《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (12): 1111-1113.

• 专题 • 上一篇    下一篇

运动再学习对脑梗死患者事件相关电位的影响

余茜1;李晓红2;黄林1;覃波3;程明1;彭兴铺4;段小东2;李怡1;李雨峰1;许嘉1;肖宗欣1   

  1. 1.四川省人民医院康复科，四川成都市 610072;2.四川省泸州医学院附属医院，四川泸州市 646000;3.德阳市人民医院康复科，四川德阳市 61800;4.成都市第五人民医院康复科，四川成都市 610030
  • 收稿日期:2009-11-16 修回日期:2009-12-09 出版日期:2009-12-25 发布日期:2009-12-25

Effect of Motor Relearning Program on Recovery of Event-related Potential of Cerebral Infarction

YU Qian,LI Xiao-hong,HUANG Lin,et al   

  1. Department of Rehabilitation, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan, China
  • Received:2009-11-16 Revised:2009-12-09 Published:2009-12-25 Online:2009-12-25

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摘要： 目的 研究运动再学习训练对脑梗死患者运动功能及其事件相关电位(ERP)P300的影响。方法 选择99例脑梗死患者，分为观察组(52例，接受运动再学习训练)和对照组(47例，未训练)，比较12周后两组患者Berg平衡评分、Sheikh躯干控制评分、Fugl-Meyer运动功能评分及步行能力等指标，观察在运动功能改善的同时ERP P300是否有改善。50例健康体检者作为ERP正常对照。结果 观察组Berg平衡评分、Sheikh躯干控制评分、Fugl-Meyer运动功能评分及步行能力等各指标与对照组比较有非常显著性差异(P<0.01)，同时ERP P300潜伏期与对照组比较明显缩短(P<0.01)，波幅明显增高(P<0.01)。但与正常对照组的ERP P300比较仍有非常显著性差异(P<0.01)。结论 运动再学习训练在改善脑梗死患者运动功能的同时对ERP P300的改善有积极的作用。

关键词: 运动再学习, 脑梗死, 运动功能, 事件相关电位(ERP)

Abstract: Objective To explore event-related potential(ERP) P300 of cerebral infarction patients during motor relearning program. Methods 99 cerebral infarction patients were divided into observation group(52 cases, receiving motor relearning program) and control group(47 cases, no treatment), and 50 healthy subjects as normal control. After 12 weeks, they were measured by: 1)Berg balance scale; 2)Sheikh body control scale; 3)Fugl-Meyer movement assessment; 4) walk ability and 5) ERP P300.Results The scores of Berg balance scale, Fugl-Meyer movement assessment, Sheikh body control scale and walk ability scale increased significantly, and the latency of ERP P300 decreased significantly(P<0.01), and the amplitude of ERP P300 increased significantly in the observation group. ERP P300 of the observation group has significantly difference(P<0.01) from the normal control group.Conclusion Motor relearning program can effectively retrieve the ERP P300 and motor ability of cerebral infarction patients.

Key words: motor relearning program, cerebral infarction, motor ability, event-related potential(ERP)