首页|可变优先级认知-运动双任务训练对脑卒中后偏瘫患者上肢功能的影响

可变优先级认知-运动双任务训练对脑卒中后偏瘫患者上肢功能的影响

扫码查看
目的 探讨可变优先级认知-运动双任务较固定优先级认知-运动双任务训练及常规康复训练对脑卒中后偏瘫患者上肢功能的影响。方法 选取2022年 8月至 2023 年9 月在河北省人民医院治疗的90 例脑卒中后偏瘫患者为研究对象,采用随机化原则将其分为对照组、固定组和可变组,各30例。对照组采用常规康复方法,固定组采用固定优先级的认知-运动双任务训练,可变组采用可变优先级的认知-运动双任务训练。比较三组的干预效果。结果 干预前,三组的上肢Fugl-Meyer运动功能评定量表、运动功能状态量表(MSS)评分比较,差异无统计学意义(P>0。05);干预 2、3 周后,三组的上肢Fugl-Meyer运动功能评定量表、MSS评分均高于干预前(P<0。05);干预 3 周后,三组的上肢Fugl-Meyer运动功能评定量表、MSS评分均高于干预2周后(P<0。05);干预 2、3 周后,可变组与固定组的上肢Fugl-Meyer运动功能评定量表、MSS评分均高于对照组(P<0。05);干预2、3周后,可变组的上肢Fugl-Meyer运动功能评定量表、MSS评分高于固定组(P<0。05)。结论 可变优先级认知-运动双任务训练较固定优先级认知-运动双任务训练及常规康复训练更有助于改善脑卒中后偏瘫患者的上肢功能。
Effect of variable priority cognitive-motor dual task training on upper limb function in patients with hemiplegia after stroke
Objective To investigate the effect of variable priority cognitive-motor dual task training on upper limb function in patients with hemiplegia after stroke compared with fixed priority cognitive-motor dual task training and conventional rehabilitation training.Methods A total of 90 patients with hemiplegia after stroke who were treated in Hebei General Hospital from August 2022 to September 2023 were selected as the study objects.The patients were divided into control group,fixed group and variable group according to the principle of randomization,with 30 cases in each group.The control group was treated with conventional rehabilitation method,the fixed group was treated with fixed priority cognitive-motor dual task training,and the variable group was treated with variable priority cognitive-motor dual task training.The intervention effects of the three groups were compared.Results Before intervention,there were no significant differences in the scores of upper limb Fugl-Meyer motor function rating scale and Motor Status Scale(MSS)among the three groups(P>0.05);after 2 and 3 weeks of intervention,the scores of upper limb Fugl-Meyer motor function rating scale and MSS in the three groups were higher than those before intervention(P<0.05);after 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS score of the three groups were higher than those after 2 weeks of intervention(P<0.05);after 2 and 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS scores of the variable group and the fixed group were higher than those of the control group(P<0.05);after 2 and 3 weeks of intervention,the upper limb Fugl-Meyer motor function rating scale and MSS score of the variable group were higher than those of the fixed group(P<0.05).Conclusion Variable priority cognitive-motor dual task training is more helpful to improve the upper limb function of patients with hemiplegia after stroke than fixed priority cognitive-motor dual task training and conventional rehabilitation training.

variable prioritycognitive-motor dual task trainingstrokehemiplegiaupper limb function

史若琳、尹昱、刘晓露

展开 >

华北理工大学,河北 唐山,063210

河北省人民医院,河北 石家庄,050051

可变优先级 认知-运动双任务训练 脑卒中 偏瘫 上肢功能

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
  • 13