运动再学习对缺血性卒中患者运动功能及其认知电位P300的影响  

Effect of Motor Relearning Program on Recovery of Motor Ability and P300 Potential of the Cerebral Infarction Patients

作　　者：余茜[1] 李晓红[2] 覃波[2] 许嘉[1] 段小东[2] 肖宗欣[1] 

机构地区：[1]四川省人民医院康复科,四川省成都市610072 [2]四川省泸州医学院附属医院康复科

出　　处：《中国卒中杂志》2009年第10期824-827,共4页Chinese Journal of Stroke

摘　　要：目的研究运动再学习训练对缺血性卒中患者运动功能及其认知电位P300的影响。方法52名缺血性卒中患者运动再学习前后,对Berg平衡积分、Sheikh躯干控制积分、简式Fugl-Meyer运动功能评分及步行能力等指标进行评价,观察在运动功能改善的同时认知电位P300是否有改善。共治疗12周。结果运动再学习后缺血性卒中患者运动功能和认知功能显著改善,Berg平衡积分、Sheikh躯干平衡积分、简式Fugl-Meyer运动功能评分及步行能力等各指标治疗前后比较差异有统计学意义(P<0.01),同时认知电位P300潜伏期比训练前明显缩短(P<0.01),波幅较治疗前显著增高(P<0.01)。结论运动疗法在改善缺血性卒中者运动功能的同时对认知功能的有积极的恢复作用。Objective To investigate the function of motor relearning program with rehabilitation on motor and P300 potential function of cerebral infarction patients. Methods All fifty-two patients were treated with motor relearning program. After 12 weeks, then they were evaluated with Fug-Meyer balance accumulated points, sheikh accumulated points; Fug- Meyer sports accumulated points; Holdon accumulated points and P300 potential. Results Berg accumulated points; Fug-Meyer accumulated points, Sheikh accumulated points and Holdon accumulated points increased significantly. The latency of P300 decreased significantly （P〈0.01）, and the amplitude of P300 increased significantly in the cerebralin farction patients. Conclusion Motor relearning program may have a positive effect on effectively recovering the P300 and sports function of cerebralin infarction patients.

关 键 词：运动疗法 脑梗死 事件相关电位 P300 

分 类 号：R743.3[医药卫生—神经病学与精神病学]