《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (08): 492-493.

• 临床研究 • 上一篇    下一篇

认知功能障碍对偏瘫康复的影响

顾亚萍; 王凯   

  1. 上海市静安老年医院康复科 上海市 200041
  • 收稿日期:2004-01-17 出版日期:2004-08-25 发布日期:2004-08-25

Influence of the cognition dysfunction to the rehabilitation of hemiplegia

GU Ya-ping, WANG Kai   

  1. Department of Rehabilitation,Shanghai Jing-an Geriatric Hospital, Shanghai 200041, China
  • Received:2004-01-17 Published:2004-08-25 Online:2004-08-25

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被引次数

45

摘要： 目的探讨认知功能障碍对脑卒中偏瘫康复的影响。方法对66例脑卒中偏瘫患者于康复治疗前后采用洛文斯顿作业疗法用认知评定成套测验进行认知功能筛查,并进行简式Fugl-Meyer运动功能评定(FMA)和功能独立性评定(FIM)。结果存在认知功能障碍患者的运动功能和功能独立性康复明显滞后于认知功能正常患者,认知功能障碍与脑卒中偏瘫康复有密切关系。结论认知功能障碍直接影响脑卒中偏瘫康复,应采用针对性和综合性治疗方法,改善患者的认知功能,以减少对康复的影响。

关键词: 偏瘫, 认知功能障碍, 康复, 影响

Abstract: ObjectiveTo explore the effect of the cognition dysfunction on the stroke rehabilitation.MethodsThe loewenstein Occupational Therapy Cognitive Assessment Battery (LOTCA), Fugl Meyer motor scale, functional independence measure were carried out to evaluate the function of 66 stroke patients before and after rehabilitation.ResultsThe rehabilitation process of motor and independent function of patients who had suffered from cognition dysfunction was latered than that of patients who had not suffered from cognition dysfunction, and cognition dysfunction had a closed relationship with stroke rehabilitation.ConclusionCognition dysfunction directly has a influence to stroke rehabilitation, both special and comprehensive methods in rehabilitation process, improve cognition function, decrease its influence to the stroke rehabilitation.

Key words: hemiplegia, cognition dysfunction, rehabilitation, influence