视觉追踪训练对脑卒中患者步行功能与日常生活能力的影响

doi:10.16460/j.issn1008-9969.2020.07.007

摘要/Abstract

摘要： 目的观察视觉追踪训练对脑卒中患者步行功能和日常生活能力的临床疗效。方法将符合纳入标准的60例脑卒中患者,通过随机数字表法随机分为观察组和对照组,各30例。对照组进行常规的康复治疗,观察组在常规康复方案的基础上对眼球进行追踪训练。每天训练2次,上下午各1次,每次30 min,每周训练5 d,持续康复6周。分别在治疗前后使用步态评估量表、简易精神状况检查量表、脑卒中平衡量表以及日常生活能力巴氏指数进行评估。结果 2组研究对象在干预前,步态评分、平衡功能、简易精神状态评分以及日常生活能力评估方面差异无统计学意义（P>0.05）。6周康复治疗结束后,观察组患者在步态、平衡功能以及日常生活能力方面的改善程度显著优于对照组,差异具有统计学意义（P<0.05）;简易精神量表评分组内改善明显（P<0.001）,但与对照组比较差异无统计学意义（P>0.05）。结论视觉追踪训练可以明显提高脑卒中患者的步行功能、平衡能力以及患者的生活自理能力,但能否改善患者的认知功能还有待大样本研究进一步论证。

关键词: 眼球运动, 视觉追踪训练, 脑卒中, 康复训练, 日常生活能力

Abstract: Objective To observe the clinical effect of visual tracking training on walking function and daily life ability of stroke patients. Methods Sixty stroke patients who met the inclusion criteria were randomly divided into observation group and control group by random digital table method, with 30 patients in each group. The control group underwent routine rehabilitation treatment, and the observation group carried out eyeball tracking training on the basis of routine rehabilitation program, for twice a day, once in the afternoon, 30 minutes each time, 5 days a week for consecutive 6 weeks. The gait assessment scale, simple mental status assessment scale, stroke balance scale and pasteurization index were used before and after treatment. Results There was no significant difference in gait score, balance function, the scores of simple mental scale, and daily life ability assessment between the two groups before treatment (P>0.05). After 6 weeks of rehabilitation, the improvement of gait, balance function, and daily life ability in the observation group was significantly better than that in the control group (P<0.05).However, after treatment, the scores of simple mental scale in the observation group were not statistically significant compared with those in the control group. Conclusion Visual tracking training can significantly improve walking function, balance ability and self-care ability of stroke patients.But whether it can improve the cognitive function of patients still needs to be further demonstrated by a large sample study.

Key words: eye tracking, visual tracking training, stroke, rehabilitation training, daily living ability

中图分类号:

R473

孙文玉, 毕鸿雁. 视觉追踪训练对脑卒中患者步行功能与日常生活能力的影响[J]. 护理学报, 2020, 27(7): 7-10.

SUN Wen-yu, BI Hong-yan. Effects of Visual Tracking Training on Walking Function and Daily Living Ability in Patients with Stroke[J]. Journal of Nursing, 2020, 27(7): 7-10.

参考文献

[1] Langhorne P, Coupar F, Pollock A.Motor Recovery After Stroke:A Systematic Review[J]. Lancet Neurol, 2015,8(8):741-754.DOI:10.3969/ j.issn.1008-7125.2015.07.014.
[2] 王莉,于卫华,徐忠梅.社区老年人双重任务行走步态特征与跌倒的关系研究[J].护理学杂志,2016, 31(15):76-79.DOI:10.3870/j.issn.1001-4152.2016.15.076.
[3] 陈健新. 眼球运动训练对改善老年人踩踏精确性的效果研究[D]. 石家庄:河北医科大学学报,2019,10(3):6-10.
[4] Goodman R,Tremblay L. Using Proprioception to Control on-going Actions: Dominance of Vision or Altered Proprioceptive Weighing[J].Exp Brain Res,2018,236(7):1897-1910.10.1007/s00535-018-1227-8.
[5] Cumming TB, Churilov L, Linden T,et al.Montreal Cognitive Assessment and Mini-mental State Examination are Both valgnitive id CoTools in Stroke[J]. Acta Neurol Scand,2013,128(2):122-129.DOI:10.1038/ajg.2012.420.
[6] 杨琛,王秀华,刘莉.Tinetti平衡与步态量表在移动及平衡能力评估中的应用进展[J].中国康复医学杂志,2019,34(5):601-606.DOI:10.3969/j.issn.1001-1242.2019.05.023.
[7] 朱敏芳,周宏珍.脑卒中居家主要照顾者需求及影响因素分析[J].护理学杂志,2019,19(26):1-6.DOI:10.16460/j.issn1008-9969.2019.19.001.
[8] 李红云. 配偶参与式注意力训练对中老年脑卒中后认知功能障碍的康复效果研究[J].护理实践与研究, 2019,18(6):153-155.DOI:10.3969/j.issn.1672-9676.2019.18.063.
[9] 潘秀玲,徐祝丽,黄勤兰.配偶参与注意力训练对中年脑卒中患者认知功能的影响[J]. 护理学杂志,2017,(32)19:22-24.DOI:10.3870/j.issn.1001-4152.2017.19.022.
[10] 柳竹,冯涛,马惠姿.脑卒中后大脑重构的研究进展[J].中华老年心脑血管病杂志,2017, 19(6):667-669. DOI:10.3969/j.issn.1009-0126.2017.06.031.
[11] 戴兴鸿,尹碧昌,陶小平.注意力焦点策略对短跑专项力量训练效果及能量节省化影响的实验研究[J].成都体育学院学报,2018,44(16):98-103.
[12] 李文思,刘云发.注意焦点对运动技能表现影响的研究综述[J].辽宁体育科技学报,2018, 40(4):74-78.
[13] Marques BL, Carvalho GA, Freitas EMM,et al.The Role of Neurogenesis in Neurorepair after Stroke[J]. Semin Cell Dev Biol,2019,95(29):98-110. DOI:10.1016/j.semcdb.2018.12.003.
[14] 张冰倩. 脑卒中患者延续护理的研究进展[J].国际护理学杂志,2017,36(11):1441-1445.DOI:10.3760/cma.j.issn.1673-4351.2017.11.001.
[15] 唐玉珍,唐雪,张晓莺.团体治疗对脑卒中患者疾病知晓率、焦虑抑郁症状、日常生活能力提高的效果评价[J].脑与神经疾病杂志,2017,25(4):208-211.
[16] 章惠英,陈蓄,章雅青.运动想象指导语的制订及用于脑卒中偏瘫患者上肢运动功能康复研究[J].护理学杂志,2016,80-83+87.DOI:10.3870/j.issn.1001-4152.2016.19.080.
[17] Wei ZZ, Zhang JY,Taylor TM,et al.Neuroprotective and Re-generativeroles of Intranasal Wnt-3a Administration after Focal Ischemic Stroke in Mice[J].J Cereb Blood Flow Metab,2018,38(3):404-421.DOI:10.1177/0271678X17702669.
[18] Bonetti D, Johnston M.Perceived Control Predicting the Recovery of Individual Specific Walking Behaviors Following Stroke: Testing Psychological Models and Constructs[J].Brit J Med Psychol, 2008,13(3):463-478.DOI:10.1348/135910707 X216648.
[19] 袁娅金,张桂仙,冉利,周宁娜.脑卒中后神经可塑性相关信号通路的研究进展[J].中华老年心脑血管病杂志, 2020,22(1):106-108.DOI:10.3969/j.issn.1009-0126.2020.01.029.
[20] 林楠,戴毅,黄颜.快速眼球运动睡眠行为障碍合并多系统萎缩病例分析[J].中国临床医生杂志,2018, 8(4):1004-1006.10.3969/j.issn.1006-9771.2012.01.007.
[21] 周琪,王岩,王蓓蓓.视觉反馈结合MOTOmed智能运动训练系统对脑卒中患者平衡以及步行能力的疗效观察[J].卒中与神经疾病,2019,18(12):186-188.DOI:10.3969/j.issn.1007-0478.2019.02.013.
[22] 段好阳,闫兆红,刘福迁,等.动态平衡训练仪中的视觉反馈任务导向性训练对脑卒中后倾斜综合征的影响[J].中华物理医学与康复杂志,2017,39(9):674-676.
[23] Alichniewicz KK, Brunner F, Klünemann HH,et al.Neural Correlates of Saccadic Inhibition in Healthy Elderly and Patients with Amnestic Mild Cognitive Impairment[J].Front Psychol,2013,23(15):467.DOI:10.1111/apt.12504.
[24] Bakst L, Fleuriet J, Mustari MJ.FEFsem Neuronal Response During Combined Volitionaland Reflexive Pursuit[J].J Vis,2017,17(5):13.DOI:10.1167/17.5.13.

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