《中国康复理论与实践》

中国康复理论与实践 >

2017 , Vol. 23 >Issue 3: 249 - 252

DOI: https://doi.org/10.3969/j.issn.1006-9771.2017.03.001

认知功能康复

脑卒中患者心理旋转能力与视空间认知能力的关系

  • 刘华 ,
  • 杜晓霞 ,
  • 孙蓉 ,
  • 王强 ,
  • 荣湘江 ,
  • 宋鲁平 ,
  • 张通
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  • 1.首都体育学院运动康复学教研室,北京市 100191;
    2.首都医科大学康复医学院,北京市 100068;
    3.中国康复研究中心北京博爱医院,北京市 100068。
刘华(1978-),女,汉族,湖北武穴市人,博士,讲师,主要研究方向：康复新方法及机制研究、运动损伤康复的机制研究。E-mail: liuhua@cupes.edu.cn。

收稿日期: 2016-12-05

  网络出版日期: 2017-03-31

基金资助

1.北京市科技创新服务能力建设–科研计划课题(No.KM201610029001); 2.首都体育学院科研基地建设–科技创新平台项目(No.15516017)

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Characteristics of Mental Rotation in Stroke Patients and Relationship with Visual-spatial Cognitive Function

  • LIU Hua ,
  • DU Xiao-xia ,
  • SUN Rong ,
  • WANG Qiang ,
  • RONG Xiang-jiang ,
  • SONG Lu-ping ,
  • ZHANG Tong
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  • 1. Capital University of Physical Education and Sports, School of Kinesiology and Health, Beijing 100191, China;
    2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
    3. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received date: 2016-12-05

  Online published: 2017-03-31

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摘要

目的探索脑卒中患者心理旋转反应特点,以及心理旋转特征与视空间认知功能的关系。方法2012年3月至2013年10月,选取30例脑卒中住院患者作为实验组,招募30名正常人作为对照组,进行手心理旋转任务测试以及蒙特利尔认知评估量表(MoCA)视空间与执行功能部分测试。结果实验组手心理旋转任务反应时显著长于对照组(F=95.6, P<0.001);随着旋转角度增加,两组反应时均延长,旋转180°所需的反应时最长(F=345.672, P<0.001)。实验组手心理旋转任务正确率低于对照组(F=6.444, P<0.05);随着旋转角度增加,两组正确率均降低,旋转180°的正确率最低(F=102.911, P<0.001)。实验组各旋转角度反应时与MoCA视空间认知评分负相关(P<0.05),各旋转角度正确率与视空间认知评分正相关(P<0.05)。结论脑卒中患者心理旋转能力受损,但反应方式与正常人相似。脑卒中患者的手心理旋转能力与视空间认知能力相关。

关键词： 脑卒中; 心理旋转; 运动想象; 视空间认知

本文引用格式

刘华 , 杜晓霞 , 孙蓉 , 王强 , 荣湘江 , 宋鲁平 , 张通 . 脑卒中患者心理旋转能力与视空间认知能力的关系[J]. 中国康复理论与实践, 2017 , 23(3) : 249 -252 . DOI: 10.3969/j.issn.1006-9771.2017.03.001

Abstract

ObjectiveTo investigate the characteristics of mental rotation in stroke patients and the relationship between mental rotation and visual-spatial cognitive function. MethodsFrom March, 2012 to October, 2013, 30 stroke patients were selected as experimental group and 30 healthy subjects as control group. They were tested with hand mental rotation task, and assessed with visuospatial abilities from Montreal Cognitive Assessment (MoCA). ResultsThe reaction time of hand mental rotation task was significantly longer in the experimental group than in the control group (F=95.6, P<0.001). The reaction time was longer with the increase of rotation angle in both groups, and was the longest as 180° of rotation (F=345.672, P<0.001). The response accuracy rate of hand mental rotation task was significantly lower in the experimental group than in the control group (F=6.444, P<0.05). The response accuracy rate was lower with the increase of rotation angle in both groups, and was the least as 180° of rotation (F=102.911, P<0.001). The reaction time negatively correlated with the score of visuospatial abilities, while the response accuracy rate positively correlated with it in the stroke patients (P<0.05). ConclusionThe mental rotation ability is impaired in stroke patients, however, the respondent pattern is similar to healthy people. The mental rotation ability is correlated with visual-spatial cognitive functions in stroke patients.

Key words： stroke; mental rotation; motor imagery; visual-spatial cognition

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