Objective To investigate the influence of different rehabilitation timing on acute ischemic stroke patients in early rehabilitation.

Methods A total of 80 patients with acute ischemic stroke were randomly divided into the 24 h group and 72 h group(40 cases in each group).The rehabilitation exercise program and mode of the two groups were the same, and the rehabilitation exercise was carried out at 24 h and 72 h after stroke, respectively.The differences of neurological function(NIHSS), motor function(FMA) and ability of daily living(BI) before and after rehabilitation exercise were compared between two groups.

Results Before rehabilitation exercise, there was no statistical significance in the NIHSS, FMA and BI scores between two groups(P>0.05).After rehabilitation and 3 months of rehabilitation, the NIHSS score in two groups significantly decreased(P < 0.01), and the decreasing degree of 24 h group was higher than that of 72 h group(P < 0.01).The motion and BI scores of upper and lower limbs in two groups were significantly increased(P < 0.01), and the increasing degree in the 24 h group was higher than that in the 72 h group(P < 0.01).

Conclusions For patients with mild to moderate acute ischemic stroke, the effect of rehabilitation exercise based on muscle strength assessment at 24 h after stroke is better than that at 72 h.