摘要
目的:探讨视动刺激对视空间偏侧忽略患者的治疗效果及长期疗效。方法:将16例首次脑卒中后出现左侧视空间偏侧忽略的患者随机分为2组,治疗组(n=8)和对照组(n=8),治疗组应用视动刺激技术(optokinetic stimulation,OKS)及传统视空间偏侧忽略的针对性训练。对照组患者仅进行传统视空间偏侧忽略的针对性训练,治疗周期均为2周。分别在基线期、治疗前、治疗后及随访末4个阶段对两组患者进行偏侧忽略纸笔测试及行为学评定。结果:OKS组患者治疗后纸笔测试和CBS评定明显优于治疗前(P<0.01),且效果比对照组明显(P<0.01),治疗后2周的随访,发现治疗组效果改善持续保持(P>0.05)。结论:视动刺激可显著改善卒中后忽略患者的忽略症状及日常行为能力。
Objective：To evaluate whether optokinetic stimulation（OKS） with active pursuit eye movements could lead to substantial and greater recovery from unilateral visual spatial neglect（VSN）. Method：Sixteen post-stroke patients with left unilateral VSN were divided into treatment group（n=8）,who was treated with OKS as well as conventional rehabilitation therapy, and observation group（n=8）or a control group （n=8）,who only received conventional rehabilitation therapy, all for 2 weeks.All patients were assessed with con- ventional paper-pencil tasks（line bisection test and star cancellation test）and behavioral assessment（Catherine Bergego scale） in four different stages（baseline,before and after treatment,2 weeks follow-up）. Result：The results showed superior effects of OKS for VSN after treatment（P〈0.01） and remained stable at 2 weeks follow-up（P〉0.05）. Condusiou：Optokinetic stimulation had significant effect on the unilateral visual spatial neglect and activities of daily living.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2014年第4期324-328,共5页
Chinese Journal of Rehabilitation Medicine
关键词
偏侧空间忽略
视动刺激
脑卒中
康复治疗
unilateral spatial neglect
optokinetic stimulation
stroke
rehabilitation
