《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (12): 1160-1163.

• 论文 • 上一篇    下一篇

探究恢复期脑卒中患者注意力缺陷与平衡控制及跌倒的关系

钟琳晔1，刘喆2，常冬梅3,4，刘文博2   

  1. 1.首都医科大学康复医学院康复治疗专业，北京市 100068；2.北京市丰台区方庄社区卫生服务中心，北京市 100078；3.首都医科大学康复医学院，北京市 100068；4.中国康复研究中心北京博爱医院运动疗法科，北京市 100068
  • 收稿日期:2010-08-25 修回日期:2010-11-22 出版日期:2010-12-25 发布日期:2010-12-25

Relationship among Attention Deficit, Balance Control and Fall for Stroke at Chronic Stage

ZHONG Lin-ye, LIU Zhe, CHANG Dong-mei, et al   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2010-08-25 Revised:2010-11-22 Published:2010-12-25 Online:2010-12-25

PDF (PC)

摘要： 目的探究恢复期脑卒中患者注意力缺陷与平衡控制及跌倒的关系。方法选取符合入选条件的恢复期脑卒中患者40例，调查受试者的跌倒情况，统计跌倒次数；通过划销测验评价受试者的注意力水平，计算出注意力持续性指数；用Berg平衡量表评价受试者的平衡控制能力。比较注意力持续性指数、Berg评分与跌倒之间的相关性，并比较无跌倒组和跌倒组的注意力持续性指数以及Berg评分有无显著性差异。结果40例受试者中有14例发生过跌倒，跌倒发生率为35%；注意力持久性指数与平衡评分呈正相关(r=0.550，P<0.01)，注意力持久性指数与跌倒次数呈负相关(r=-0.458, P<0.01)，平衡评分与跌倒次数呈负相关(r=-0.500, P<0.01)；无跌倒组的注意力持续性指数和平衡评分明显高于跌倒组(P<0.01)。结论恢复期脑卒中患者跌倒的发生率较高；恢复期脑卒中患者注意力持续性水平与平衡控制能力有关；恢复期脑卒中患者注意力持续性水平减退和平衡控制能力下降均会增加患者的跌倒风险。

关键词: 注意力, 平衡, 跌倒, 脑卒中

Abstract: ObjectiveTo explore relationships among attention deficits, balance control and falls for stroke at chronic stage.Methods40 subjects were recruited. Fall histories were collected by Questionnaire. The Cancellation Test was used to measure sustained attention. The Berg Balance Scale (BBS) was used to measure the balance ability.Results14 subjects fell among 40 subjects, with fall rate 35%. Sustained attention scores were found to correlate with measures of balance (r=0.550, P<0.01) and with the number of fall(r=-0.458, P<0.01). Balance scores were found to correlate with the number of fall(r=-0.500, P<0.01). Scores for attention and balance for fallers were found to be significantly different from the scores of non-fallers(P=0.006, P=0.004 respectively).ConclusionHigh rate of fall can be found in stroke at chronic stage with a significant relationship among attention deficit, balance control and fall.

Key words: attention, balance, fall, stroke