Objective To investigate the role of stepwise integrated MOTOmed training combined with facilitation techniques in the rehabilitation of hemiplegic patients after hypertensive cerebral hemorrhage.

Methods A total of 154 hemiplegic patients after hypertensive cerebral hemorrhage were collected, and divided into the control group and observation group according to different treatment methods (77 cases each group). The control group was given conventional rehabilitation treatment; The observation group was given stepwise integrated MOTOmed training combined with facilitation techniques on the basis of the control group. The scores of limb motor function (FMA), self-care ability measurement scale (ESCA), lymphocyte and eosinophil levels, national institutes of health neurological deficit score (NIHSS), cognitive function scale (FCI), self-rating health behavior scale (SRAHP) and disease uncertainty score were compared between two groups.

Results After the intervention, the FMA, BBS and ESCA scores of the observation group were all higher than those of the control group (P ＜ 0.01), the NIHSS score was significantly lower than that of the control group (P ＜ 0.01), and the FCI score and SRAHP score were both significantly higher than those of the control group (P ＜ 0.01). After 4 and 8 weeks of intervention, the levels of lymphocytes and eosinophils in the observation group were significantly higher than those in control group (P ＜ 0.01). After the intervention, the disease uncertainty score of the observation group was significantly lower than that of the control group (P ＜ 0.01).

Conclusions The application of stepwise integrated MOTOmed training combined with facilitation techniques in the rehabilitation of hemiplegic patients after hypertensive cerebral hemorrhage has a remarkable effect. It can effectively promote the recovery of limb function, and improve the self-care ability of patients.