神经损伤与功能重建2025，Vol.20Issue(7)：389-394,6.DOI:10.16780/j.cnki.sjssgncj.20240929
运动-认知双重任务对脑卒中偏瘫患者认知及运动功能的影响
Effect of Motor-cognitive Dual Task on Cognitive and Motor Function in Stroke Patients with Hemiplegia
摘要
Abstract
Objective:To explore the effects of motor-cognitive dual-task training on cognitive and motor function in stroke patients with hemiplegia.Methods:A total of 26 stroke patients with hemiplegia were collected,randomly divide them into motor-cognitive dual-task training(MCDT)group and mixed motor and cognitive task training(MixT)group,with 13 cases in each group.The MCDT group performs calculation tasks while exercising,while the MixT group first performs exercise training and then performs calculation tasks,each for 40 minutes,5 times a week,for 4 weeks.Two groups of patients were evaluated using the Montreal Cognitive Assessment(MoCA),Timed up and Go(TUG),Multi-Directional Reach Test(MDRT),various gait parameters,and the Fugl-Meyer assessment scale for lower extremity(FMA-LE)before and after 4 weeks of intervention.Results:Before treatment,no statistically significant variations were observed in MoCA,TUG,MDRT,gait parameters,and FMA-LE between the two groups of patients(P＞0.05).After 4 weeks of training,the MoCA,TUG,MDRT results,gait parameters,and FMA-LE scores of the MCDT and MixT groups were significantly improved compared to before training(P＜0.05).At the same time,the differences in various indicators before and after training in the MCDT group were significantly improved compared to the MixT group(P＜0.05).Conclusion:The motor-cognitive dual task training can effectively improve the cognitive and motor functions of stroke patients with hemiplegia.关键词
运动-认知双重任务/脑卒中/认知功能/运动功能Key words
motor-cognitive dual task/stroke/cognitive function/motor function分类
医药卫生引用本文复制引用
肖仔仙,杨杨,张晶晶,李艳,饶尧,傅祯,丁浩,何秉恒,任洁歆..运动-认知双重任务对脑卒中偏瘫患者认知及运动功能的影响[J].神经损伤与功能重建,2025,20(7):389-394,6.基金项目
上海市科委2022年度"科技创新行动计划"医学创新研究专项项目(No.22Y31900200) （No.22Y31900200）
《基于EEG分析探讨rTMS对轻度认知障碍患者大脑皮层功能代偿及脑网络重组机制的研究》(No.20214Y005) （No.20214Y005）
