McDowd Joan M, Filion Diane L, Pohl Patricia S, Richards Lorie G, Stiers William
University of Kansas Medical Center, Occupational Therapy Education, Kansas City 66160, USA.
J Gerontol B Psychol Sci Soc Sci. 2003 Jan;58(1):P45-53. doi: 10.1093/geronb/58.1.p45.
Although stroke affects cognitive functioning as well as motor functioning, research on cognitive consequences has lagged behind that focused on motor function. The evidence that is accruing suggests that cognitive function is importantly related to successful rehabilitation. The present study examined two aspects of attentional functioning (divided attention and switching attention) in older adult stroke survivors and healthy older adults. In addition, the authors investigated the relation between attention and functional outcomes following stroke. Results revealed stroke-related deficits in both of the types of attention as well as significant associations between attentional functioning and both physical and social outcome measures. Poorer attentional performance was associated with a more negative impact of stroke on daily functioning. These findings suggest an important role for attention in post-stroke function and provide information that can contribute to improving outcomes following stroke.
虽然中风会影响认知功能和运动功能,但对认知后果的研究落后于对运动功能的研究。不断积累的证据表明,认知功能与成功康复密切相关。本研究考察了老年中风幸存者和健康老年人注意力功能的两个方面(分散注意力和注意力转换)。此外,作者还研究了中风后注意力与功能结果之间的关系。结果显示,两种注意力类型都存在与中风相关的缺陷,并且注意力功能与身体和社会结果指标之间存在显著关联。注意力表现较差与中风对日常功能的负面影响更大有关。这些发现表明注意力在中风后功能中起着重要作用,并提供了有助于改善中风后结果的信息。