Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2023; 13(11): 912-918
Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.912
Correlation study between motor rehabilitation level and psychological state in patients with limb movement disorders after stroke
Xiao-Wan Li, Yu-Fu Xin, Ai-Hui Chang, Xiao-Ge Zhang, Yan Weng, Jia-Hao Yang, Qi-Zhi Fu
Xiao-Wan Li, Yu-Fu Xin, Ai-Hui Chang, Xiao-Ge Zhang, Yan Weng, Department of Medical Rehabilitation, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, Henan Province, China
Jia-Hao Yang, Department of Logistics, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, Henan Province, China
Qi-Zhi Fu, Department of Medical Intensive Care Unit, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang 471003, Henan Province, China
Author contributions: Li XW designed the study and wrote the paper; Fu QZ designed the study and supervised the report; Xin YF organized and analyzed the data; Zhang XG and Weng Y provided clinical advice; Chang AH and Yang JH organized the references.
Institutional review board statement: The study was reviewed and approved by the First Affiliated Hospital of Henan University of Science and Technology (Approval No. 2022-03-B160).
Informed consent statement: This study used only anonymous patient data and exempted the requirement for informed consent according to policy.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data used in this study can be obtained from the corresponding author upon request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Zhi Fu, MD, Professor, Department of Medical Intensive Care Unit, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, No. 636 Guanlin Road, Luolong District, Luoyang 471003, Henan Province, China. fuqizhi33@haust.edu.cn
Received: September 12, 2023
Peer-review started: September 12, 2023
First decision: September 25, 2023
Revised: October 9, 2023
Accepted: October 27, 2023
Article in press: October 27, 2023
Published online: November 19, 2023
Abstract
BACKGROUND

The psychological state of patients with post stroke limb movement disorders undergoes a series of changes that affect rehabilitation training and recovery of limb motor function.

AIM

To determine the correlation between motor rehabilitation and the psychological state of patients with limb movement disorders after stroke.

METHODS

Eighty patients with upper and lower limb dysfunction post stroke were retrospectively enrolled in our study. Based on Hospital Anxiety and Depression Scale (HADS) scores measured before rehabilitation, patients with HADS scores ≥ 8 were divided into the psychological group; otherwise, the patients were included in the normal group. Motor function and daily living abilities were compared between the normal and psychological groups. Correlations between the motor function and psychological status of patients, and between daily living ability and psychological status of patients were analyzed.

RESULTS

After 1, 2, and 3 wk of rehabilitation, both the Fugl-Meyer assessment and Barthel index scores improved compared to their respective baseline scores (P < 0.05). A greater degree of improvement was observed in the normal group compared to the psychological group (P < 0.05). There was a negative correlation between negative emotions and limb rehabilitation (-0.592 ≤ r ≤ -0.233, P < 0.05), and between negative emotions and daily living ability (-0.395 ≤ r ≤ -0.199, P < 0.05).

CONCLUSION

There is a strong correlation between motor rehabilitation and the psychological state of patients with post stroke limb movement disorders. The higher the negative emotions, the worse the rehabilitation effect.

Keywords: Stroke, Limb movement disorders, Motor rehabilitation, Psychological state, Correlation

Core Tip: Stroke, also known as a cerebrovascular accident, is characterized by an acute and rapid onset and is the most common cerebrovascular disease. Stroke can cause limb dysfunction, resulting in functional limitations. Some people may experience a series of changes in their psychological state after illness, which affects rehabilitation training and recovery of limb function. The results of this study showed a strong correlation between the recovery of limb function with rehabilitation and psychological state of stroke patients. Therefore, it is necessary to pay close attention to psychological changes during rehabilitation, and implement timely adjustments and interventions for future rehabilitation.