ischemic stroke recovery
Conditions
Interventions
experimental group:Patients randomized to the experimental group began rehabilitation as soon as practical after randomization, with the goal of first rehabilitation within 24–48 hours of stroke onset
Control group :the control group received standard care from ward therapists and nursing staff including positioning, range of motion exercises, bed mobilization, physiotherapy, and education of patie
Sponsors
The First Affiliated Hospital of Wenzhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Aged 18–80 years; admitted to the hospital within 48 hours of onset, in line with the diagnostic criteria adopted by the Fourth National Cerebrovascular Conference, and diagnosis confirmed by CT or MRI; stable vital signs: systolic blood pressure 92%;4 weakness in the lower limbs and a National Institutes of Health Stroke Scale (NIHSS) score17 of =1 on item VI; no contraindications to mobilization within 48 hours of stroke onset (based on the medical teams clinical judgment and exclusion criteria); the ability and willingness to provide informed consent.
Exclusion criteria
Exclusion criteria: Premorbid modified Rankin Scale (mRS) score18 >3 and/or lower limb fracture that prevented mobilization within 3 months; other progressive neurological diseases such as dementia, Parkinsons disease, epilepsy, tumor, or serious cardiovascular disease, pulmonary infection, uremia, or malignant tumor; severe cognitive impairment, aphasia, or visual or hearing impairment that precluded performance of the evaluation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the number of days to walking 50 m;the change in lower extremity motor control from admission to 4 weeks, assessed by the Fugl-Meyer Assessment (FMA); | — |
Secondary
| Measure | Time frame |
|---|---|
| change in balance assessed by the Berg Balance Scale score (BBS);performance of activities of daily living;mRS was used to assess the overall function and prognosis; | — |
Countries
China
Contacts
Public ContactWenxiu Wu
The First Affiliated Hospital of Wenzhou Medical University
Outcome results
None listed