创伤性脑损伤和中风后执行功能的特征：使用参与和执行功能评估：联合横断面和纵向设计。
Profiles of executive functioning following traumatic brain injury and stroke using the assessment of participation and executive functions: combined cross-sectional and longitudinal designs.
机构信息
Department of Occupational Therapy, Faculty of Welfare and Health Sciences, University of Haifa, Israel; Department of Occupational Therapy, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.
Department of Occupational Therapy, Faculty of Welfare and Health Sciences, University of Haifa, Israel; Department of Occupational Therapy, Sheba Medical Center, Tel-Hashomer, Israel; Department of Occupation Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Israel.
出版信息
J Rehabil Med. 2024 Jan 18;56:jrm12427. doi: 10.2340/jrm.v56.12427.
OBJECTIVES
The Assessment of Participation and Executive Functions (A-PEX) evaluates executive functioning through daily participation in complex daily activities. This study examines its ability to discriminate between executive functioning profiles post-traumatic brain injury and post-stroke and its sensitivity to changes.
DESIGN
Cross-sectional with a longitudinal component.
PATIENTS
Adults with post-traumatic brain injury (n = 28) and post-stroke (n = 26) in a rehabilitation facility.
METHODS
Patients were administered the A-PEX, Multiple Errands Test-Hospital version and Color Trail Test at 2 time-points 1 month apart. The Montreal Cognitive Assessment was administered at the first time-point, and Executive Functions Performance Test's Internet-based Bill Payment subtest at the second. The analysis used Mann-Whitney and Wilcoxon signed-rank tests.
RESULTS
The stroke group's A-PEX scores were higher than the traumatic brain injury group's at the first time-point (p < 0.05). No differences were found in the other assessments. Within-group differences in both groups were significant in the A-PEX (-3.7 < r < - 2.3, p < 0.05) and Multiple Errands Test-Hospital version (-3.4 < r < -3.3, p < 0.01).
CONCLUSION
The A-PEX may provide valuable information about the uniqueness of executive functioning profiles and patients' progress.
目的
参与和执行功能评估（A-PEX）通过日常参与复杂的日常活动来评估执行功能。本研究考察了其在区分创伤性脑损伤和中风后执行功能特征方面的能力及其对变化的敏感性。
设计
具有纵向成分的横断面研究。
患者
在康复机构中患有创伤性脑损伤（n=28）和中风的成年人（n=26）。
方法
患者在 1 个月的 2 个时间点接受 A-PEX、多项差事测试-医院版和颜色追踪测试。在第一个时间点进行蒙特利尔认知评估，在第二个时间点进行执行功能表现测试的基于互联网的账单支付子测试。分析使用 Mann-Whitney 和 Wilcoxon 符号秩检验。
结果
中风组的 A-PEX 评分在第一个时间点高于创伤性脑损伤组（p<0.05）。其他评估没有差异。两个组内的差异在 A-PEX（-3.7<r<-2.3，p<0.05）和多项差事测试-医院版（-3.4<r<-3.3，p<0.01）中均有统计学意义。
结论
A-PEX 可能提供有关执行功能特征的独特性和患者进展的有价值的信息。
Zotero 插件