Korchut Aleksander, Sternal Danuta, Krzemińska Sylwia, Marcisz-Dyla Ewa, Bąk Ewelina
DSW University of Lower Silesia, 53-609 Wroclaw, Poland.
Faculty of Health Sciences, University of Bielsko-Biala, 43-300 Bielsko-Biala, Poland.
J Clin Med. 2025 Mar 20;14(6):2122. doi: 10.3390/jcm14062122.
The aim of this study was to determine the performance of cognitive and psychomotor functions in patients after ischemic stroke, taking into account the effectiveness of early and late rehabilitation. The study included 86 patients with ischemic stroke hospitalized in the Neurological Rehabilitation Unit. The patients were divided into two groups according to the timing of rehabilitation, considering early rehabilitation which started within 30 days of hospital discharge (56 patients), and late rehabilitation which started after 30 days of hospital discharge (30 patients). Cognitive and psychomotor functions were measured in all the study patients using the Integrated System for the Measurement of Psychophysiological Variables called Polypsychograph, including tests assessing memory, attention, eye-hand coordination, and reaction speed. The measurements were repeated after 21 days of post-stroke rehabilitation. Early rehabilitation led to significant improvements in most of the parameters studied, including memory, attention, speed of thinking, and precision of movement. Late rehabilitation was followed by an improvement in the results of the indicators studied to a lesser extent than the early rehabilitation. Improvements in temporal and qualitative parameters were observed in both groups of patients undergoing early and late rehabilitation. In patients after ischemic stroke, early rehabilitation improved cognitive and psychomotor performance to a greater extent than late rehabilitation.
本研究的目的是在考虑早期和晚期康复效果的情况下，确定缺血性中风患者的认知和心理运动功能表现。该研究纳入了86名在神经康复科住院的缺血性中风患者。根据康复时间将患者分为两组，早期康复是在出院后30天内开始（56例患者），晚期康复是在出院后30天之后开始（30例患者）。使用名为多心理记录仪的心理生理变量综合测量系统，对所有研究患者的认知和心理运动功能进行测量，包括评估记忆、注意力、眼手协调和反应速度的测试。在中风后康复21天后重复测量。早期康复使大多数研究参数有显著改善，包括记忆、注意力、思维速度和运动精度。晚期康复后，所研究指标的结果改善程度低于早期康复。在接受早期和晚期康复的两组患者中，均观察到时间和质量参数的改善。在缺血性中风患者中，早期康复比晚期康复在更大程度上改善了认知和心理运动表现。
