Muñoz Céspedes J M, Tirapu Ustárroz J
Unidad de Daño Cerebral, Hospital Beata M, Ana, Madrid.
Rev Neurol. 2004;38(7):656-63.
The executive functions are the high-level functions that have generated many studies. These functions comprise a whole range of cognitive abilities related to novelty problem solving. So, it includes: goal selection, planning, initiation of activity, self regulation and use of feedback. There are many papers about the definition of executive functions and about their deficits in different pathologies. However, there only exist a few works about the possibility of recovering these functions and the elaboration of programs of cognitive rehabilitation.
The aim of this report is to review the main rehabilitation programs for executive functions and to adapt them to our culture and context from a theoretical practice perspective. In spite of the utility of these programs, we make a reflection on their limitations. In this sense, we emphasized the oversight of emotional aspects involved in decision making. Besides, new directions for the investigation in this area are pointed out.
执行功能是引发众多研究的高级功能。这些功能包含一系列与解决新问题相关的认知能力。所以,它包括:目标选择、规划、活动启动、自我调节以及反馈的运用。有许多关于执行功能定义及其在不同病症中缺陷的论文。然而,关于恢复这些功能的可能性以及认知康复项目的制定,仅有少数研究。
本报告的目的是回顾主要的执行功能康复项目,并从理论实践角度使其适应我们的文化和背景。尽管这些项目有用,但我们也对其局限性进行了思考。从这个意义上讲,我们强调了对决策中情感因素的忽视。此外,还指出了该领域研究的新方向。