Department of Rehabilitation Medicine, College of Medicine, Yeoungnam University, Daegu, 42415, Republic of Korea.
Department of Rehabilitation Medicine, Daegu Fatima Hospital, Daegu, 41199, Republic of Korea.
J Integr Neurosci. 2020 Sep 30;19(3):405-411. doi: 10.31083/j.jin.2020.03.175.
Impaired motor function is a common disabling sequela after stroke. It is closely associated with the patient's quality of life and independence. Neuropsychological dysfunctions also frequently occur in stroke patients. In this paper, we evaluate the relationship between the recovery of motor function and neuropsychological functions, including cognition, language, emotion, behavior, personality, and social interaction, to provide appropriate and effective therapy for stroke patients. Motor function, neuropsychological status, social functioning, as well as emotional aspects such as depression and anxiety symptoms, were initially evaluated one month after cerebral infarction onset. The evaluations were repeated three months after the onset. Motor function was assessed with the Modified Barthel Index. The neuropsychological status was evaluated using the Mini-Mental State Examination, Global Deterioration Scale, digit span test, Korean-Boston Naming Test, Vineland Social Maturity Scale, Neuropsychiatric Inventory, Beck's Depression Inventory, and Beck Anxiety Inventory. In the results, the Modified Barthel Index, Mini-Mental State Examination, Global Deterioration Scale, digit span test, and Vineland Social Maturity Scale were significantly different between the two-time points ( < 0.05). Initial Social Maturity Scale Social Age and Social Maturity Scale Social Quotient categories of the Vineland Social Maturity Scale and Mini-Mental State Examination scores were significantly correlated with Modified Barthel Index improvement ( < 0.05). The amount of change in the Social Maturity Scale Social Age and Social Maturity Scale Social Quotient scores was significantly correlated with Modified Barthel Index improvement ( < 0.05). In multiple linear regression analysis, only the initial Social Maturity Scale Social Quotient score and the amount of score change in Social Maturity Scale Social Quotient showed a significant correlation with Modified Barthel Index improvement ( < 0.05). Social function and interaction are important in motor recovery of ischemic stroke patients.
运动功能障碍是中风后常见的致残后遗症，与患者的生活质量和独立性密切相关。中风患者也常伴有神经心理功能障碍。本文旨在评估运动功能恢复与认知、语言、情绪、行为、个性和社会交往等神经心理功能的关系，为中风患者提供合适有效的治疗方法。在脑梗死发病后 1 个月对运动功能、神经心理状态、社会功能以及抑郁和焦虑等情绪方面进行初步评估，发病 3 个月后重复评估。采用改良巴氏指数（MBI）评估运动功能，采用简易精神状态检查量表（MMSE）、总体衰退量表（GDS）、数字跨度测验、韩国波士顿命名测验、韦氏儿童智力量表社会成熟量表、神经精神问卷（NPI）、贝克抑郁量表（BDI）和贝克焦虑量表（BAI）评估神经心理状态。结果显示，改良巴氏指数（MBI）、简易精神状态检查量表（MMSE）、总体衰退量表（GDS）、数字跨度测验和韦氏儿童智力量表社会成熟量表在两个时间点的差异均有统计学意义（ < 0.05）。韦氏儿童智力量表社会成熟量表的初始社会成熟量表社会年龄和社会成熟量表社会商以及简易精神状态检查量表评分与改良巴氏指数改善呈显著相关性（ < 0.05）。社会成熟量表社会年龄和社会成熟量表社会商评分的变化量与改良巴氏指数改善呈显著相关性（ < 0.05）。多元线性回归分析显示，仅初始社会成熟量表社会商和社会成熟量表社会商评分变化量与改良巴氏指数改善呈显著相关性（ < 0.05）。社会功能和互动在缺血性中风患者的运动功能恢复中非常重要。
