《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2019, Vol. 25 ›› Issue (10): 1177-1182.doi: 10.3969/j.issn.1006-9771.2019.10.011

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Effects of Enriched Rehabilitation on Cognitive Function and Serum Arginine in Stroke Patients

WANG Xin1, ZHOU Hong-yu1, JIN Xing1, XU Chi1, LIN Chun1, LIU Jia-yu2, WU Shu-hua1   

  1. 1.Department of Rehabilitation, Clinical Medical College, Yangzhou University, Yangzhou, Jiangsu 225001, China;
    2.College of Nursing, Yangzhou University, Yangzhou, Jiangsu 225001, China
  • Published:2019-10-25 Online:2019-10-30
  • Contact: WANG Xin, E-mail: wx000805qm@yeah.net E-mail:wx000805qm@yeah.net
  • Supported by:
    Supported by National Natural Science Foundation of Jiangsu Province (No. BK20171280), Young Medical Talents Project of Jiangsu Province (No. QNRC2016339), “Six One Project” Scientific Research Project for High-Level Health Talents of Jiangsu Province (No. LGY2017028) and China Postdoctoral Science Fund (No. 2017M621675)

Abstract: Objective To observe the effects of enriched rehabilitation on cognitive function and serum arginine in stroke patients. Methods From January, 2017 to June, 2018, 40 patients in our department were randomly divided into conventional group (n = 20) and enriched group (n = 20). The conventional group received cognitive rehabilitation, and the enriched group received enriched rehabilitation, once a day, six times a week for three months. Before treatment and three months after treatment, the cognitive function was assessed with Montreal Cognitive Assessment (MoCA), Digit Span Test and Stroop Color Word Test, and the levels of serum arginine and malondialdehyde were detected. Results Finally, all the patients completed the experiment. There was no significant difference in the scores of MoCA, Digit Span Test and Stroop Color Word Test, and the level of serum arginine and malondialdehyde before treatment (t < 1.243, P > 0.05). Three months after treatment, all the above indexes improved (t > 2.170, P < 0.05), and were better in the enriched group than in the conventional group (t > 2.278, P < 0.05). Conclusion Enriched rehabilitation could improve the cognitive function of patients after stroke, which might be related to the significant reduction of the elevated serum arginine and reduction of oxidative damage after stroke.

Key words: stroke, enriched rehabilitation, cognitive dysfunction, arginine, oxidative damage

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