Motor Function and Activities of Daily Living Recovery after Cardiogenic Internal Carotid Artery Infarction: A Retrospective Cohort study
Motor Function and Activities of Daily Living Recovery after Cardiogenic Internal Carotid Artery Infarction: A Retrospective Cohort study
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心源性颈内动脉梗死后的运动功能和日常生活活动恢复：一项回顾性队列研究
DOI：
10.1016/j.jstrokecerebrovasdis.2021.105734
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发表时间：
2021
影响因子：
2.5
通讯作者：
Fujii Hiromi
中科院分区：
文献类型：
--
作者：
Suzuki Yumi;Tsubakino Sachiko;Fujii Hiromi
Objectivesthis study determines recovery in physical activity and activities of daily living in the early stages after cardiogenic internal carotid artery infarction.Materials and methodsthis retrospective comfort study compared assessment data for 334 patients：150例患者患有动脉粥样硬化性梗死心源性梗死180例（颈内动脉梗死32例，大脑中动脉梗死148例）。我们使用Brunnstrom恢复评分，姿势评估量表中风，和功能独立measure.Resultson初步评估，Brunnstrom恢复中位数为心源性颈内动脉梗死组的I-II在上肢，I在手指，I-II在下肢，和IV或更高的所有其他组。心源性颈内动脉梗死组卒中体位评估量表评分的中位数为0分;所有其他组评分均为14分或更高。心源性颈内动脉梗死组的中位功能独立性测量值为18（最大值为100），其他梗死组的中位评分为25-50（最大值为126），P <0.01。一个月后，心源性颈内动脉梗死组的最终评估结果远低于其他组。仅比较了两种颈内动脉梗死。动脉粥样硬化性梗死显示恢复跨评估，除了理解，发病，和记忆（P<0.01），和心源性梗死没有改变，从最初的评估在所有标准assessed.Conclusionsadapting心源性颈内动脉梗死作为中风恢复模型是困难的。
Objectivesthis study determines recovery in physical activity and activities of daily living in the early stages after cardiogenic internal carotid artery infarction.Materials and methodsthis retrospective comfort study compares assessment data for 334 patients: 150 patients had atherosclerotic infarction (67 internal carotid artery, 87 middle cerebral artery) and 180 had cardiogenic infarction (32 internal carotid artery infarction, 148 middle cerebral artery). We used Brunnstrom recovery score, posture assessment scale for stroke, and functional independence measure.Resultson initial assessment, median Brunnstrom recovery for the cardiogenic internal carotid artery infarction group was I–II in the upper limb, I in the finger, I–II in the lower limb, and IV or higher in all other groups. The median Postural Assessment Scale for Stroke score for the cardiogenic internal carotid artery infarction group was 0; all other groups scored 14 or higher. The median Functional Independence Measure for the cardiogenic internal carotid artery infarction group was 18 (maximum of 100) and the median score for other infarct groups was 25–50 (maximum 126), withP< .01. After a month, final assessment results for the cardiogenic internal carotid artery infarction group were much lower than for the other groups. Only both internal carotid artery infarctions were compared. Atherosclerotic infarctions showed recovery across assessments, except understanding, onset, and memory (P< .01), and cardiogenic infarctions did not change from the initial assessment in all criteria assessed.Conclusionsadapting cardiogenic internal carotid artery infarction as a stroke recovery model is difficult.