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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.

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