...
首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Cognitive-motor interference during functional mobility after stroke: State of the science and implications for future research
【24h】

Cognitive-motor interference during functional mobility after stroke: State of the science and implications for future research

机译:中风后功能流动期间的认知电动机干扰:科学与未来研究的影响

获取原文
获取原文并翻译 | 示例
           

摘要

Cognitive-motor interference (CMI) is evident when simultaneous performance of a cognitive task and a motor task results in deterioration in performance in one or both of the tasks, relative to performance of each task separately. The purpose of this review is to present a framework for categorizing patterns of CMI and to examine the specific patterns of CMI evident in published studies comparing single-task and dual-task performance of cognitive and motor tasks during gait and balance activities after stroke. We also examine the literature for associations between patterns of CMI and a history of falls, as well as evidence for the effects of rehabilitation on CMI after stroke. Overall, this review suggests that during gait activities with an added cognitive task, people with stroke are likely to demonstrate significant decrements in motor performance only (cognitive-related motor interference), or decrements in both motor and cognitive performance (mutual interference). In contrast, patterns of CMI were variable among studies examining balance activities. Comparing people poststroke with and without a history of falls, patterns and magnitude of CMI were similar for fallers and nonfallers. Longitudinal studies suggest that conventional rehabilitation has minimal effects on CMI during gait or balance activities. However, early-phase pilot studies suggest that dual-task interventions may reduce CMI during gait performance in community-dwelling stroke survivors. It is our hope that this innovative and critical examination of the existing literature will highlight the limitations in current experimental designs and inform improvements in the design and reporting of dual-task studies in stroke.
机译:当认知任务的同时性能和电机任务的同时性能方面是在一个或两个任务中的性能恶化时,可以看到认知电动机干扰(CMI)是显而易见的,并且相对于每个任务的性能分别的性能。本次审查的目的是提供一个框架,用于分类CMI模式,并在发布的研究中检查CMI明显的特定模式,比较了在步态和平衡活动期间的认知和电机任务的单任务和双任务性能。我们还研究了CMI模式与跌倒史的协会的文献,以及康复后康复对CMI的影响。总体而言,本综述表明,在具有额外的认知任务的步态活动期间,有中风的人可能在电机性能(认知相关电机干扰)中表现出显着减少,或者在电机和认知性能(相互干扰)中减少。相反,CMI的模式在研究平衡活动的研究中是可变的。与跌倒历史的历史,无CMI的历史上失败的人比较,对于衰落和非降落者来说是类似的。纵向研究表明,在步态或平衡活动期间,常规康复对CMI具有最小的影响。然而,早期试点研究表明,双重任务干预在社区住宅中风幸存者中的步态性能期间可以减少CMI。我们希望对现有文献的这种创新和批判性检查将突出目前实验设计中的局限性,并告知卒中双任任务研究的设计和报告的改进。

著录项

  • 来源
  • 作者单位

    Division of Physical Therapy University of North Carolina at Chapel Hill 3107 Bondurant Hall;

    Department of Psychiatry Dalhousie University Halifax NS Canada;

    Department of Speech Language Pathology Duquesne University Pittsburgh PA United States;

    Department of Occupational Therapy Rush University Medical Center Chicago IL United States;

    Department of Communication Sciences and Disorders Western Washington University Bellingham WA;

    School of Nursing University of Pittsburgh Pittsburgh PA United States;

    Department of Psychiatry Dalhousie University Halifax NS Canada;

    Departments of Occupational Therapy and Physical Medicine and Rehabilitation University of;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 康复医学;
  • 关键词

    Cognition; Gait; Postural balance; Rehabilitation;

    机译:认知;步态;姿势平衡;康复;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号