Pawlukowska Wioletta, Dobrowolska Natalia, Szylinska Aleksandra, Koziarska Dorota, Meller Agnieszka, Rotter Iwona, Nowacki Przemysław
Department of Medical Rehabilitation and Clinical Physiotherapy, Pomeranian Medical University, Szczecin, Poland.
Department of Neurology, Pomeranian Medical University, Szczecin, Poland.
Ann Rehabil Med. 2020 Apr;44(2):142-150. doi: 10.5535/arm.2020.44.2.142. Epub 2020 Apr 29.
To assess the influence of cognitive therapy, in combination with cognitive software, on manual dexterity in individuals with multiple sclerosis (MS).
The Nine-Hole Peg Test (NHPT) was used to establish the eligibility of individuals with MS for testing and to assess their upper limb performance. In addition to standard upper limb rehabilitation, 20 participants received RehaCom-based visual-motor therapy, administered three times a week in 20-minute routines.
A significant relationship was found between the use of manual therapy that utilized the cognitive function platform and the improvement of the non-dominant hand (p=0.037). Compared to controls, the experimental group scored higher on the NHPT, when using the dominant hand (p=0.007). All members of the experimental group, aged ≤60 years, needed considerably less time to do the NHPT with the dominant hand (p=0.008).
Application of manual therapy using the cognitive function platform improves performance of the hand. However, further research is needed to analyze the correlation between cognitive function and motor performance in patients with MS.
评估认知疗法联合认知软件对多发性硬化症（MS）患者手部灵活性的影响。
采用九孔插钉试验（NHPT）确定MS患者的测试资格并评估其上肢功能。除了标准的上肢康复训练外，20名参与者接受了基于RehaCom的视动疗法，每周进行三次，每次20分钟。
发现利用认知功能平台的手法治疗与非优势手功能改善之间存在显著相关性（p=0.037）。与对照组相比，实验组在使用优势手时NHPT得分更高（p=0.007）。实验组中所有年龄≤60岁的成员，使用优势手完成NHPT所需时间显著减少（p=0.008）。
应用基于认知功能平台的手法治疗可改善手部功能。然而，需要进一步研究分析MS患者认知功能与运动功能之间的相关性。
