两组多发性硬化症患者与正常人对视觉和听觉刺激反应时间差异的研究

nazanin Fateme Rajabi, K. Asgari, M. Etemadifar
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摘要

1. 多发性硬化症3.反应时间患者简介:多发性硬化症(Multiple sclerosis, MS)是一种中枢神经系统炎症性慢性疾病,通常发病于患者生命中最具生产力的年龄,其认知后果可能影响患者的行为、社交功能、日常生活和职业。反应时间是最重要的认知变量之一,可能会受到多发性硬化症的影响。本研究旨在探讨多发性硬化症(SPMS型和RRMS型)患者对视觉和听觉刺激的反应时间。材料和方法:本研究设计为回顾性、因果比较型,通过可获得的、有目的的抽样方法从转诊到伊朗伊斯法罕质谱中心和质谱研究所的患者中选择样本。对照组从健康患者的家属或其亲属中选取。共159名受试者参与本研究,每组53名受试者。测量三组受试者对视觉和听觉刺激的反应时间。这些仪器包括一个反应计时器和一个多发性硬化症影响量表。结果:患者的反应时间明显慢于健康人。此外,SPMS型患者的反应时间比RRMS型患者慢。结论:MS患者的信息处理速度变慢,其原因是受损通路脱髓鞘导致神经脉冲传导减慢。处理速度的下降可能导致患者无法完成心理和认知任务,这种缺陷最终被描述为MS患者无法对视觉和听觉刺激做出反应。文章摘要:
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An Investigation of the Difference in Reaction Time to Visual and Auditory Stimuli in Two Groups of Patients with Multiple Sclerosis and Healthy People
1. Multiple Sclerosis 2. Reaction Time 3. Patients Introduction: Multiple sclerosis (MS), is an inflammatory chronic disease of the central nervous system, usually starting in the most productive years of the patient’s life, and its cognitive consequence may affect on patient’s behavior, social functions, daily life, and occupation. One of the most important cognitive variables, which may be affected through MS, is reaction time. The aim of this study was to investigate the reaction time of patients with MS (SPMS and RRMS types) toward visual and auditory stimuli. Materials and Methods: The study design was a retrospective, causal-comparative type, in which the sample was selected through an accessible and purposive sampling method from the patients who were referred to the MS center and MS institute of Isfahan, Iran. The control group was selected from the healthy patient’s family members or their relatives. A total of 159 subjects participated in this study, each group consisted of 53 subjects. The reaction time of the three groups toward the visual and auditory stimuli was measured. The instruments comprised a reaction timer and a multiple sclerosis impact scale. Results: The results showed that the reaction time in the patients was significantly slower than in healthy people. Furthermore, it was revealed that patients with SPMS type were slower in reaction time in comparison to RRMS patients. Conclusion: The speed of information processing in patients with MS, has become slower, due to the slowing of the conduction through nerve pulses, which is due to demyelination in damaged pathways. The decrease in processing speed may lead to an inability of the patients to accomplish mental and cognitive tasks, and this deficit is finally depicted in the inability of MS patients in responding to visual and auditory stimuli.i ABSTRACT Article Info:
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