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

陈美桂; 梅斌; 谢斐; 尚巧梅; 陈雄; 陈建国

doi:10.14188/j.1671-8852.2024.0228

您当前的位置：

首页 >

文章列表页 >

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

临床医学研究 | 更新时间：2026-11-06

- 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
- Influence of evidence⁃based cognitive⁃motor dual⁃task training on limb motor function in young patients with hemiplegia after first ischemic stroke
- 武汉大学学报（医学版） 2025年46卷第12期页码：1639-1644
- 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：
  
  陈美桂，女,1986—，主要从事神经内科疾病康复相关研究，E⁃mail:ee290798@163.com
  梅斌，男，1974—，医学博士，主任医师，主要从事脑血管病的研究，E⁃mail:neuromei20@163.com
- 基金信息：
  
  湖北中医药大学产业发展中心医养结合科创项目(YHKC⁃2021⁃03⁃326)
- DOI：10.14188/j.1671-8852.2024.0228
  中图分类号： R743.31
- 收稿：2024-04-05，
  
  纸质出版：2025-12-25
- 稿件说明：
移动端阅览
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

YANG D B , NIU C L , LI P H , et al . Study of the neutrophil percentage‑to‑albumin ratio as a biomarker for predicting recurrence of first‑episode ischemic stroke [J ] . J Stroke Cerebrovasc Dis , 2024 , 33 ( 1 ): 107485 .

TAKEBAYASHI T , TAKAHASHI K , AMANO S , et al . Robot‑assisted training as self‑training for upper‑limb hemiplegia in chronic stroke: A randomized controlled trial [J ] . Stroke , 2022 , 53 ( 7 ): 2182 ‑ 2191 .

PLUMMER P , ZUKOWSKI L A , FELD J A , et al . Cognitive‑motor dual‑task gait training within 3 years after stroke: A randomized controlled trial [J ] . Physiother Theory Pract , 2022 , 38 ( 10 ): 1329 ‑ 1344 .

GAO W J , BAO W J , SUN S J . An evidence‑based nursing intervention decreases anxiety, depression, sleep quality and somatic symptoms of patients with acute ischemic stroke [J ] . Neuropsychiatr Dis Treat , 2022 , 18 : 2443 ‑ 2451 .

中华医学会神经病学分会 , 中华医学会神经病学分会脑血管病学组 . 中国急性缺血性脑卒中诊治指南2018 [J ] . 中华神经科杂志 , 2018 , 51 ( 9 ): 666 ‑ 682 .

Neurology Section of Chinese Medical Association , Cerebrovascular Disease Group Neurology Section of Chinese Medical Association . Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018 [J ] . Chin J Neurol , 2018 , 51 ( 9 ): 666 ‑ 682 .

杨宸茜 , 王宝兰 . 认知‑运动双任务训练对脑卒中后注意力及记忆力的影响 [J ] . 中国康复 , 2022 , 37 ( 12 ): 707 ‑ 712 .

YANG C X , WANG B L . Effects of cognitive‑motor dual‑task training on attention and memory after stroke [J ] . Chin J Rehabil , 2022 , 37 ( 12 ): 707 ‑ 712 .

HYUN S J , LEE J , LEE B H . The effects of sit‑to‑stand training combined with real‑time visual feedback on strength, balance, gait ability, and quality of life in patients with stroke: A randomized controlled trial [J ] . Int J Environ Res Public Health , 2021 , 18 ( 22 ): 12229 .

MOON Y , BAE Y . The effect of backward walking observational training on gait parameters and balance in chronic stroke: Randomized controlled study [J ] . Eur J Phys Rehabil Med , 2022 , 58 ( 1 ): 9 ‑ 15 .

ALI N , TIAN H , THABANE L , et al . The effects of dual‑task training on cognitive and physical functions in older adults with cognitive impairment; A systematic review and meta‑analysis [J ] . J Prev Alzheimers Dis , 2022 , 9 ( 2 ): 359 ‑ 370 .

GARCÍA‑LÓPEZ H , DE LOS ÁNGELES CASTILLO‑PINTOR M , CASTRO‑SÁNCHEZ A M , et al . Efficacy of dual‑task training in patients with Parkinson's disease: A systematic review with meta‑analysis [J ] . Mov Disord Clin Pract , 2023 , 10 ( 9 ): 1268 ‑ 1284 .

曾波 , 范莎莎 , 李亚娟 , 等 . 经颅磁刺激结合双重任务训练对脑卒中偏瘫病人下肢运动功能的影响 [J ] . 中西医结合心脑血管病杂志 , 2022 , 20 ( 24 ): 4585 ‑ 4588 .

ZENG B , FAN S S , LI Y J , et al . Effect of transcranial magnetic stimulation combined with dual task training on motor function of lower limbs in stroke patients with hemiplegia [J ] . Chin J Integr Med Cardio Cerebrovasc Dis , 2022 , 20 ( 24 ): 4585 ‑ 4588 .

孟新玲 , 么冬爱 , 刘婷 , 等 . 哈萨克文版简易智能精神状态检查量表的应用 [J ] . 中国心理卫生杂志 , 2012 , 26 ( 12 ): 941 ‑ 942 .

MENG X L , YAO D A , LIU T , et al . Application of Kazakh version of simple intelligent mental state examination scale [J ] . Chin Ment Health J , 2012 , 26 ( 12 ): 941 ‑ 942 .

YE B Y , WEI D Q , PAN L . Montreal cognitive assessment of cognitive dysfunction after basal Ganglia stroke [J ] . Acta Neurol Belg , 2022 , 122 ( 4 ): 881 ‑ 884 .

GAO P C , YANG L , TANG F , et al . Clinical effect of "Jin's three‑needle" therapy and motor relearning regimen on the upper limb motor function in patients with ischemic stroke [J ] . Acupunct Res , 2021 , 46 ( 3 ): 235 ‑ 239 .

LIU F , TSANG R C , ZHOU J , et al . Relationship of Barthel Index and its Short Form with the Modified Rankin Scale in acute stroke patients [J ] . J Stroke Cerebrovasc Dis , 2020 , 29 ( 9 ): 105033 .

刘莹 , 卢雅丽 , 裴士秀 , 等 . 专科护士主导的双重任务训练对脑卒中患者康复的影响 [J ] . 护理学杂志 , 2023 , 38 ( 13 ): 74 ‑ 77 .

LIU Y , LU Y L , PEI S X , et al . Effect of a dual task training led by clinical nurse specialists on the rehabilitation of stroke patients [J ] . J Nurs Sci , 2023 , 38 ( 13 ): 74 ‑ 77 .

ZHANG X Y , XU F , SHI H J , et al . Effects of dual‑task training on gait and balance in stroke patients: A meta‑analysis [J ] . Clin Rehabil , 2022 , 36 ( 9 ): 1186 ‑ 1198 .

张璐 , 马江平 , 马骊 , 等 . 脑卒中患者认知‑运动双重任务训练的最佳证据总结 [J ] . 实用心脑肺血管病杂志 , 2025 , 33 ( 1 ): 8 ‑ 14 .

ZHANG L , MA J P , MA L , et al . Best evidence summary of cognitive‑motor dual‑task training for stroke patients [J ] . Pract J Card Cereb Pneumal Vasc Dis , 2025 , 33 ( 1 ): 8 ‑ 14 .

WOLLESEN B , JANSSEN T I , MÜLLER H , et al . Effects of cognitive‑motor dual task training on cognitive and physical performance in healthy children and adolescents: A scoping review [J ] . Acta Psychol , 2022 , 224 : 103498 .

LORIETTE C , ZIANE C , BEN HAMED S . Neurofeedback for cognitive enhancement and intervention and brain plasticity [J ] . Rev Neurol , 2021 , 177 ( 9 ): 1133 ‑ 1144 .

赵依帆 , 王莉 , 张天芳 , 等 . 认知⁃运动双重任务训练对老年肌少症患者认知和肢体功能的影响 [J ] . 中国康复医学杂志 , 2021 , 36 ( 9 ): 1118 ‑ 1122 .

ZHAO Y F , WANG L , ZHANG T F , et al . Effects of cognitive‑motor dual‑task training on cognition and limb function of elderly patients with sarcopenia [J ] . Chin J Rehabil Med , 2021 , 36 ( 9 ): 1118 ‑ 1122 .

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

宫颈环扎术治疗前置胎盘疗效的Meta分析

脑卒中偏瘫患者两侧肱动脉血压差异的比较及分析

腔内注射玻璃酸钠联合康复训练治疗早期膝骨关节炎的疗效观察

促通技术在脑卒中偏瘫康复中的临床应用

胃癌化疗期营养管理的临床研究进展