Guidance Combined With Rehabilitation Therapy In Stroke Hemiplegia Upper Limbs Dyskinesia Clinical Studies

Objective: To observe the guidance combined with rehabilitation therapy for stroke hemiplegia,the clinical curative effect of upper limb movement disorders.Methods: Randomly selected 2014 January-December 2016 to our hospital for treatment of 200 cases of patients with cerebral apoplexy in clinical research,all of the patients after cerebral CT,MRI and other imaging diagnosis.Using the random number method divided the patients into observation group and control group,100 cases each.Control group: patients given conventional rehabilitation training.Treatment with PNF Bobath main technology,adopting the limb function training,1 times a day,each time 45 to60 min,a total of six weeks.At the same time using neural development promote technology for daily training of patients,according to the upper extremity function in patients with state,give priority to with initiative in sports training,training plan on the basis of the condition of the patients.Observation group of patients in rehabilitation training to give guidance on the basis of cooperation.Guidance technique based on past dynasties literature combined with modern rehabilitation concept design,divided into lying position and stand.Patients choose according to their specific conditions to complete action to practice,it can be finished in the ward,1 times a day,a total of six weeks.Observe the clinical effects of two groups of patients after treatment,the change of the upper limb movement function and improve nerve function defect.Results: The observation group after 6 weeks treatment the total effective rate was 88.00%,the control group was 76.00%.Total effective rate of treatment group was obviously higher than that of control group,with statistical difference(P<0.05).No obvious difference was found between twogroups of patients before treatment of FMA score((P>0.05),compared with before treatment after treatment were significantly higher((P<0.05),but the observation group is significantly higher than the control group,with statistical difference((P<0.05);Bathel index before treatment in both groups have no significant difference((P>0.05),compared with before treatment after treatment were significantly higher((P<0.05),the observation group is significantly higher than the control group,with statistical difference(P<0.05);CSS score before treatment in both groups have no significant difference((P>0.05),compared with before treatment were significantly lower after treatment((P<0.05),the observation group significantly lower than the control group,with statistical difference((P<0.05);NIHSS score before treatment in both groups have no significant difference((P>0.05),compared with before treatment were significantly lower after treatment((P<0.05),the observation group significantly lower than the control group,with statistical difference(P<0.05).Conclusion:1 seeker combined with rehabilitation training can improve the clinical curative effect of upper limb function in patients with stroke hemiplegia recovery.2 guidance combined with rehabilitation training is helpful to the recovery of neural function in patients with...