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老年中风幸存者的握手强度和认知恢复:一项前性研究
1Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 21431, Republic of Korea.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
出院时的手握强度 (HGS) 在中风后6-12个月没有显著影响整体认知功能. 然而,低HGS患者表现出执行功能的改善,这表明身体力量和认知恢复之间存在微妙的关系.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 手握强度 (HGS) 是老年人身体能力和健康的关键指标.
- 研究将HGS与认知衰退联系起来,但对中风后认知变化的纵向研究有限.
- 了解HGS对中风后认知的影响对于康复策略至关重要.
研究的目的:
- 为了研究是否手握强度 (HGS) 在放电影响认知功能在中风后6-12个月.
- 为了比较中风患者在出院时正常和低HGS之间的认知结果.
- 在中风幸存者中分析相对于HGS的认知功能的纵向变化.
主要方法:
- 前性队列研究,涉及在出院前和中风后6-12个月的神经心理评估.
- 低肌肉强度,根据亚洲萨尔科佩尼亚工作组2019年标准 (男性<28公斤,女性<18公斤HGS) 定义.
- 线性混合模型用于分析认知变化,对共变量进行调整.
主要成果:
- 低HGS组年龄较大,基线认知分数较低.
- 在调整后,群体之间在全球认知或大多数领域之间没有显著差异.
- 在两组中都观察到语言的改善;执行功能仅在低HGS组中显著改善.
结论:
- 这是关于中风后老年人中HGS和认知功能变化的第一个纵向研究.
- 出院时的HGS可能无法预测整体认知衰退,但显示了与特定认知改善的潜在联系.
- 研究结果提供了关于中风康复期间身体力量和认知恢复的相互作用的见解.
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