心理旋转试验在脑卒中患者运动表象能力评估中的应用

doi:10.3969/j.issn.1006-9771.2020.07.015

Abstract

Abstract:

Objective To study the judgment strategies of stroke patients facing different visual stimulus and the main factors affecting the mental rotation test results. Methods From May to October, 2018, 15 stroke patients and 15 age-sex-education-matched healthy controls accepted standard software-based mental rotation tests with four kinds of visual stimulus: hand back, hand palm, Chinese characters and alphabets. Reaction time and response accuracy were recorded. All the subjects were assessed with Montreal Cognitive Assessment (MoCA), and the patients were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE) additionally. Results When hand back, hand palm and alphabets worked as visual stimulus, the response accuracy was less in the patients than in the controls (F > 7.027, P < 0.05). For all the tests, the reaction time was more in the patients than in the controls ( F > 14.827, P < 0.001). The main effect of rotation angle was significant to reaction time when picture of hands as visual stimulus ( F > 7.747, P < 0.001), while it was the least at 0°. The MoCA scores negatively correlated with reaction time in both groups ( r < -0.375, P < 0.05), as well as the FMA-UE scores in the patients ( r < -0.581, P < 0.05). Conclusion Different types of visual stimulus may affect the judgment strategies and results of mental rotation test. Motor imagery ability is impaired for stroke patients, however, the basic reaction model maintains somehow.

Key words: stroke, mental rotation test, motor imagery, visual stimulation, assessment

CLC Number:

R743.3

WANG He-wei,WANG Yun-long,LU Xiao-feng,ZHAO Si-qi,WANG Chuan-kai,DING Li,CHEN Shu-geng,WANG Ying-ying,WANG Jian-hui,JIA Jie. Application of Mental Rotation Test in Motor Imagery Ability Assessment for Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 813-819.

Figures/Tables 11

References 37

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组别	n	性别(男/女, n)	年龄(岁)	受教育年限(年)	病程(d)
对照组	15	8/7	48.73±12.48	10.87±3.76	-
患者组	15	10/5	50.87±11.42	11.27±3.52	110.20±92.71
t值		-	0.488	0.301	-
P值		0.710^a	0.629	0.766	-

组别	n	左	右
对照组	15	95.6±7.1	94.7±4.9
患者组	15	89.0±15.9	82.8±17.4

组别	n	左	右
对照组	15	96.8±4.6	97.1±3.5
患者组	15	91.3±10.9	87.1±12.2

组别	n	正	反
对照组	15	89.5±17.4	87.8±14.5
患者组	15	80.3±22.1	85.2±17.1

组别	n	正	反
对照组	15	92.2±6.2	91.2±12.4
患者组	15	79.8±23.4	80.3±14.7

Application of Mental Rotation Test in Motor Imagery Ability Assessment for Stroke Patients

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左/右	旋转角度	对照组(n = 15)	患者组(n = 15)
左	0°	1.776±0.327	2.714±1.627
	60°	2.235±0.532	3.818±2.884
	120°	2.962±0.935	5.962±5.363
	180°	3.870±1.303	9.535±8.237
	240°	2.877±0.793	6.158±5.808
	300°	2.256±0.491	3.813±2.906
右	0°	1.707±0.359	2.776±1.716
	60°	2.063±0.436	3.862±3.007
	120°	3.035±1.071	5.917±5.246
	180°	4.295±2.055	9.893±7.29
	240°	3.101±1.379	5.912±5.692
	300°	2.047±0.398	3.888±2.751

左/右	旋转角度	对照组(n = 15)	患者组(n = 15)
左	0°	2.132±0.331	2.840±1.128
	60°	2.377±0.394	3.843±1.889
	120°	3.223±0.962	6.308±4.721
	180°	2.840±0.749	4.434±2.335
	240°	2.520±0.513	3.722±1.603
	300°	2.229±0.347	2.973±1.172
右	0°	2.061±0.374	2.971±1.929
	60°	2.300±0.444	4.187±3.089
	120°	3.931±3.101	5.472±3.784
	180°	2.873±1.027	4.586±3.587
	240°	2.485±0.593	3.875±2.740
	300°	2.170±0.400	3.391±2.192

正/反	旋转角度	对照组(n = 15)	患者组(n = 15)
正	0°	1.653±0.451	2.045±0.618
	60°	1.841±0.549	3.677±2.183
	120°	1.799±0.993	4.526±4.741
	180°	2.589±1.352	3.674±2.954
	240°	1.696±0.650	3.762±4.778
	300°	2.152±0.966	3.775±2.734
反	0°	2.633±1.248	2.735±1.055
	60°	2.668±1.816	4.478±4.776
	120°	2.692±1.131	4.882±5.630
	180°	2.102±1.425	3.166±1.208
	240°	2.095±0.957	4.744±8.003
	300°	1.956±0.790	3.360±2.539

正/反	旋转角度	对照组(n = 15)	患者组(n = 15)
正	0°	1.733±0.602	2.738±1.175
	60°	2.740±1.578	4.981±5.823
	120°	2.128±0.505	5.563±8.597
	180°	1.530±0.447	3.668±4.440
	240°	2.238±0.985	3.792±4.188
	300°	2.199±1.021	4.213±3.835
反	0°	1.810±0.320	4.202±2.719
	60°	2.525±0.714	3.176±1.138
	120°	2.301±0.554	3.493±2.488
	180°	1.948±0.455	3.602±2.621
	240°	2.829±1.125	7.873±17.102
	300°	2.812±1.473	2.914±1.163

功能评定		反应时				正确率
功能评定		手背	手心	汉字	字母	手背	手心	汉字	字母
FMA-UE总分	r	-0.610	-0.581	-0.692	-0.406	0.437	0.345	0.026	0.463
FMA-UE总分	P	0.016	0.023	0.009	0.215	0.104	0.207	0.932	0.130
MoCA总分	r	-0.531	-0.375	-0.517	-0.455	0.351	0.324	0.333	0.461
MoCA总分	P	0.003	0.041	0.006	0.026	0.057	0.080	0.089	0.020
MoCA视空间认知评分	r	-0.569	-0.408	-0.431	-0.438	0.202	0.380	0.340	0.349
MoCA视空间认知评分	P	0.001	0.025	0.025	0.032	0.283	0.038	0.082	0.087

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