恢复性和补偿性康复训练对中风和轻度认知障碍中执行功能的综合影响
Ayesha Saddiqa1, Zainab Noor Qazi2, Arfa Zafar2
1Department of Physical Therapy, Mohi-u-Din Islamic University, Mirpur, Pakistan.
Disability and rehabilitation
|February 10, 2026
概括
综合修复性和补偿性康复显著改善了急性中风患者的执行功能和生活质量,这些患者有轻度认知障碍. 这种方法为中风幸存者提供了比传统认知训练更有效的替代方案.
科学领域:
- 神经康复疗法 神经康复疗法
- 认知康复 认知康复 认知康复
- 脑中风恢复 脑中风恢复
背景情况:
- 轻度认知障碍在急性中风患者中很常见.
- 执行功能缺陷影响日常生活和中风后的康复.
- 目前的康复策略可能无法完全解决认知障碍.
研究的目的:
- 评估联合恢复性和补偿性康复对急性中风患者轻度认知障碍执行功能的有效性.
- 将这种新的方法与传统疗法进行比较.
主要方法:
- 一项随机对照试验,涉及36名急性中脑动脉中风患者.
- 干预组接受了复原和补偿康复的联合治疗 (n=18).
- 对照组接受了常规疗法 (n=18).
- 评估包括在基线和3,6和9周的MOCA,MRS,CASP和SSQOL,通过ANOVA进行分析.
主要成果:
- 实验组在第九周 (p<0.05) 显示MOCA (20.5~27.1) 和CASP (45.2~50.3) 的显著改善.
- 与对照组相比,实验组在MRS (3.5到2.7) 中表现出更大的改善 (p<0.05).
- 在对照组中,中风特异性生活质量 (SSQOL) 降低,但在干预组中显示出改善趋势.
结论:
- 综合修复和补偿性康复优于传统的认知训练,用于增强轻度认知障碍中风幸存者的执行功能.
- 这种康复策略提高了功能独立性和生活质量.
- 这些发现支持将这种综合方法纳入中风护理协议.
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