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Cognitive intervention combined with aerobic limb rehabilitation exercise promotes nerve and limb function recovery in hemiplegic patients with hypertensive intracerebral hemorrhage

Yimeng Zhang, Yan Wu, Bo Yang, Qianwen Lou


Department of Health Management Center, Taikang Xianlin Drum Tower Hospital, Nanjing 210046, Jiangsu Province, China.


Address correspondence to: Qianwen Lou, Department of Health Management Center, Taikang Xianlin Drum Tower Hospital, No.188 Lingshan North Road, Qixia District, Nanjing 210046, Jiangsu Province, China. Tel: +86-13912901022. E-mail: louqw@tkhealthcare.com.


DOI:https://doi.org/10.61189/228297jtlsqa


Received April 9, 2024; Accepted January 15, 2025; Published January 31, 2025


Highlights

● Cognitive intervention combined with aerobic limb rehabilitation significantly improves neurological and motor functions in hemiplegic patients with hypertensive intracerebral hemorrhage.

● This approach enhances psychological resilience and quality of life, showing substantial benefits for patient recovery.

● Integrating professional education, psychological support, and family involvement promotes comprehensive rehabilitation outcomes.

Abstract

Objective: To explore the effect of cognitive intervention combined with aerobic limb rehabilitation exercise on neurological and limb functions in hemiplegic patients with hypertensive intracerebral hemorrhage. Methods: A prospective study was conducted with eighty-six hemiplegic patients with hypertensive intracerebral hemorrhage admitted to Taikang Xianlin Drum Tower Hospital from October 2021 to October 2023. The patients were randomly divided into a study group (43 cases) and a control group (43 cases). After 6 months of intervention, neurological function, motor and limb function, psychological state, and quality of life scores were compared between the two groups to assess the effects of the intervention. Results: After the intervention, neurological function indexes in the study group, including S100B protein, myelin basic protein and National Institutes of Health Stroke Scale score, were significantly lower than those in the control group (all P<0.05). In contrast, brain-derived neurotrophic factor and Mini-Mental State Examination scores were significantly higher in the study group (all P<0.05). Additionally, motor function, Barthel score, Fugl-Meyer score, and muscle strength (grades V and IV) were significantly higher in the study group compared to the control group (all P<0.05). Psychological resilience, including scores for toughness, optimism, and strength, as well as the total resilience score, were significantly higher in the study group (all P<0.05). Moreover, the Generic Quality of Life Inventory score was also significantly higher in the study group (P<0.05). Conclusion: Cognitive intervention combined with aerobic limb rehabilitation exercises can alleviate neurological damage in hemiplegic patients with hypertensive intracerebral hemorrhage, enhance muscle strength, promote limb and motor function recovery, and improve psychological state and quality of life.

Keywords: Hypertension intracerebral hemorrhage, hemiplegia, cognitive intervention, aerobic limb rehabilitation exercises, neurological function

Zhang YM, Wu Y, Yang B, et al. Cognitive intervention combined with aerobic limb rehabilitation exercise promotes nerve and limb function recovery in hemiplegic patients with hypertensive intracerebral hemorrhage.Precis Nurs. 2025 Jan;1(1): 1-10. doi: 10.61189/228297jtlsqa
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