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中风患者的感知功能与日常生活活动的相关性

Correlation of perceptual performance and activities of daily living in stroke patients.

作者信息

Titus M N, Gall N G, Yerxa E J, Roberson T A, Mack W

机构信息

Audie L. Murphy Memorial Veterans' Hospital, San Antonio, Texas.

出版信息

Am J Occup Ther. 1991 May;45(5):410-8. doi: 10.5014/ajot.45.5.410.

DOI:10.5014/ajot.45.5.410
PMID:2048622
Abstract

Twenty-five male stroke patients were assessed with the use of a battery of perceptual tests (Gross Visual Skills [Baum, 1981]. Adult Visual-Perceptual Assessment [Baylor University Medical Center, Occupational Therapy Department, 1980], Manikin and Feature Profile subtests of the Arthur Point Scale of Performance Tests [Arthur, 1943; Buros, 1974, 1978], Judgment of Line Orientation [Benton, Varney, & DeS. Hamsber, 1978], Bender Visual Motor Gestalt Test [Bender, 1946], Haptic Visual Discrimination Test [McCarron & Dial, 1976, 1979a, 1979b], Block Design and Object Assembly subtests of the Wechsler Adult Intelligence Scale-Revised [Wechsler, 1981], and Test of Three-Dimensional Constructional Praxis [Benton, 1973a; Benton & Fogel, 1962]). Also administered was the Klein-Bell ADL Scale (Klein & Bell, 1982) to measure performance of activities of daily living. The research questions were as follows: (a) To what extent did this sample of stroke patients differ from the nomative samples on perceptual performance? (b) To what extent did any tests of perceptual performance correlate with performance of activities of daily living? and (c) What, if any, instruments were more useful in discriminating the perceptual performance of stroke patients from that of normative samples? The results indicated that stroke patients showed significant deficits in perceptual performance, some of which correlated with activities of daily living performance. Patients with right hemispheric lesions performed similarly to those with left hemispheric lesions except on the Haptic Visual Discrimination Test.

摘要

对25名男性中风患者进行了一系列感知测试(包括总体视觉技能测试[鲍姆,1981年]、成人视觉感知评估[贝勒大学医学中心职业治疗部,1980年]、亚瑟操作量表测试中的人体模型和特征轮廓子测试[亚瑟,1943年;布罗斯,1974年、1978年]、直线方向判断测试[本顿、瓦尼和德·S·哈姆伯格,1978年]、本德尔视觉运动完形测试[本德尔,1946年]、触觉视觉辨别测试[麦卡伦和戴尔,1976年、1979年a、1979年b]、韦氏成人智力量表修订版中的积木图案和图形拼凑子测试[韦克斯勒,1981年]以及三维构建实践测试[本顿,1973年a;本顿和福格尔,1962年])。还使用了克莱因 - 贝尔日常生活活动量表(克莱因和贝尔,1982年)来测量日常生活活动表现。研究问题如下:(a)该中风患者样本在感知表现上与常模样本有多大差异?(b)感知表现的任何测试与日常生活活动表现的相关性如何?以及(c)哪些工具(如果有的话)在区分中风患者与常模样本的感知表现方面更有用?结果表明,中风患者在感知表现上存在显著缺陷,其中一些与日常生活活动表现相关。除了触觉视觉辨别测试外,右半球病变患者的表现与左半球病变患者相似。

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