Kim Jin-Seop, Yi Seung-Ju
Department of Physical Therapy, Andong Science College.
J Phys Ther Sci. 2013 Aug;25(8):1007-9. doi: 10.1589/jpts.25.1007. Epub 2013 Sep 20.
[Purpose] The aim of this study was to compare two-point discrimination (TPD) perception in stroke patients with diabetes mellitus (DM) and without diabetes mellitus (non-DM). [Subjects] The subjects were 53 poststroke hemiparetic patients (21 stroke patients with DM; 32 stroke patients without DM). [Methods] TPD was measured on the tips of the first through fifth fingers on both the affected and unaffected sides. [Result] Comparison of TPD between fingers on the unaffected side and affected side fingers showed significantly poorer responses in all five fingers on the affected side. TPD was also significantly poorer in the DM group compared with the non-DM group in all five fingers on the affected side, but no differences were observed for the unaffected side. [Conclusion] These findings suggest that TPD was significantly poorer in the fingers on the affected side vs. the unaffected side in poststroke hemiparetic patients. DM caused a significantly poorer TPD in the fingers on the affected side in poststroke patients but had no significant effect on the fingers on the unaffected side.
[目的]本研究旨在比较糖尿病(DM)合并脑卒中患者与非糖尿病(非DM)脑卒中患者的两点辨别觉(TPD)。[对象]研究对象为53例脑卒中后偏瘫患者(21例糖尿病合并脑卒中患者;32例非糖尿病脑卒中患者)。[方法]在患侧和健侧的示指至小指指尖测量TPD。[结果]健侧手指与患侧手指的TPD比较显示,患侧所有五指的反应明显较差。患侧所有五指的TPD在糖尿病组也明显低于非糖尿病组,但健侧未观察到差异。[结论]这些结果表明,脑卒中后偏瘫患者患侧手指的TPD明显低于健侧。糖尿病导致脑卒中患者患侧手指的TPD明显降低,但对健侧手指无明显影响。