Abstract: Objective To investigate the effect of Doctor-patient Interaction Model on hemiplegia after acute stroke.Methods 200 cases with mderate to severe hemiplegia were divided into treatment group and the control group with each 100 cases according to whether their family supporting rehabilitation.Cases in treatment group received interaction model rehabilitation.They were assessed with National Institutes of Health Stroke Scale(NIHSS),Fugl-Meyer Assessment(FMA),Barthel Index(BI)10 d,1 month,3 months,6 months,12 months after rehabilitation,and the Geriatric Depression Scale(GDS)1 year after rehabilitation.Results The scores in all the assessment of the cases in the treatment group improve mostly 3 month after rehabilitation(P<0.01),while the BI improved 6-12 month after rehabilitation(P<0.01).The incidence of depression reduced 18% compared with that of the control group(P<0.01).Conclusion Doctor-patient interaction can improve the outcome of patients with moderate to severe hemiplegia.

Key words: acute stroke, hemiplegia, doctor-patient interaction, rehabilitation, outcome