Yu Huixian, Zhang Qianqian, Liu Sihao, Liu Changbin, Dai Pei, Lan Yue, Xu Guangqing, Zhang Hao
School of Rehabilitation, Capital Medical University, China Rehabilitation Research Center, Beijing 100068, China.
Department of Rehabilitation Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100060, China.
Evid Based Complement Alternat Med. 2021 Oct 12;2021:3051750. doi: 10.1155/2021/3051750. eCollection 2021.
The purpose of the study was to observe the effects of executive dysfunction (ED) on gait and postural control during walking after stroke.
In this study, 34 subjects with stroke and ED (8 women and 26 men; age, 55.41 ± 7.89 years; time since stroke onset, 1.3 ± 0.12 months) were recruited. Stroop color-word test (SCWT), 10-meter walk test (10MWT), timed-up-and-go test (TUGT), and gait analysis were evaluated. The correlation among the correct number of Stroop tasks (SCWT-C), the number of time-consuming tasks (SCWT-T), the amount of interference (SIE-M and SIE-T) and posture control, and gait-related parameters was analyzed.
The results indicated that SCWT-C was negatively correlated with 10MWT, TUGT, and bilateral symmetry ( < 0.05). However, there was no significant correlation between SCWT-C and stride ( > 0.05). A significant negative correlation was seen between SCWT-C and bilateral symmetry ( < 0.05). There was no significant correlation between SCWT-T and stride ( > 0.05). SCWT-T was positively correlated with TUGT, 10MWT, and bilateral symmetry ( < 0.05). SIE-T was positively correlated with TUGT and bilateral symmetry ( < 0.05). There was no significant correlation between SIE-T and 10MWT or stride ( > 0.05). SIE-M was positively correlated with TUGT and bilateral symmetry ( < 0.05). There was no significant correlation between SIE-T and 10MWT or stride ( > 0.05).
ED is closely related to the decline in postural control and the occurrence of falls. In the early phases of stroke rehabilitation, physiotherapists should focus on the patients' executive function to accelerate the recovery of postural control.
本研究旨在观察执行功能障碍（ED）对中风后行走时步态和姿势控制的影响。
本研究招募了34名患有中风和执行功能障碍的受试者（8名女性和26名男性；年龄，55.41±7.89岁；中风发病后的时间，1.3±0.12个月）。对 Stroop 颜色-文字测试（SCWT）、10米步行测试（10MWT）、定时起立行走测试（TUGT）和步态分析进行了评估。分析了 Stroop 任务正确数（SCWT-C）、耗时任务数（SCWT-T）、干扰量（SIE-M 和 SIE-T）与姿势控制以及步态相关参数之间的相关性。
结果表明，SCWT-C 与 10MWT、TUGT 和双侧对称性呈负相关（<0.05）。然而，SCWT-C 与步幅之间无显著相关性（>0.05）。SCWT-C 与双侧对称性之间存在显著负相关（<0.05）。SCWT-T 与步幅之间无显著相关性（>0.05）。SCWT-T 与 TUGT、10MWT 和双侧对称性呈正相关（<0.05）。SIE-T 与 TUGT 和双侧对称性呈正相关（<0.05）。SIE-T 与 10MWT 或步幅之间无显著相关性（>0.05）。SIE-M 与 TUGT 和双侧对称性呈正相关（<0.05）。SIE-T 与 10MWT 或步幅之间无显著相关性（>0.05）。
执行功能障碍与姿势控制能力下降和跌倒的发生密切相关。在中风康复的早期阶段，物理治疗师应关注患者的执行功能，以加速姿势控制的恢复。
