Stroop范式和躯干控制双任务训练对老年脑卒中患者平衡功能的影响

关键词：老年人  脑卒中  Stroop范式  躯干控制  平衡功能

Keywords:the elderly  stroke  stroop paradigm  trunk control  balance function

摘要：

      摘要 目的：探讨Stroop范式和躯干控制双任务训练对老年脑卒中患者平衡功能的影响。 方法：老年脑卒中患者40例，随机分成两组，其中对照组20例，进行常规的康复训练，观察组20例，在常规康复训练的基础上进行Stroop范式和躯干控制双任务训练。两组患者分别于训练前和训练4周后进行BBS、SOT、LOS、MoCA、认知注意力等评定。 结果：与治疗前相比，观察组BBS、SOT综合得分、Ⅴ模式和Ⅵ模式得分、重心移动速度、端点行程、最大偏移、方向控制、MoCA总分、视空间/执行功能、注意力和延迟记忆得分均有明显提高（P<0.05），反应时、连线用时、连线错误个数有明显下降（P<0.05）；而对照组BBS、SOT综合得分、端点行程提高，反应时和错误数下降（P<0.05）。治疗后，观察组BBS、SOT综合得分、最大偏移、方向控制、连线用时、连线错误数、视空间/执行功能和注意力等指标显著优于对照组（P<0.05）。 结论：Stroop范式和躯干控制双任务训练对提高老年脑卒中患者平衡功能有促进作用。

Abstract:

      Abstract Objective: To explore the effects of Stroop paradigm and trunk control dual task training on balance function in elderly stroke patients. Method: Forty elderly stroke patients were randomly divided into two groups, 20 in the control group were given routine rehabilitation training and 20 in the observation group were given stroop paradigm and trunk control dual task training on the basis of routine training. BBS, SOT, LOS，MoCA and cognitive attention were assessed before and 4 weeks after training. Result: BBS, SOT comprehensive scores, V and VI mode scores, center of gravity movement speed, maximum shift of endpoint travel, direction control, total score of MoCA, visual space/executive function, attention and delayed memory scores in the observation group were significantly improved after intervention(P<0.05), while the number of reaction time, connection time and connection errors were significantly decreased(P<0.05). In the control group, SOT score, endpoint travel increased, reaction time and error number significanly decreased(P<0.05). Compared with the control group after intervention, the BBS, SOT comprehensive score, maximum deviation, direction control, connection time, number of connection errors, visual space/executive function and attention were significantly better in the observation group(P<0.05). Conclusion: Stroop paradigm and trunk control dual task training can improve the balance function of elderly stroke patients.