Relationship between recovery of motor function and neuropsychological functioning in cerebral infarction patients: the importance of social functioning in motor recovery

Lee, Hee Jin; Park, Sung-Won; Lee, Byung‐Joo; Park, Donghwi

doi:10.31083/j.jin.2020.03.175

Cited by 12 publications

(9 citation statements)

References 38 publications

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“…The studies in recent years have shown that the combination of TCM and Western medicine can accelerate the neurological recovery. According to TCM, cerebral infarction belongs to the category of “apoplexy” and is usually caused by qi stagnation and blood stasis, so the treatment for it should focus on promoting qi to activate blood, so as to relieve the phlegm-blood stasis and obstruction of meridians and alleviate the disturbance of consciousness and clumsy physical activities [ 21 ]. Acupuncture is a common TCM intervention, and the acupoints in this study can cooperate with each other to regulate yin and yang, and the patients' neurological functions were recovered to some level and their limb functions were improved after the acupuncture.…”

Section: Discussionmentioning

confidence: 99%

Effects of All-Inclusive and Hierarchical Rehabilitation Nursing Model Combined with Acupuncture on Limb Function and Quality of Life in Elderly Patients with Cerebral Infarction during Convalescence

Zuo

Sun

2022

Journal of Healthcare Engineering

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Objective. To investigate effects of all-inclusive and hierarchical rehabilitation nursing model combined with acupuncture on limb function and quality of life in elderly patients with cerebral infarction during convalescence. Methods. Eighty elderly patients with cerebral infarction who were treated in our hospital (February 2018–February 2020) and met the inclusion and exclusion criteria were chosen as the research objects, and their materials were analyzed in the way of retrospective study. They were equably randomized into observation group and reference group. Based on the acupuncture treatment, the patients in the observation group and the reference group were given routine rehabilitation nursing and all-inclusive and hierarchical rehabilitation nursing respectively for three months. The simplified Fugl-Meyer Assessment (FMA) scores, Modified Edinburgh-Scandinavian Stroke Scale (MESSS) scores, Activities of Daily Living Scale (ADL) scores, and Stroke-Specific Quality of Life Scale (SS-QOL) scores in the two groups before and after intervention were recorded, and the changes of limb function, neurological function, and living quality of the patients in the two groups were analyzed. Results. Compared with the reference group, the observation group after intervention achieved prominently higher FMA score ( P < 0.001), markedly lower MESSS score ( P < 0.001), and signally higher SS-QOL scores ( P < 0.05). After intervention, the observation group achieved obviously higher ADL score than the reference group (68.88 ± 8.91 vs 59.00 ± 8.38, P < 0.001). Conclusion. The all-inclusive and hierarchical rehabilitation nursing model combined with acupuncture can accelerate the recovery of neurological function of the elderly patients with cerebral infarction, enhance the rehabilitation of their limb function, and markedly improve their quality of life. Therefore, this model has referential significance in clinic.

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Section: Discussionmentioning

confidence: 99%

Effects of All-Inclusive and Hierarchical Rehabilitation Nursing Model Combined with Acupuncture on Limb Function and Quality of Life in Elderly Patients with Cerebral Infarction during Convalescence

Zuo

Sun

2022

Journal of Healthcare Engineering

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“…Impaired motor function is a common disabling sequela following stroke. 30 Ischemic stroke severely impacts the quality of life and independence of survivors. 31 Quality of life questionnaires are used to describe the impact of aphasia on stroke survivors' life.…”

Section: Discussionmentioning

confidence: 99%

Internet+Continuing Nursing (ICN) Program Promotes Motor Function Rehabilitation of Patients With Ischemic Stroke

Chen

Huang²,

Yao³

et al. 2021

The Neurologist

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Background and Purpose: Ischemic stroke is a severe disorder with high rates of death and recurrence that causes disability in patients and for which there is currently no effective treatment. Internet-based rehabilitation helps patients with disability recover at home with the help of their household or family members in a nonclinical setting. However, the effects of the internet+continuing nursing (ICN) program on the recovery of patients after ischemic stroke remains unknown.Methods: In the present study, patients were treated with an ICN-based rehabilitation training program; subsequently, the Self-efficacy Scale for Chronic Disease, Questionnaire of Exercise Adherence, Motor Assessment Scale, Activities of Daily Living, and Stroke-specific Quality of Life were performed to evaluate the effects of the ICN program on patient self-confidence to persist with rehabilitation, functional exercise compliance, motor function, ability to live independently and quality of life following ischemic stroke. Results:We observed that, after the ICN intervention for 6 weeks and 3 months, the scores of Self-efficacy Scale for Chronic Disease, Questionnaire of Exercise Adherence, Motor Assessment Scale, Activities of Daily Living, and Stroke-specific Quality of Life in the ICN-treated group were significantly higher compared with those in the control group. Conclusion:These results suggested that the ICN program may promote the recovery of patients after ischemic stroke.

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“…The following demographic and clinical data were collected when patients were transferred to the rehabilitation unit (8–30 days after stroke onset): age, sex, type of stroke (ischemic/hemorrhagic), modified Brunnstrom classification (MBC), functional ambulation score (FAC), and Medical Research Council (MRC) score for muscle strength of shoulder abductor, elbow flexor, finger flexor, finger extensor, hip flexor, knee extensor, and ankle dorsiflexor of the affected side [16, 17]. We selected these input variables because they are most commonly and easily collected when stroke patients are admitted or visit the hospital for rehabilitation.…”

Section: Methodsmentioning

confidence: 99%

Practical Machine Learning Model to Predict the Recovery of Motor Function in Patients with Stroke

Kim

Park

et al. 2022

Eur Neurol

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Background: Machine learning (ML) is an artificial intelligence technique in which a system learns patterns and rules from a given data. Objectives: The objective of the study was to investigate the potential of ML for predicting motor recovery in stroke patients. Methods: We analyzed data from 833 consecutive stroke patients using 3 ML algorithms: deep neural network (DNN), random forest, and logistic regression. We created a practical ML model using the most common data measured in almost all rehabilitation hospitals as input data. Demographic and clinical data, including modified Brunnstrom classification (MBC) and functional ambulation classification (FAC), were collected when patients were transferred to the rehabilitation unit (8–30 days) and 6 months after stroke onset and were used as input data. Motor outcomes at 6 months after stroke onset of the affected upper and lower extremities were classified according to MBC and FAC, respectively. Patients with an MBC of <5 and an FAC of <4 at 6 months after stroke onset were considered to have a “poor” outcome, whereas those with MBC ≥5 and FAC ≥4 were considered to have a “good” outcome. Results: The area under the curve (AUC) for the DNN model for predicting motor function was 0.836 for the upper and lower limb motor functions. For the random forest and logistic regression models, the AUCs were 0.736 and 0.790 for the upper and lower limb motor functions, respectively. The AUCs for the random forest and logistic regression models were 0.741 and 0.795 for the upper and lower limb motor functions, respectively. Conclusion: Although we used simple and common data that can be obtained in clinical practice as variables, our DNN algorithm was useful for predicting motor recovery of the upper and lower extremities in stroke patients during the recovery phase.

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Relationship between recovery of motor function and neuropsychological functioning in cerebral infarction patients: the importance of social functioning in motor recovery

Cited by 12 publications

References 38 publications

Effects of All-Inclusive and Hierarchical Rehabilitation Nursing Model Combined with Acupuncture on Limb Function and Quality of Life in Elderly Patients with Cerebral Infarction during Convalescence

Effects of All-Inclusive and Hierarchical Rehabilitation Nursing Model Combined with Acupuncture on Limb Function and Quality of Life in Elderly Patients with Cerebral Infarction during Convalescence

Internet+Continuing Nursing (ICN) Program Promotes Motor Function Rehabilitation of Patients With Ischemic Stroke

Practical Machine Learning Model to Predict the Recovery of Motor Function in Patients with Stroke

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