上肢-认知双重任务能力中风后
Yishai Bachar Kirshenboim1, Shir Tzur Lebovich1,2, Tal Weitzer1
1Department of Occupational Therapy, School of Health Professions, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel Aviv, Israel.
Neurorehabilitation and neural repair
|February 11, 2025
概括
双重任务能力对日常功能至关重要,在中风后受损. 双重负载干扰测试 (DO-IT) 显示了在康复期间评估上肢-认知双重任务的潜力.
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
- 人类运动控制人体运动控制
背景情况:
- 双重任务能力对于日常活动至关重要,但在中风后可能会受到损害.
- 评估双重任务能力对于有效的中风康复至关重要.
- 双重过载干扰测试 (DO-IT) 是一种新的协议,将盒子和块测试与倒计时测试相结合,用于上肢 (UE) 评估.
研究的目的:
- 通过比较年轻和老年健康个体之间的表现来验证DO-IT.
- 通过比较中风患者和健康患者之间的表现来验证DO-IT.
- 将DO-IT结果与健康个体的步行认知双重任务评估以及中风幸存者的标准认知和执行功能评估相关联.
主要方法:
- 一项涉及32名健康个体 (年轻人和老年人) 和83名中风患者 (年轻人和老年人) 的横截面研究.
- 在单任务和双任务条件下,管理DO-IT协议,测量上肢运动性能 (转移块) 和认知性能 (计数正确的数字).
- 利用蒙特利尔认知评估 (MoCA) 和色迹测试 (CTT) 来评估中风参与者的认知和执行功能;健康参与者使用了步行-认知双任务测试.
主要成果:
- 较年长的健康成年人表现出明显较年轻的成年人低的双重任务运动能力.
- 与健康参与者相比,中风患者在双重任务中表现出更高的运动成本.
- 在健康个体中,DO-IT双重任务成本与行走-认知双重任务表现有显著的相关性. 在中风幸存者中,DO-IT运动性能和成本与MoCA和CTT得分相关.
结论:
- 在中风后,上肢认知双重任务能力明显受到影响.
- 作为评估中风康复中双重任务能力的工具,DO-IT协议显示出希望.
- 需要进一步的研究来充分确定DO-IT在临床环境中的有效性和实用性.
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