[缺血性中风患者建设性活动的相互组织]
[Reciprocal organization of constructive activity in patients with ischemic stroke].
作者信息
Nikishina V B, Petrash E A
机构信息
Kursk State Medical University, Department of the Health Psychology and Сorrectional Psychology, Kursk, Russia.
出版信息
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(3. Vyp. 2):79-89. doi: 10.17116/jnevro20171173279-89.
AIM
To study the organization of reciprocal constructive activity in patients with ischemic stroke based on hemispheric localization of the lesion and the profile of lateral organization in a segment of leading hand.
MATERIAL AND METHODS
The study included 57 post-stroke patients. An experimental method and a set of neuropsychological tests were used.
RESULTS AND CONCLUSION
There was an overall decline in the parameters of constructive activity (accuracy and rate) in patients with ischemic stroke, regardless of localization of the lesion and the profile of lateral brain organization in the segment of leading hand. Constructive activities of left-handed patients with right-hemisphere stroke and right-handed patients with left-hemisphere lesions are regulated by reciprocal and dynamic organization of praxis functions. In right-handed patients with right hemisphere ischemic stroke and left-handed patients with left-hemisphere lesions, constructive activities are regulated by the kinetic-kinesthetic organization of the motor act, dynamic organization of the motor act that characterizes the reciprocal organization.
目的
基于病变的半球定位以及优势手部分的侧向组织特征，研究缺血性中风患者的相互建设性活动组织情况。
材料与方法
该研究纳入了57名中风后患者。采用了实验方法和一系列神经心理学测试。
结果与结论
缺血性中风患者的建设性活动参数（准确性和速度）总体下降，无论病变的定位以及优势手部分的大脑侧向组织特征如何。右半球中风的左利手患者和左半球病变的右利手患者的建设性活动由实践功能的相互动态组织调节。在右半球缺血性中风的右利手患者和左半球病变的左利手患者中，建设性活动由运动动作的动力 - 动觉组织调节，这种运动动作的动态组织具有相互组织的特征。
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