网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
数字OT认知功能训练对脑卒中患者认知、上肢运动及日常生活活动能力的影响
作者:陆春华  王凯  吴正昊  贺词  何雯  魏夏婷 
单位:上海市第四康复医院 神经康复科, 上海 200040
关键词:脑卒中 数字OT认知功能训练 常规认知功能训练 认知功能 上肢运动功能 日常生活活动能力 
分类号:R743.3
出版年·卷·期(页码):2019·47·第四期(373-376)
摘要:

目的:观察数字OT认知功能训练对脑卒中患者认知、上肢运动及日常生活活动能力的康复疗效。方法:选择我院2014年9月至2017年11月收治的100例住院脑卒中患者,按照随机数字表法分为观察组和对照组各50例,观察组给予数字OT认知功能训练,对照组给予常规认知功能训练。训练前和训练8周后采用蒙特利尔认知评估量表(MoCA)评估认知功能、Fugl-Meyer量表(FMA)评估上肢运动功能、巴氏指数(BI)评估日常生活活动能力。结果:训练后两组患者MoCA评分、FMA上肢评分、BI评分较各自训练前升高(P<0.05),且观察组显著高于对照组(P<0.05)。结论:数字OT认知功能训练能有效提高脑卒中患者认知功能,并改善上肢运动功能及日常生活活动能力,其疗效优于常规认知功能训练,值得在临床康复中开展。

Objective:To observe the effects of digital OT cognitive training on cognitive function, upper-limb function and activities of daily living after stroke. Methods:One hundred patients treated in our hospital from September 2014 to November 2017 were randomly divided into observation group(50 cases) and control group (50 cases). The patients of observation group were given digital OT cognitive training while the patients of control group were given routine cognitive training. Before and after 8 weeks treatment, Montreal cognitive assessment(MoCA), Fugl-Meyer assessment(FMA) upper-limb and Barthel index(BI) were used to respectively evaluate cognitive function, upper-limb function and activities of daily living.Results:The scores of MoCA,FMA and BI of two groups were higher than those before training. Compared with those of the control group, MoCA, FMA upper-limb and BI scores of observation group were higher.The difference was statistically significant(P<0.05). Conclusion:Digital OT cognitive training can improve cognitive impairment, upper-limb function and activities of daily living in stroke patients, and its effect is more obvious than that of routine cognitive training. It is worthy of practice in clinical rehabilitation.

参考文献:

[1] SHIGAKI C L,FREY S H,BARRETT A M.Rehabilitation of poststroke cognition[J].Semin Neurol,2014,34(5):496.
[2] 王瑞云,于宏丽,赵继巍,等.脑卒中后认知功能障碍的研究进展[J].中华神经医学杂志,2017,16(11):1129.
[3] DE R L,LEONARDI S,SPADARO L,et al.Improving cognitive function in patients with stroke:can computerized training be the future?[J].J Stroke Cerebrovasc Dis,2018,27(4):1055-1060.
[4] 王新德.各类脑血管疾病诊断要点[J].中华神经科杂志,1996(6):379-380.
[5] 洪文军,陶静,陈立典.脑卒中后认知功能障碍筛查量表的研究进展[J].中国康复,2015,30(5):380-383.
[6] PAGE S J,HADE E,PERSCH A.Psychometrics of the wrist stability and hand mobility subscales of the Fugl-Meyer Assessment in moderately impaired stroke[J].Phys Ther,2015,95(1):103-108.
[7] DUFFY L,GAJREE S,LANGHORNE P,et al.Reliability (inter-rater agreement) of the Barthel Index for assessment of stroke survivors:systematic review and meta-analysis[J].Stroke,2013,44(2):462-468.
[8] 刘俊丽,封海霞,刘畅,等.脑卒中患者认知功能与年龄及性别的相关性研究[J].现代医学,2017,45(2):180-183.
[9] NARUISHI K,KUNITA A,KUBO K,et al.Predictors of improved functional outcome in elderly inpatients after rehabilitation:a retrospective study[J].Clin Interv Aging,2014,9:2133-2141.
[10] 林强,李雪萍,程凯,等.早期认知康复训练对脑卒中患者认知功能、运动功能和日常生活活动能力的影响[J].中国康复医学杂志,2015,30(12):1286-1288.
[11] FARIA A L,ANDRADE A,SOARES L,et al.Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living:a randomized controlled trial with stroke patients[J].J Neuroeng Rehabil,2016,13(1):96.
[12] HOFFMANN T,BENNETT S,KOH C L,et al.The Cochrane review of occupational therapy for cognition impairment in stroke patients[J].Eur J Phys Rehabil Med,2011,47(3):513-519.
[13] KONG K H,CHUA K S,LEE J.Recovery of upper limb dexterity in patients more than 1 year after stroke:frequency,clinical correlates and predictors[J].Neuo Rehabilitation,2011,28(2):105-111.
[14] 王海桥,鲍春玲,闵亮,等.脑卒中早期偏瘫上肢康复治疗新技术研究现状[J].现代医学,2015(4):522-525.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 730324 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541