Macqueen Bruce Duncan, Pachalska Maria, Sniegocki Maciej, Lukowicz Małgorzata, Pufal Anna
Katedra i Zakład Neurolingwistyki, Akademia Medyczna im. Ludwika Rydygiera, Bydgoszcz.
Ortop Traumatol Rehabil. 2003 Dec 30;5(6):767-80.
Background. A particularly difficult problem in the rehabilitation of patients with closed-head injuries (TBI) is executive dysfunction, i.e. difficulty in the transition from thinking to acting. The goal of this study was to evaluate the impact of premorbid sports background on the outcome of rehabilitation oriented towards executive functions.
Material and methods. This retrospective study included over 80 TBI patients treated at the authors' rehabilitation centers from 2000 to 2003, using the same program. The experimental group (E) consisted of 9 persons actively involved in sports before their accidents. The controls (group K) included 9 TBI patients not involved in sports prior to the accident, matched to the patients in group E for age, sex, and severity of coma. In addition to clinical interview and observation, we used the Clinical Test of Executive Functions and the Neurolinguistic Test of Attention as outcome measures.
Results. Our results indicated clearly that patients who had been active in sports before injury showed significantly better results in both outcome measures, though the advantage was somewhat greater on the Clinical Test of Executive Functions.
Conclusions. All the TBI patients we studied presented at baseline with serious executive dysfunction. The program of neurorehabilitation we applied showed good effects for the patients in both groups. However, those who had previously been active in sports achieved significantly better outcomes than those who had not. In planning and improving rehabilitation programs for TBI patients the possibility of a sports background should be taken under consideration.
背景。闭合性颅脑损伤（TBI）患者康复过程中一个特别棘手的问题是执行功能障碍，即从思考到行动的转换困难。本研究的目的是评估病前运动背景对以执行功能为导向的康复结果的影响。
材料与方法。这项回顾性研究纳入了2000年至2003年在作者所在康复中心接受治疗的80多名TBI患者，采用相同的治疗方案。实验组（E组）由9名在事故发生前积极参与运动的患者组成。对照组（K组）包括9名事故发生前未参与运动的TBI患者，在年龄、性别和昏迷严重程度方面与E组患者相匹配。除了临床访谈和观察外，我们还使用执行功能临床测试和注意力神经语言学测试作为结果指标。
结果。我们的结果清楚地表明，受伤前积极参与运动的患者在两项结果指标上都表现出明显更好的结果，尽管在执行功能临床测试中的优势更大一些。
结论。我们研究的所有TBI患者在基线时都存在严重的执行功能障碍。我们应用的神经康复方案对两组患者都显示出良好的效果。然而，那些之前积极参与运动的患者比未参与运动的患者取得了明显更好的结果。在规划和改进TBI患者的康复方案时，应考虑运动背景的可能性。
