Shah Surya, Holmes Mike, Leisman Gerry
The University of Tennessee, Health Science Center, Memphis, TN 38163, USA.
Int J Neurosci. 2007 May;117(5):711-31. doi: 10.1080/00207450600773921.
This article compares performance times on the Figure Ground Perception (FGP) of the Sensory Integration and Praxis Tests (SIPT) in persons with stroke-induced hemiplegia and unimpaired older persons. Two hundred and twelve right dominant persons with hemiplegia on admission and discharge from comprehensive rehabilitation and 321 neurologically unimpaired persons in the community were evaluated on the FGP subtests of the SIPT. There were significant differences in performance between unimpaired persons and those with hemiplegia following a stroke. Among the persons with stroke-induced hemiplegia, performance on discharge was significantly better than on admission across all five FGP subtests. Age, sex, and severity of hemiplegia also affected performance on specific subtests; the influence of laterality was significant in persons with right hemispheric lesions; and persons with Wernicke's aphasia performed more poorly. Although further investigation is clearly needed, the association of increasing age (particularly males 75 years and over), severity of hemiplegia, and presence of aphasia on FGP performance suggest that these factors should be considered in the development of rehabilitation programs for stroke patients.
本文比较了中风导致偏瘫的患者与未受损伤的老年人在感觉统合与运用测验（SIPT）的图形背景感知（FGP）测试中的表现时间。对212名入院和出院时均为右利手且患有偏瘫的患者进行了全面康复治疗，并对社区中321名神经功能未受损的人进行了SIPT的FGP子测试评估。未受损者与中风后偏瘫者的表现存在显著差异。在中风导致偏瘫的患者中，所有五项FGP子测试的出院时表现均明显优于入院时。年龄、性别和偏瘫严重程度也会影响特定子测试的表现；右侧半球病变患者的偏侧性影响显著；患有韦尼克失语症的患者表现更差。尽管显然需要进一步研究，但年龄增长（尤其是75岁及以上男性）、偏瘫严重程度和失语症与FGP表现之间的关联表明，在制定中风患者康复计划时应考虑这些因素。
