Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke

CHEN Meigui; MEI Bin; XIE Fei; SHANG Qiaomei; CHEN Xiong; CHEN Jianguo

doi:10.14188/j.1671-8852.2024.0228

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Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke

更新时间：2026-11-06

- Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke
- Medical Journal of Wuhan University Vol. 46, Issue 12, Pages: 1639-1644(2025)
- 作者机构：
  
  1.武汉大学中南医院神经内科湖北武汉 430071
  2.湖北省钟祥市中医院脑病三区湖北钟祥 431900
  3.西安交通大学电子与信息学部陕西西安 710061
  4.湖北中医药大学附属医院神经内科湖北武汉 430074
- 作者简介：
- 基金信息：
- DOI：10.14188/j.1671-8852.2024.0228
  CLC： R743.31
- Received：05 April 2024，
  
  Published：25 December 2025
- 稿件说明：
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陈美桂,梅斌,谢斐等.循证理念指导的认知⁃运动双重任务训练对青年首发缺血性脑卒中偏瘫患者肢体运动功能的影响[J].武汉大学学报（医学版）,2025,46(12):1639-1644.

CHEN Meigui,MEI Bin,XIE Fei,et al.Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke[J].Medical Journal of Wuhan University,2025,46(12):1639-1644.
陈美桂,梅斌,谢斐等.循证理念指导的认知⁃运动双重任务训练对青年首发缺血性脑卒中偏瘫患者肢体运动功能的影响[J].武汉大学学报（医学版）,2025,46(12):1639-1644. DOI： 10.14188/j.1671-8852.2024.0228.

CHEN Meigui,MEI Bin,XIE Fei,et al.Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke[J].Medical Journal of Wuhan University,2025,46(12):1639-1644. DOI： 10.14188/j.1671-8852.2024.0228.

摘要

目的

探究循证理念指导的认知⁃运动双重任务训练对青年首发缺血性脑卒中（FIS）偏瘫患者肢体运动功能的影响。

方法

选取2020年3月—2023年3月期间武汉大学中南医院收治的76例青年FIS偏瘫患者，采用随机数字表法将患者分为2组，各38例。对照组进行常规单任务康复训练，观察组进行循证理念指导的认知⁃运动双重任务训练。干预前、干预1周及干预1个月后评估认知功能[简易精神状态检查量表（MMSE）及蒙特利尔认知评估量表（MoCA）]、肢体运动功能[Fugl⁃Meyer运动量表（FMA）]及日常生活能力，统计并发症发生情况。

结果

观察组干预1周、1个月后的MoCA、MMSE评分、FMA量表上肢评分、下肢评分及Barthel指数均高于对照组（

0.05）；两组患者干预1周、1个月后的MoCA、MMSE评分及FMA量表上肢评分、下肢评分及Barthel指数均高于干预前，且干预1个月后更高（

0.05）；观察组术后并发症发生率（7.89%）低于对照组（26.32%

0.05）。

结论

循证理念指导的认知⁃运动双重任务训练能够改善青年FIS偏瘫患者认知功能，提高患者肢体运动功能及日常生活能力，减少护理期间并发症的发生。

Abstract

Objective

To explore the effect of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with first⁃episode ischemic stroke (FIS) hemiplegia.

Methods

A total of 76 young patients with FIS hemiplegia admitted to Zhongnan Hospital of Wuhan University from March 2020 to March 2023 were enrolled. The patients were divided into two groups

with 38 cases in each group. The control group underwent routine single⁃task rehabilitation training

and the observation group underwent evidence⁃based cognitive⁃motor dual⁃task training. Before intervention

one week after intervention

and one month after intervention

respectively

the patients' cognitive function （MMSE and Montreal Cognitive Assessment Scale [MoCA]）

motor function （Fugl⁃Meyer assessment [FMA]）

and daily living ability were assessed

and the incidence of complications was counted.

Results

The MoCA and MMSE scores

the upper limb and lower limb scores of the FMA scale and the Barthel index of the observation group were higher than those of the control group after one week or one month of intervention (

0.05). Compared with those at baseline

the MoCA and MMSE scores

the upper limb and lower limb scores of the FMA scale and the Barthel index after one week or one month of intervention were increased

with further improvement at one month (

0.05). The incidence of postoperative complications in the observation group (7.89%) was lower than that in the control group (26.32%

0.05).

Conclusion

Evidence⁃based cognitive⁃motor dual⁃task training can improve the cognitive function of young patients with FIS hemiplegia

enhance their limb motor function and daily living ability

and reduce the occurrence of complications during treatment.

关键词

Keywords

references

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