Abstract:
Objective:To explore the effects of early intensive cognitive function training on the neurological function and activities of daily living (ADL) of patients with cerebral stroke (CS). Methods:A total of 124 patients with CS were randomly divided into the control group (given systemic rehabilitation therapy, n=62) and the combined group (given early intensive cognitive function training and systemic rehabilitation therapy, n=62). Scores of neurological deficit scale (NDS), modified Barthel index (MBI), simple Fugl-Meyer motor function assessment (FMA), and Loewenstein Occupational Therapy Cognition Assessment (LOTCA) were compared between the two groups before and after treatment. Results:After treatment, the NDS score [(11.53±3.34) points, (19.07±6.11) points] of the two groups was significantly decreased compared with that before treatment [(26.72±7.13) points, (26.29±7.08) points] (P<0.05) while the scores of MBI [(63.85±9.21) points, (47.36±8.93) points], LOTCA [(69.40±9.33) points, (60.53±8.95) points] and FMA [(69.40±9.33) points, (60.53±8.95) points] were significantly increased compared with those before treatment [(30.65±8.82) points, (31.04±8.86) points; (46.15±8.57) points, (46.48±8.60) points; (21.10±5.34) points, (21.69±5.38) points](P<0.05), and the changes in scores of NDS, MBI, LOTCA, and FMA in the combined group were greater than those in the control group (P<0.05). Conclusions:Early intensive cognitive function training can effectively improve the prognosis, the neurological function, cognitive function, motor function, and ADL of patients with CS, and reduce the burden on the family.