可变优先级双任务训练用于老年脑梗死后偏瘫肢体功能康复中的效果

The effect of variable priority dual-task training in the limb function rehabilitation of elderly hemiplegia after cerebral infarction

目的探讨可变优先级双任务训练用于老年脑梗死后偏瘫肢体功能康复中的效果。方法选取2020年1月至2022年5月上饶市人民医院收治的60例脑梗死后偏瘫接受康复治疗的老年患者作为研究对象,采用抽签法分为对照组与研究组,每组30例。对照组予固定优先级双任务训练,研究组予可变优先级双任务训练。比较两组运动功能、双任务表现、平衡功能及日常生活能力。结果干预后,两组上肢运动功能评分及总分和下肢运动功能评分及总分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。干预后,两组单任务起立-行走(timed up and go,TUG)测试时间、步行-认知双任务TUG测试时间、步行-运动双任务TUG测试时间均短于干预前,步行-认知双任务成本(dual-task effect,DTE)、步行-运动DTE均低于干预前,且研究组单任务TUG测试时间、步行-认知双任务TUG测试时间、步行-运动双任务TUG测试时间短于对照组,步行-认知DTE、步行-运动DTE低于对照组,差异有统计学意义(P<0.05)。干预后,两组平衡功能评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。干预后,两组日常生活能力评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论可变优先级双任务训练能有效改善老年脑梗死后偏瘫肢体功能康复患者肢体功能,增强患者双任务表现,提高患者平衡能力、日常生活能力,降低跌倒风险。

Objective To explore the effect of variable priority dual-task training in the limb function rehabilitation of elderly hemiplegia after cerebral infarction.Methods 60 elderly patients with hemiplegia after cerebral infarction who received rehabilitation therapy in Shangrao People's Hospital were selected from January 2020 to May 2022 as the research subjects,and they were divided into the control group and the study group by lottery method,with 30 cases in each group.The control group was given fixed priority dual-task training,while the study group was given variable priority dual-task training.The motor function,dual-task performance,balance function and daily living ability were compared between the two groups.Results After intervention,the upper limb motor function scores and total score and lower limb motor function scores and total score of the two groups were higher than those before intervention,and the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the single-task timed up and go(TUG)test time,walking-cognition dual-task TUG test time and walking-exercise dual-task TUG test time of the two groups were shorter than those before intervention,and the walking-cognition dualtask effect(DTE)and walking-exercise DTE were lower than those before intervention,and the single-task TUG test time,walking-cognition TUG test time and walking-exercise TUG test time in the study group were shorter than those in the control group,and the walking-cognition DTE and walking-exercise DTE were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the balance function score of the two groups was higher than before intervention,and the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the daily living ability score of the two groups was higher than that before intervention,and the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Variable priority dual-task training can effectively improve the limb function of elderly patients hemiplegia after cerebral infarction receiving limb function rehabilitation therapy,strengthen the dual-task performance,enhance the balance ability and daily living ability,and reduce the risk of falls.