文章摘要
肖仔仙，杨杨，张晶晶，李艳，饶尧，傅祯，丁浩，何秉恒，任洁歆.运动-认知双重任务对脑卒中偏瘫患者认知 及运动功能的影响[J].神经损伤功能重建,2025,(7):389-394
运动-认知双重任务对脑卒中偏瘫患者认知 及运动功能的影响
Effect of Motor-cognitive Dual Task on Cognitive and Motor Function in Stroke Patients withHemiplegia
  
DOI：
中文关键词: 运动-认知双重任务  脑卒中  认知功能  运动功能
英文关键词: motor-cognitive dual task  stroke  cognitive function  motor function
基金项目:上海市科委2022年 度“科技创新行动 计划”医学创新研 究 专 项 项 目（No. 22Y31900200）；《基 于 EEG 分 析 探 讨 rTMS 对轻度认知 障碍患者大脑皮层 功能代偿及脑网络 重组机制的研究》 （No. 20214Y005）
作者单位
肖仔仙，杨杨，张晶晶，李艳，饶尧，傅祯，丁浩，何秉恒，任洁歆 上海交通大学医学 院附属同仁医院康 复科 
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中文摘要:
      目的：探讨运动-认知双重任务训练对脑卒中偏瘫患者认知及运动功能的疗效。方法：收集26例脑卒 中偏瘫患者，随机分为运动-认知双重任务训练（motor-cognitive dual-task training，MCDT）组和序贯运动-认 知任务训练（mixed motor and cognitive training，MixT）组，每组各13例。MCDT组在运动训练的同时进行 计算任务，而MixT组先进行运动训练，再进行计算任务，每次40 min，每周5次，持续4周。分别在干预前和 干预4周后对2组患者进行蒙特利尔认知评估量表（Montreal cognitive assessment，MoCA）、起立行走计时 （Timed up and Go，TUG）、多方向性伸展测试（Multi-Directional Reach Test，MDRT）、各项步态参数以及简化 Fugl-Meyer下肢运动功能量表（Fugl-Meyer assessment scale for lower extremity，FMA-LE）评估。结果：治疗 前，2组患者的MoCA、TUG、MDRT、各项步态参数以及FMA-LE差异均无统计学意义（P＞0.05）。训练4周 后，MCDT组和MixT组的MoCA、TUG、MDRT结果及各项步态参数、FMA-LE评分均较训练前提高（P＜ 0.05），同时，MCDT组训练前后的各项指标之差较MixT组有改善（P＜0.05）。结论：运动-认知双重任务能 更有效地提高脑卒中偏瘫患者的认知和运动功能。
英文摘要:
      To explore the effects of motor-cognitive dual-task training on cognitive and motor function in stroke patients with hemiplegia. Methods: A total of 26 stroke patients with hemiplegia were collected, randomly divide them into motor-cognitive dual-task training (MCDT) group and mixed motor and cognitive task training (MixT) group, with 13 cases in each group. The MCDT group performs calculation tasks while exercising, while the MixT group first performs exercise training and then performs calculation tasks, each for 40 minutes, 5 times a week, for 4 weeks. Two groups of patients were evaluated using the Montreal Cognitive Assessment (MoCA), Timed up and Go (TUG), Multi-Directional Reach Test (MDRT), various gait parameters, and the Fugl-Meyer assessment scale for lower extremity (FMA-LE) before and after 4 weeks of intervention. Results: Before treatment, no statistically significant variations were observed in MoCA, TUG, MDRT, gait parameters, and FMA-LE between the two groups of patients (P>0.05). After 4 weeks of training, the MoCA, TUG, MDRT results, gait parameters, and FMA-LE scores of the MCDT and MixT groups were significantly improved compared to before training (P<0.05). At the same time, the differences in various indicators before and after training in the MCDT group were significantly improved compared to the MixT group (P<0.05). Conclusion: The motor-cognitive dual task training can effectively improve the cognitive and motor functions of stroke patients with hemiplegia.
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