《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 849-850.

• 临床研究 • 上一篇    下一篇

脑卒中患者的运动认知能力与运动功能的关系

常冬梅1,2;陈兴3;林建华2   

  1. 1.首都医科大学康复医学院，北京市100068;2.中国康复研究中心北京博爱医院运动疗法科，北京市100068;3.内蒙古通辽市医院康复科，内蒙古通辽市 028000
  • 收稿日期:2009-05-22 出版日期:2009-09-01 发布日期:2009-09-01

Correlation between Cognitive Ability and Motor Ability in Stroke Patients

CHANG Dong-mei,CHEN Xing,LIN Jian-hua   

  1. Department of Physiotherapy, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-05-22 Published:2009-09-01 Online:2009-09-01

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被引次数

2

摘要： 目的 探讨脑卒中患者的运动认知能力与运动能力之间的关系。方法 分别测试30例脑卒中患者的“3 m起立-行走测试”（TUGT）患者估计时间和实际所用时间，计算TUGT估计时间和实际所用时间的差（认知误差）；记录连线试验（TMT-A）时间。对不同下肢布氏分级患者TUGT实测值、TUGT认知误差、TMT-A所用时间进行方差分析，并分析各数据之间的相关性。结果 TUG的实测值在布氏分级Ⅲ与Ⅴ之间有显著性差异（F=4.600,P<0.05）。TUG实测值与认知误差之间（r=0.844, P<0.01）、TMT-A时间与认知误差之间（r=0.508, P<0.01）、TMT-A时间和TUG实测值之间（r=0.414, P<0.05）存在正相关。结论 对外界的注意力与自我认知的误差会对脑卒中患者的运动能力造成一定的影响。

关键词: 脑卒中, 运动认知, 注意, 运动功能

Abstract: Objective To explore the correlation between cognitive ability and motor ability in stroke patients.Methods 30 stroke patients were assessed with the 3 m Timed Up and Go Test (TUG). The anticipated time by patients and the actual time were recorded, and their difference was caculated, named as the cognitive error. They were also assessed with Trail Making Test-Part A (TMT-A). The actual time of TUG, cognitive error and the time of TMT-A was compared among different groups of Brunnstrom stage of lower limb, and their correlation was analyzed. Results There was a significant difference between the actual time of TUG between Brunnstrom stage Ⅲ and Ⅴ (F=4.600, P<0.05). There was positive correlation between actual time of TUG and cognitive error（r=0.844, P<0.01）, time of TMT-A and cognitive error（r=0.508, P<0.01）, time of TMT-A and actual time of TUG （r=0.414, P<0.05）. Conclusion Motor ability of stroke patients can be influenced by deficient attention and motor cognition.

Key words: stroke, motor cognition, attention, motor ability