Clinical Effect Of Different Intensity Task-Oriented Training On Upper Limb Function Recovery Of Stroke Patients

Objective: To observe the effect of task-oriented training on upper limb motor function and activities of daily living in stroke patients,and to explore the clinical effect of task-oriented training with different intensity on upper limb function recovery in stroke patients.Methods: According to the principle of random number table,60 stroke patients who met the inclusion criteria were divided into control group,experimental group A and experimental group B,with 20 cases in each group.After motivational interview,the three groups of patients received targeted job activity training,including active and passive activities of joints and activities of daily living training,30 minutes each time,once a day,five times a week for 4 weeks;Then,task-oriented training was carried out by the upper limb robot in the three groups,including the control group once a day for 20 minutes each time;Group A was treated twice a day for 20 minutes in the morning and afternoon respectively;Experimental group B was administered twice a day,30 minutes each time in the morning and afternoon for 4 weeks.Before and 4 weeks after the intervention,the three groups of patients used the simplified upper limb Fugl Meyer scale(FMA-UE),the modified Barthel Index Scale(MBI),and the DASH upper limb function evaluation questionnaire to evaluate the upper limb motor function and activities of daily living.Results: Intra group comparison: after 4 weeks of treatment,the scores of FMA-UE MBI and DASH in the three groups were significantly higher than those before treatment(P < 0.05);Comparison between groups: there was no significant difference in FMA-UE,MBI and DASH scores among the three groups before intervention(P > 0.05);After pairwise comparison,the FMAUE and MBI scores of test group B were higher than those of test group A and control group,and the DASH score of test group B was lower than that of test group A and control group(P < 0.05).Conclusion:(1)Task-oriented training based on upper limb robot can effectively improve the motor function and daily living ability of upper limb after stroke;(2)Task-oriented training intensity of 30 min twice a day has better effect on the recovery of upper limb function after stroke and helps to improve the patients’ ability of daily living.