| 李秀丽,李珊,冯梦晨,黄富表.采用上肢运动游戏治疗卒中后轻度认知障碍并结合功能性近红外光谱技术进行疗效评估的研究[J].中国康复,2023,38(7):412-416 |
| 采用上肢运动游戏治疗卒中后轻度认知障碍并结合功能性近红外光谱技术进行疗效评估的研究 |
| Application of functional near-infrared spectroscopy in effectiveness evaluation of upper limb exergames in the treatment of stroke patients with mild cognitive impairment |
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| DOI： |
| 中文关键词: 功能性近红外光谱技术 脑卒中 上肢运动游戏 认知功能评估 |
| 英文关键词: functional near-infrared spectroscopy stroke upper limb exergames cognitive function assessment |
| 基金项目:中央级公益性科研院所基本科研业务费专项资金（2019CZ-11）；中国康复研究中心课题（2021zx-Q4） |
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| 中文摘要: |
| 目的：探讨运动游戏对轻度认知障碍脑卒中患者的治疗效果以及功能性近红外光谱技术在上肢运动游戏训练治疗卒中后轻度认知障碍疗效评估中的应用。方法：将46例轻度认知障碍脑卒中患者按随机数字表法分为观察组和对照组各23例。对照组采用上肢功能性运动训练，30min/次，1次/d，5d/周，治疗共4周。观察组采用上肢运动游戏训练，30min/次，1次/d，5d/周，治疗共4周。治疗前后采用蒙特利尔认知评估量表（MoCA)、功能性近红外光谱技术（fNIRS）、Fugl-Meyer运动功能评估量表上肢部分（FMA-UL）和改良Barthel指数（MBI）评估患者的治疗效果。结果：治疗后，对照组和观察组fNIRS、MoCA、FMA-UL和MBI等项目评分较治疗前均有所提高（均P＜0.05）。与对照组相比，观察组fNIRS重心值、MoCA、FMA-UL评分高于对照组（均P＜0.05），MBI评分无显著性差异。轻度认知障碍脑卒中患者MoCA分数提高与fNIRS重心值降低呈正相关（P<0.01）。结论：上肢运动游戏训练可更好的改善卒中后轻度认知障碍和运动功能障碍，功能性近红外光谱技术可应用于卒中后认知功能障碍康复疗效评价。 |
| 英文摘要: |
| Objective: To explore the therapeutic effect of upper limb exergames on stroke patients with mild cognitive impairment and the application of functional near-infrared spectroscopy（fNIRS） in cognitive efficacy evaluation of stroke patients. Methods: A total of 46 stroke patients with mild cognitive impairment were divided into observation group and control group according to the random number table method, 23 cases in each group. The control group was treated with upper limb functional motor training, 30 min/time, 1 time/day, 5 days/week, a total of 4 weeks. The observation group received upper limb exergames, 30 min/time, 1 time/day, 5 days/week, a total of 4 weeks. Before and after treatment, Montreal cognitive assessment（MoCA）, fNIRS, Fugl-Meyer assessment-Upper Limb（FMA-UL） and modified Barthel index（MBI） were used to evaluate the treatment effectiveness of patients. Results: After treatment, the scores of fNIRS centroid values, cognition, motor and activities of daily living in the control group and the observation group were improved as compared with those before treatment (P<0.05). The improvement of cognitive function, fNIRS centroid values and motor function in the observation group was more significant than the control group (P<0.05). There was no significant difference in activity of daily living between the two groups. Increased MoCA scores in stroke patients with mild cognitive impairment were positively correlated with decreased fNIRS centroid values ( P<0.01). Conclusion: Upper limb exergames training can better improve mild cognitive impairment and motor dysfunction after stroke. Functional near infrared spectroscopy technology can be applied to evaluate the therapeutic effectiveness of rehabilitation of cognitive dysfunction after stroke. |
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