Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Hand Surg Rehabil. 2023 Oct;42(5):413-418. doi: 10.1016/j.hansur.2023.05.006. Epub 2023 May 20.
There is growing evidence of cognitive impairment after traumatic peripheral lesions. The purpose of this study was to explore the association between cognitive function and traumatic upper-limb injury. We assessed difference in cognitive function between participants with and without upper-limb injury, and explored the association between cognitive function and certain variables in injured individuals: gender, age, body mass index (BMI), educational level, and occupation. We sought to identify the factors associated with cognitive function in injured subjects: time since injury, injury side, nerve injury, hand function, pain, and finger sensation.
A cross-sectional observational study was conducted, with 2 groups: observational group (with traumatic upper-limb injury) and control group (uninjured). The 2 groups were matched for age, gender, BMI, educational level and occupation. Short-term memory and executive functions were assessed using the Rey Auditory and Verbal Learning Test (RAVLT) and Stroop Color and Word Test (SCWT), respectively.
104 participants with traumatic upper-limb injury and 104 uninjured control subjects were included. There was a significant inter-group difference only in RAVLT (p < 0.01; Cohen d, of 0.38). Regression analysis demonstrated an association of pain on VAS (beta = -0.16, p < 0.01) and touch-test (beta = 1.09, p < 0.05) with total RAVLT score (short-term memory) in injured subjects (R = 0.19, F (2, 82) = 9.54, p < 0.001).
Traumatic upper-limb injury can impact short-term memory, which should be kept in mind during rehabilitation.
创伤性周围病变后认知障碍的证据越来越多。本研究旨在探讨认知功能与上肢创伤的关系。我们评估了有和无上肢损伤的参与者之间认知功能的差异，并探讨了受伤个体认知功能与某些变量之间的关系：性别、年龄、体重指数（BMI）、教育水平和职业。我们试图确定与受伤者认知功能相关的因素：受伤时间、受伤侧、神经损伤、手功能、疼痛和手指感觉。
进行了一项横断面观察性研究，分为观察组（创伤性上肢损伤）和对照组（无损伤）。两组在年龄、性别、BMI、教育水平和职业方面相匹配。使用 Rey 听觉和言语学习测试（RAVLT）和 Stroop 颜色和单词测试（SCWT）分别评估短期记忆和执行功能。
共纳入 104 例创伤性上肢损伤患者和 104 例无损伤对照组患者。仅在 RAVLT 中存在显著的组间差异（p < 0.01；Cohen d，为 0.38）。回归分析表明，VAS 上的疼痛（beta = -0.16，p < 0.01）和触觉测试（beta = 1.09，p < 0.05）与受伤者的总 RAVLT 评分（短期记忆）呈正相关（R = 0.19，F（2, 82）= 9.54，p < 0.001）。
创伤性上肢损伤会影响短期记忆，这在康复过程中应予以重视。
