients in experimental group DASH decreased significantly compared with the control group,the difference was statistically significant(P=0.005).3 months after patients in experimental group DASH decreased significantly compared with the control group, the difference was statistically significant (P= 0.001).Conclusion1 Simulated eating movement training to improve stroke patients with hemiplegic upper limb motor function.2 Simulated eating movement training to improve the life of hemiplegic stroke patients with self-care ability has certain effect,the effect is better than the control group, but the need to adhere to a longer period of training can be reflected.