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与对照组相比,颈部肌张力障碍患者表现出认知能力和视觉规划能力下降。

Patients with Cervical Dystonia Demonstrated Decreased Cognitive Abilities and Visual Planning Compared to Controls.

作者信息

Bastos Marina S C, Nickel Renato, Camargo Carlos H F, Teive Hélio A G

机构信息

Neurological Diseases Group, Graduate Program in Internal Medicine, Internal Medicine Department, Hospital de Clínicas Federal University of Paraná Curitiba Brazil.

Occupational Therapy Department Federal University of Paraná Curitiba Brazil.

出版信息

Mov Disord Clin Pract. 2021 Jun 19;8(6):904-910. doi: 10.1002/mdc3.13259. eCollection 2021 Aug.

DOI:10.1002/mdc3.13259
PMID:34405098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8354073/
Abstract

BACKGROUND

Cervical dystonia (CD) involves clinical and motor manifestations, and visual and cognitive dysfunctions may also be frequent.

OBJECTIVE

To evaluate functional vision, visual attention, and cognitive aspects in patients with CD compared with a control group.

METHODS

Fifty patients with CD were assessed using the Useful Field of View Test (UFOV), the Mini Mental State Examination (MMSE), and the Trail Making Tests (TMT-A and TMT-B), and compared with an identical number of health controls matched by sex, age, and educational level.

RESULTS

No differences were seen between the groups in terms of MMSE score ( = 0.481), but the CD patient group had poorer scores for the TMA-A ( = 0.004) and TMT-B ( = 0.004). For the UFOV subtests, a decrease was found for visual processing speed ( < 0.001), divided attention ( < 0.001), and selective attention ( = 0.001), as well as higher frequency in the categories with higher risk index in the UFOV test ( < 0.001).

CONCLUSION

Patients with CD may exhibit decreased functional vision and visual attention, as well as higher risk in performing complex activities.

摘要

背景

颈部肌张力障碍(CD)涉及临床和运动表现,视觉和认知功能障碍也可能很常见。

目的

与对照组相比,评估CD患者的功能性视力、视觉注意力和认知方面。

方法

使用有用视野测试(UFOV)、简易精神状态检查表(MMSE)和连线测验(TMT - A和TMT - B)对50例CD患者进行评估,并与相同数量的按性别、年龄和教育水平匹配的健康对照者进行比较。

结果

两组在MMSE评分方面未见差异(P = 0.481),但CD患者组在TMA - A(P = 0.004)和TMT - B(P = 0.004)上得分较低。对于UFOV子测试,发现视觉处理速度(P < 0.001)、分散注意力(P < 0.

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