冒险行为和执行功能,是最近中风后跌倒因素风险的主要组成部分
Alain P Yelnik1, Ines Dekimèche2, Emna Jelili3
1Physical and Rehabilitation Medicine Department, GHU APHP-Nord, Université Paris Cité, Paris France; Centre Borelli, Gif-sur-Yvette, France. yelnik.alain@orange.fr.
Journal of rehabilitation medicine
|October 23, 2024
概括
某些认知障碍显著增加中风患者的跌倒风险. 安索格诺西亚和降水是主要的因素,作为跌倒风险的倍增因素.
科学领域:
- 神经学 神经学
- 认知科学 认知科学
- 康复医学 康复医学 康复医学
背景情况:
- 卒中幸存者有较高的跌倒风险.
- 已知认知缺陷会影响中风后的康复和运动能力.
- 各种认知障碍对跌倒风险的具体影响需要进一步阐明.
研究的目的:
- 研究特定认知障碍对患者行为和中风后跌倒风险的影响.
- 为了确定认知缺陷是否能区分跌倒的患者和没有中风后患者.
主要方法:
- 一种混合方法的方法,结合了对医疗保健专业人员的调查和对108名中风后患者的回顾性研究.
- 专业人士被调查认知障碍对跌倒风险的感知影响.
- 用多变量逻辑回归分析来确定落的重要认知预测因素.
主要成果:
- 确定的主要认知障碍包括无意识,混乱,注意力不集中,沉和单方面空间忽视.
- 23%的患者被确定为落后者.
- 在对其他因素进行调整后,无意识 (OR 16),沉 (OR 13.3),注意力不集中 (OR 8.3) 和坚持 (OR 4.9) 与跌倒风险增加有显著联系.
结论:
- 认知障碍,特别是无意识和沉,是中风患者中跌风险的重要,可识别的预测因素.
- 这些认知缺陷应该被认为是影响跌倒风险的乘法因素,而不仅仅是附加因素.
- 早期识别这些认知问题可以为预防跌倒策略提供信息.
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