Lubart Alisa A, Leibovitz Arthur I, Peleg Liora D, Yarovoy Alexandra I, Gal Gilad O, Mizrahi Eliyahu H, Lubart Emily N
1The George S. Wise Faculty of Life Sciences, Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. 2Shmuel Harofeh Geriatric Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. 3School of Behavioral Sciences, Tel Aviv-Jaffa Academic College, Tel Aviv, Jaffa, Israel.
J Geriatr Phys Ther. 2017 Jun 21. doi: 10.1519/JPT.0000000000000136.
Motor rehabilitation following stroke is a demanding challenge in search for new strategies to improve outcome. Rehabilitation through action observation has been reported beneficial for older adults recovering from stroke. Early sleep session following motor learning enhanced the performance of the acquired motor skills. The purpose of this study was to examine whether an early sleep session following action observation has benefit over action observation alone in the rehabilitation of older adults after stroke.
Twenty patients with paresis of dominant upper limb in first ischemic stroke were assigned to 2 study groups (10 subjects each). The participants were presented a 5-minute video film of phone operation. Participants of the intervention group had a sleep session of 90 to 120 minutes immediately following the film while control participants did not sleep. Identical procedure was repeated for 4 consecutive sessions (4 weeks). A single item of the Chedoke Arm and Hand Activity Inventory was used as rehabilitation's outcome measure.
During the 4 weeks of the study, the performances of both groups improved but the intervention group had higher Chedoke Arm and Hand Activity Inventory scores, as indicated by a significant session by group interaction (P < .001).
An early sleep session added to action observation therapy may significantly improve motor performances of patients with stroke. Further studies are required to support this method for inclusion in rehabilitation arsenal.
中风后的运动康复是一项艰巨的挑战，需要寻找新的策略来改善预后。据报道，通过动作观察进行康复训练对中风康复的老年人有益。运动学习后的早期睡眠有助于提高所习得运动技能的表现。本研究旨在探讨在中风后的老年人康复中，动作观察后进行早期睡眠是否比单纯动作观察更有益。
将20例首次缺血性中风导致优势上肢麻痹的患者分为2个研究组（每组10名受试者）。向参与者播放一段5分钟的手机操作视频。干预组的参与者在观看视频后立即进行90至120分钟的睡眠，而对照组的参与者不睡觉。连续4节（4周）重复相同的程序。使用Chedoke手臂和手部活动量表的单个项目作为康复的结果指标。
在研究的4周内，两组的表现均有所改善，但干预组的Chedoke手臂和手部活动量表得分更高，组间交互作用有显著差异表明了这一点（P <.001）。
在动作观察疗法中加入早期睡眠可能会显著改善中风患者的运动表现。需要进一步的研究来支持将这种方法纳入康复手段。
