[Effect of Comprehensive Protocol of Integrative Medicine on Motor Function, Activity of Daily Living and Quality of Life in Hemiplegia Patients after Stroke].
OBJECTIVE
To explore the effects of integrative medicine (IM) rehabilitation protocolon motor function, activity of daily living, and quality of life (QOL) in hemiplegia patients after stroke.


METHODS
Totally 120 patients with post-stroke hemiplegia were allocated to four groups using sealed envalope drawing, i.e., the rehabilitation group, the Chinese medical treatment group, the acupuncture group, and the comprehensive rehabilitation group, 30 cases in each group. Based on routine rehabilitative training, patients in the Chinese medical treatment group, the acupuncture group, and the compre-hensive rehabilitation group received standardized treatment based on syndrome typing, Shi's Consciousness-Restoring Resuscitation acupuncture, Chinese herbs + acupuncture comprehensive rehabilitatino protocol, respectively. The treatmet cycle consisted of 4 weeks with 24-week follow-ups. Fugl-Meyer motor assessment (FMA), Modified Barthel Index (MBI), and Stroke-Specific Quality of Life Scale(SS-QQL), and safety assessment were taken as main effect indices before treatment, at week 4 of treatment, at week 12 and 24 of follow-ups, respectively.


RESULTS
There was no statistical difference in FMA score, MBI score, SS-QOL score among the four groups before treatment (P > 0.05). These scores were significantly improved in the four groups at week 4 of treatment, week 12 and 24 of follow-ups, respectively (P < 0.05). Besides, FMA score and SS-QOL score were significantly improved in the comprehensive rehabilitation group at each corresponding time point, as compared with other treatment groups (P < 0.05).


CONCLUSIONS
The comprehensive protocol could significantly improve motor function, activity of daily living in hemiplegia patients after stroke, and further improve their QOL. Its effect was better than other single treatment.
Hong-xia
HX
Chen
Zhi-jing
ZJ
Yang
Rui-huan
RH
Pan
You-hua
YH
Guo
Le-chang
LC
Zhan
Ming-feng
MF
He
Mei
M
Li
Zhi-fei
ZF
Wang
Jie
J
Zhan
Ming-chao
MC
Zhou
D000203:Activities of Daily Living; D015670:Acupuncture Therapy; D006429:Hemiplegia / Q000534:rehabilitation*; D006801:Humans; D055048:Integrative Medicine / Q000379:methods*; D008516:Medicine, Chinese Traditional; D009048:Motor Skills; D011788:Quality of Life; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome