Effect of walking-cognition dual-task training combined with active self-disclosure on elderly patients with acute ischemic stroke
10.3969/j.issn.1009-0126.2025.02.016
- VernacularTitle:步行-认知双任务训练联合积极自我表露对老年急性缺血性脑卒中患者的影响
- Author:
Qinqin HU
1
;
Xueying SHI
;
Anna WANG
;
Pengchao WU
;
Qin ZHOU
;
Jiaojiao LI
;
Xing YUAN
;
Jian LI
Author Information
1. 246000 安庆市立医院神经内科
- Publication Type:Journal Article
- Keywords:
brain infarction;
exercise therapy;
walk test;
walking-cognition dual-task training
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(2):197-201
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of specialist team-led walking-cognition dual-task train-ing combined with active self-disclosure on control and balance abilities in elderly patients with acute ischemic stroke(AIS).Methods A total of 90 elderly AIS patients treated in our hospital from January 2022 to January 2024 were enrolled and randomly assigned into the control group and the observation group,with 45 cases in each group.The control group received routine walk-ing training,while the observation group received specialist team-led walking-cognition dual-task training combined with active self-disclosure intervention.Control ability,balance ability,walking ability,cognitive function and psychological status were compared between the two groups.Results After intervention,the scores of Sheikh Trunk Control Scale and Fugl-Meyer Assessment(FMA),and the static balance score,dynamic balance score and total score of Berg Balance Scale(BBS)were significantly increased in both the observation and the control groups(P＜0.05),and all above scores were obviously higher in the former group than the latter one(P＜0.01).The two groups also obtained notably shorter single-and dual-task walking time after intervention,but there were no statistical difference in the single-task walking time in both groups before and after intervention(P＞0.05).After intervention,the observation group had significantly shorter dual-task walking time(22.87±7.36 s vs 27.52±8.71 s,P=0.008)and lower walking time cost of dual task[(11.16±4.07)％vs(25.61±7.82)％,P=0.000]when compared with the control group.After intervention,the scores of Mini-Mental Status Examination were increased,and the scores of Hamilton Depression Rating Scale and Hamilton Anxiety Rating Scale were decreased in the two groups(P＜0.05).Conclusion Specialist team-led walking-cognition dual-task training com-bined with active self-disclosure intervention can effectively improve trunk control ability,balance ability,walking ability,cognitive function and psychological state in elderly AIS patients,has cer-tian clinical application value.
