运动游戏对脑卒中患者持续性注意功能的影响OA
Effects of exergames on sustained attention function in stroke patients
目的 探讨运动游戏对脑卒中患者持续性注意功能的影响.方法 选取2020年8月至2022年8月北京博爱医院住院进行康复的脑卒中患者48例.按照随机数字表法分组,试验组24例,对照组24例.两组均进行常规康复治疗,包括常规作业疗法、物理疗法、理疗、针灸等.在常规康复治疗的基础上,对照组采用上肢功能性运动训练,试验组采用运动游戏训练.每次30分钟,1次/天,5天/周,共干预治疗4周.治疗前后采用持续表现测试(CPT)评估脑卒中患者的持续性注意功能,采用改良Barthel指数(MBI)评估日常生活活动能力.结果 治疗前两组各项评估指标比较均无统计学差异(P＞0.05).干预治疗4周后,对照组及试验组CPT正确率、命中率、平均反应时间和MBI结果均较治疗前显著提高(P＜0.05),且试验组CPT命中率、平均反应时间结果优于对照组(P＜0.05),差异有统计学意义.治疗后CPT正确率和MBI评分组间比较无统计学差异(P＞0.05).结论 运动游戏可有效改善脑卒中患者持续性注意功能,鼓励在临床中推广应用.
Objective To investigate the effects of exergames on sustained attention function in stroke patients.Methods From August 2020 to August 2022,48 stroke patients who were hospitalized for rehabilitation in Beijing Boai Hospital were selected.48 pa-tients were randomly divided into the experimental group(24 cases)and the control group(24 cases).The control group received up-per limb functional motor training,and the experimental group received exergames.The intervention lasted for 4 weeks.CPT and MBI were evaluated before and after treatment.Results There was no significant difference between the two groups before treatment(P＞0.05).After treatment,the CPT accuracy rate,hit rate,average reaction time and MBI improved in both groups(P＜0.05),and the CPT hit rate and average reaction time of the experimental group were better than those of the control group(P＜0.05).There was no significant difference in the CPT accuracy rate and MBI after treatment(P＞0.05).Conclusion Exergames can effectively improve sustained attention function in stroke patients.
李秀丽;黄富表
首都医科大学康复医学院 100068||中国康复研究中心北京博爱医院作业疗法科 100068
脑卒中运动游戏持续性注意
strokeexergamessustained attention
《中国老年保健医学》 2024 (003)
14-17 / 4
中国康复研究中心项目(编号:2021ZX-Q4)
评论