中風病人患側傾斜現象之相關因素

Factors Correlated to the Listing Phenomenon of Stroke Patients

毛慧芬(Hui-Fen Mao) ； 張久怡(Chiu-I Chang) ； 李文淑(Wen-Shu Li) ； 謝清麟(Ching-Lin Hsieh)

《職能治療學會雜誌》 14卷1期 (1996/03) Pp. 55-65

https://doi.org/10.6594/JTOTA.1996.14(1).05

摘要

Sitting stability has been identified as a significant predictor of functional recovery after stroke. According to clinical observation, many patients without the ability to sit independently would lean to their affected side, which was defined as ”listing phenomenon”. The present study was designed to investigate the correlation between the listing phenomenon and four clinical characteristics, including 1) consciousness, 2) the motor function of lower extremity, 3) the sensory function, and 4) the perception of spatial relationships.
Subjects included 52 consecutive stroke patients who were newly referred to rehabilitation clinics without receiving any training. The result showed that 24 patients (46%) demonstrating the listing phenomenon, indicating the high percentage of stroke patients in early stage can not sit independently. Chi-square statistics and t-test revealed that listing phenomenon had significant relationships with conscious disturbance, poor motor recovery of lower extremity, the impairment of pin-prick and proprioceptual sensation of lower limb, hemineglect, mid-line orientation deficit, body identification deficit, and the duration between onset and evaluation (p＜.01). However, there were no correlation with sex, age, hemiside and orientation.
Results supported the hypothesis of systems model that the process of postural regulation related to many systems: clear consciousness, intact sensory and perceptual function, effective motor execution, and their interaction. The hypothesis of the mechanism of listing phenomenon was proposed for implication of clinical approach.

關鍵字

坐姿穩定性 ； 患側傾斜現象 ； 中風 ； 姿態控制 ； 系統模式理論

並列摘要

Sitting stability has been identified as a significant predictor of functional recovery after stroke. According to clinical observation, many patients without the ability to sit independently would lean to their affected side, which was defined as ”listing phenomenon”. The present study was designed to investigate the correlation between the listing phenomenon and four clinical characteristics, including 1) consciousness, 2) the motor function of lower extremity, 3) the sensory function, and 4) the perception of spatial relationships.
Subjects included 52 consecutive stroke patients who were newly referred to rehabilitation clinics without receiving any training. The result showed that 24 patients (46%) demonstrating the listing phenomenon, indicating the high percentage of stroke patients in early stage can not sit independently. Chi-square statistics and t-test revealed that listing phenomenon had significant relationships with conscious disturbance, poor motor recovery of lower extremity, the impairment of pin-prick and proprioceptual sensation of lower limb, hemineglect, mid-line orientation deficit, body identification deficit, and the duration between onset and evaluation (p＜.01). However, there were no correlation with sex, age, hemiside and orientation.
Results supported the hypothesis of systems model that the process of postural regulation related to many systems: clear consciousness, intact sensory and perceptual function, effective motor execution, and their interaction. The hypothesis of the mechanism of listing phenomenon was proposed for implication of clinical approach.

並列關鍵字

listing phenomenon ； postural control ； sitting stability ； stroke ； systems model