Loewenstein occupational therapy in assessment of cognitive disorder in patients with cerebral stroke

魏涛; 黄颖; 巩尊科; 陈伟; 韩良

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Loewenstein occupational therapy in assessment of cognitive disorder in patients with cerebral stroke

更新时间：2026-01-09

- Loewenstein occupational therapy in assessment of cognitive disorder in patients with cerebral stroke
- Journal of Army Medical University Vol. 33, Issue 18, Pages: 1964-1966(2011)
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  CLC： R395;R743.3;R749.13
- Published：2011
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魏涛,黄颖,巩尊科,陈伟,韩良.应用洛文斯顿作业疗法评定脑卒中患者认知障碍[J].陆军军医大学学报(原第三军医大学学报),2011,33(18):1964-1966.

　Wei Tao,Huang Ying,Gong Zunke,Chen Wei,Han Liang.Loewenstein occupational therapy in assessment of cognitive disorder in patients with cerebral stroke[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(18):1964-1966.
魏涛,黄颖,巩尊科,陈伟,韩良.应用洛文斯顿作业疗法评定脑卒中患者认知障碍[J].陆军军医大学学报(原第三军医大学学报),2011,33(18):1964-1966. DOI：

　Wei Tao,Huang Ying,Gong Zunke,Chen Wei,Han Liang.Loewenstein occupational therapy in assessment of cognitive disorder in patients with cerebral stroke[J].J Amry Med Univ (J Third Mil Med Univ),2011,33(18):1964-1966. DOI：

摘要

目的探讨洛文斯顿作业疗法（Loewenstein occupational therapy cognitive assessment，LOTCA）在脑卒中患者认知功能评定及疗效观察中的应用价值。方法选择2009年9月至2010年10月在徐州市中心医院康复科住院的脑卒中患者30例，选取与病例组相匹配的健康人30例（如患者家属、陪护人员或门诊健康体检者）为正常对照组。采用MMSE量表筛查脑卒中认知障碍患者，进行治疗前后LOTCA评定并与正常对照组比较。结果病例组LOTCA总分（72.0±15.4）及各项评分均明显低于正常对照组[LOTCA总分（109.9±3.3），P0.01]；病例组治疗2个月后，LOTCA总分及各项评分较治疗前均有不同程度的提高（P0.01）。结论 LOTCA能全面地评定脑卒中患者的认知障碍程度及特点，反映患者的认知水平，具有较好的临床应用价值。

Abstract

Objective To study the application of Loewenstein occupational therapy in assessment of cognitive function and in observation of its curative effect in patients with cerebral stroke. Methods Thirty patients with cerebral stroke admitted to Department of Rehabilitation

Xuzhou Central Hospital

from September 2009 to October 2010

were enrolled in this study as a treatment group

and 30 matched healthy individuals served as a control group. Cerebral stroke patients with cognitive disorder were screened with the mini-mental state examination (MMSE) scale. Their cognitive function was evaluated with the Loewenstein occupational therapy cognitive assessment (LOTCA) before and after treatment and compared with that of control group. Results The total LOTCA score was significantly lower in treatment group than in control group (P0.01)

and higher in treatment group 2 months after treatment than before treatment (P0.01). Conclusion LOTCA can evaluate the overall severity of cognitive disorder and characteristics of cerebral stroke patients and show their cognitive level

and is of a rather good value for its clinical application.

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