Effect of multi-functional hand exercise on patients with hand dysfunction after cerebral infarction

Abstract:

Objective To explore the application effect of multi-functional hand exercise on patients with hand dysfunction after cerebral infarction.Methods Patients were divided into control group and intervention group by simple random sampling，and 96 patients with cerebral infarction accompanied by hand dysfunction in hospital from August 2020 to October 2021 were selected for controlled trial study. Both groups were given routine treatment nursing and rehabilitation training in clinical pathway of cerebral infarction. Based on this，the intervention group were additionally given diversified hand function exercises. At the first and third month of intervention，the intervention group went to the outpatient department for re-examination，respectively. Hand function of the objects was assessed by upper extremity function test（UEFT） proposed by Dr. Carroll，America，and the effect of hand muscle strength rehabilitation was evaluated by manual muscle testing（MMT）. Hemiplegic hand spasm was assessed using the modified Ashworth scale（MAS）.Results After 1 and 3 months of intervention，the UEFT scores of the intervention group（59.830±4.133 and 76.830±4.450）were higher than those of the conventional group（56.630±5.587 and 65.580±4.997），and the hand muscle strength recovery was significantly better than that of the conventional group，with statistically significant differences（all P<0.05）. Compared with the conventional group，there was no statistically significant difference in the MAS muscle tension of the two groups after 1 month of intervention，but after 3 months of intervention，the incidence of hand spasm decreased significantly in the intervention group，and the MAS muscle tension was significantly lower than that in the conventional group.Conclusion Diversified hand function exercise can realize the hand rehabilitation of cerebral infarction from muscle strength level M0 to level M5 continuous exercise step by step，prevent contracture，greatly accelerate the rehabilitation process of patients' hand function，reduce the hand disability rate of patients，relieve the pain of patients，and can be widely used in clinical practice.