单边中风后的亲子受理:受影响和不受影响的下肢随着时间的推移而发生的变化
Jinyao Xu1, Jeremy Witchalls1, Elisabeth Preston2
1Research Institute for Sport and Exercise, University of Canberra, Canberra, Australia.
概括
在中风幸存者中,自身感知缺陷随着时间的推移在两个下肢中变得更糟. 即使是"不受影响"的肢体也显示了脚自身感受的下降,影响了平衡和康复.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 生物力学 生物力学
背景情况:
- 自受性缺陷在中风后普遍存在,损害了平衡和姿势控制.
- 关于中风后下肢自觉的纵向变化,研究有限.
- 这项研究调查了受影响和未受影响四肢的自感缺陷的时间演变.
研究的目的:
- 为了量化随着时间的推移在单边中风幸存者的脚亲感的变化.
- 为了比较受影响和不受影响的下肢之间的自感敏度.
- 评估中风对下肢自觉的长期影响.
主要方法:
- 一项涉及60名首次单边中风幸存者和20名健康对照者的横截面研究.
- 卒中幸存者被分为急性 (0-4周),亚急性 (5-24周) 和慢性 (>24周) 阶段.
- 脚亲感测量使用主动运动范围区分装置 (AMEDA) 进行脚下屈曲和反转.
主要成果:
- 随着时间的推移,受影响和未受影响四肢的自身感知得分线性下降 (p < 0.001).
- 脑卒中组表现出明显低于健康对照组的自身感受 (p < 0.01).
- 另一个例外是急性阶段不受影响的侧面的足部屈曲和反转,与对照组没有差异.
结论:
- 下肢脚亲感会随着时间的推移逐渐恶化,在单边中风后.
- 自身感知敏度在不受影响的肢体中线性减少,反映了受影响的肢体的衰退.
- 这些发现突显了持续的自感障碍,强调了针对性神经康复策略的必要性.
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