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上肢运动能力和握力与COPD患者认知领域的关联
Bedriye Dag1, İlknur Naz2, Elvan Felekoglu3
1Izmir Kâtip Celebi University, Institute of Health Sciences, Izmir, Turkey.
Respiratory care
|February 20, 2024
概括
慢性肺炎患者的认知障碍与上肢功能的减少有关,特别是握力和运动能力. 执行功能和注意力与COPD的这些身体衰退有显著的相关性.
科学领域:
- 肺部医学 肺部医学
- 神经学 神经学
- 老年病的医生 老年病的医生
背景情况:
- 认知障碍 (CI) 是慢性阻塞性肺病 (COPD) 的已知并发症.
- 虽然CI对整体身体表现的影响已得到认可,但其与COPD上肢功能的具体关联仍然不清楚.
- 本研究研究了COPD患者的CI和上肢能力之间的关系.
研究的目的:
- 为了比较COPD患者的上肢运动能力和握力,有或没有CI.
- 在这个人群中确定与上肢功能相关的特定认知领域.
主要方法:
- 一项涉及76名通过蒙特利尔认知评估 (CI与无CI) 分类的COPD受试者的横截面研究.
- 评估了上肢容量 (6分钟挂板环测试),握力 (手动力仪),以及各种临床/功能参数.
- 多变量回归分析了上肢功能和认知子域之间的关系.
主要成果:
- 患有CI的COPD患者表现出明显较低的上肢运动能力 (6PBRT环) 和握力.
- 患有CI的受试者也表现出较差的肺功能 (FEV1%),氧化,健康状况和生活质量,呼吸障碍和住院病例增加.
- 执行功能和注意力独立地与上肢容量和握力有关.
结论:
- 上肢功能,包括炼能力和握力,在COPD认知障碍患者中减弱.
- 执行功能和注意力是与这些功能缺陷相关的关键认知领域.
- 这些发现强调了评估和解决COPD患者管理中的认知状态的重要性.
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