MOTOR AND PERCEPTUAL IMPAIRMENTS IN ACUTE STROKE PATIENTS - EFFECTS ON SELF-CARE ABILITY
MOTOR AND PERCEPTUAL IMPAIRMENTS IN ACUTE STROKE PATIENTS - EFFECTS ON SELF-CARE ABILITY
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DOI：
10.1161/01.str.18.6.1081
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发表时间：
1987-11-01
期刊：
影响因子：
8.3
通讯作者：
FUGLMEYER, AR
中科院分区：
文献类型：
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作者：
BERNSPANG, B;ASPLUND, K;FUGLMEYER, AR
分析109例急性脑卒中患者2周内运动、知觉和部分认知功能对自我照顾能力的相对重要性。49例患者（45%）的自我护理依赖或部分依赖。39%的患者存在严重的运动功能障碍，10%的患者存在低阶知觉缺陷，60%的患者存在高阶知觉缺陷，13%的患者存在时间和空间定向障碍。运动功能与自我照顾能力、低阶知觉与定向功能之间存在显著的共变异。低阶和高阶感知仅微弱共变。判别分析表明，运动功能、低阶知觉、高阶知觉和取向4项指标能正确预测70%的患者的实际自理能力水平。最主要的预测因子是运动功能，其次是高阶知觉。当一个早期训练计划旨在减轻中风后的长期自我照顾障碍时，正确评估个体中风患者的运动和知觉功能是必不可少的。
The relative importance of motor, perceptual, and some cognitive functions for self-care ability was analyzed in a representative sample of 109 subjects within 2 weeks of acute stroke. Forty-nine patients (45%) were dependent or partly dependent in self-care. Profound motor dysfunction was present in 39%, low-order perceptual deficits in 10%, high-order perceptual deficits in 60%, and disorientation in time and space in 13% of the patients. There was a significant covariation between motor function and self-care ability and between low-order perception and orientation function. Low-order and high-order perception covaried only weakly. Discriminant analyses showed that the acual level of self-care proficiency could be correctly predicted in 70% of the cases by the 4 indexes of motor function, low-order perception, high-order perception, and orientation. The dominating predictor was motor function, and the next highest was high-order perception. When a program for early training is designed with the aim to alleviate long-term self-care disability after stroke, correct assessment of motor and perceptual functions in the individual stroke patient is essential.