在中风患者中,冷漠/中风后抑郁和步行训练之间的关系
Takashi Maeda1,2, Kenichiro Shishido2, Tomoki Ouchida2
1Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Kobe, Japan.
概括
步行训练改善了中风患者的身体和精神症状. 在亚急性中风幸存者的这种训练中,冷漠和中风后抑郁症并没有妨碍步行恢复.
科学领域:
- 神经康复疗法 神经康复疗法
- 脑卒中恢复 脑卒中恢复的方法
- 神经系统疾病中的精神病并发症
背景情况:
- 脑卒中经常导致步态障碍和精神疾病,如冷漠和脑卒中后抑郁症 (PSD).
- 在亚急性中风中,冷漠/PSD和步行回收之间的相互作用需要进一步研究.
- 了解这些影响对于优化康复策略至关重要.
研究的目的:
- 为了研究步行训练对中风患者的冷漠/PSD对步行障碍的影响.
- 为了确定冷漠/PSD对在亚急性中风后恢复行走功能的能力的影响.
主要方法:
- 55名患有下急性中风的步行障碍患者参加了为期6周的步行训练计划.
- 结果措施包括冷漠 (冷漠度量),抑郁 (CES-D),认知功能 (MMSE),下肢功能和功能移动 (FIM).
- 参与者在基线有或没有冷漠的群体中进行了分析.
主要成果:
- 步行训练显著改善了两组 (有和没有冷漠) 的所有测量结果.
- 漠不关心/PSD没有显著影响功能恢复结果,除了漠不关心量表和CES-D得分本身.
- 认知功能 (MMSE) 和下肢运动功能是独立行走重新获得的重要预测因素.
结论:
- 步行训练对中风患者的身体和精神症状都有好处.
- 在亚急性中风中,步行训练可能会减轻冷漠/PSD对功能恢复的负面影响,这与之前的发现相反.
- 这表明,即使存在这些精神病并发症,有针对性的步行康复也可能是有效的.
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