Motor learning following unilateral stroke

Motor learning following unilateral stroke
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DOI:
10.1016/s0003-9993(96)90262-2
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发表时间:
1996-08-01
影响因子:
4.3
通讯作者:
Hanlon, RE
Hanlon, RE
中科院分区:
医学1区
文献类型:
--
作者:
Hanlon, RE

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目的:确定不同的运动学习时间表对中风患者使用偏瘫上肢获得和保留功能性运动序列的速度的影响。设计:采用保留设计的两个保留试验的随机对照组研究。设置:门诊神经康复诊所。患者:二十-4例继发于单侧脑卒中的慢性轻偏瘫患者,无严重认知或语言障碍的证据。结果测量:实验结果表明:在情境干扰条件下,偏瘫运动记忆的保持效果优于在重复训练条件下的运动记忆。结果:情境干扰、随机训练、封闭训练和对照组在第一记忆保持上差异有显著性(χ 2 =13.50,P
Objective: To determine the effect of different motor learning schedules on stroke patients' rate of acquisition and retention of a functional movement sequence using the hemiparetic upper limb.Design: Randomized controlled group study using a retention design with two retention trials.Setting: Outpatient neurorehabilitation clinic.Patients: Twenty-four patients with chronic hemiparesis secondary to a single unilateral cerebral stroke without evidence of severe cognitive or language impairment.Main Outcome Measure: The primary hypothesis was that hemiparetic motor learning that occurred under conditions of contextual interference tie, random practice) would be retained better than learning that occurred under conditions of repetitive drill (blocked practice).Results: A significant difference was found among the three groups tie, random-practice, blocked-practice, control) on both the first retention measure (chi(2)=13.50, p