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中风后计算机化工作记忆训练——一项试点研究。

Computerized working memory training after stroke--a pilot study.

作者信息

Westerberg H, Jacobaeus H, Hirvikoski T, Clevberger P, Ostensson M-L, Bartfai A, Klingberg T

机构信息

Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm.

出版信息

Brain Inj. 2007 Jan;21(1):21-9. doi: 10.1080/02699050601148726.

DOI:10.1080/02699050601148726
PMID:17364516
Abstract

AIM

To examine the effects of working memory (WM) training in adult patients with stroke.

METHODS

A randomized pilot study with a treatment group and a passive control group; 18 participants (12 males) in a vocational age group (mean age 54 years) were randomized to either the treatment or the control condition. The intervention consisted of computerized training on various WM tasks for five weeks. A neuropsychological test battery and self-rating on cognitive functioning in daily life (the CFQ) were administered both before and after the treatment.

RESULTS

Statistically significant training effects were found on the non-trained tests for WM and attention, i.e., tests that measure related cognitive functions but are not identical to tasks in the training programme (Span board p < 0.05; PASAT p < 0.001; Ruff 2&7 p < 0.005). There was a significant decrease in symptoms of cognitive problems as measured by the CFQ (p < 0.005).

CONCLUSION

More than one year after a stroke, systematic WM training can significantly improve WM and attention.

摘要

目的

研究工作记忆(WM)训练对成年中风患者的影响。

方法

一项随机试点研究,设有治疗组和被动对照组;18名职业年龄组的参与者(12名男性)(平均年龄54岁)被随机分配到治疗组或对照组。干预措施包括针对各种WM任务进行为期五周的计算机化训练。在治疗前后均进行了神经心理测试组和日常生活认知功能自评(CFQ)。

结果

在未训练的WM和注意力测试中发现了具有统计学意义的训练效果,即测量相关认知功能但与训练计划中的任务不同的测试(跨度板测试p<0.05;连续加法运算测试p<0.001;拉夫2和7测试p<0.005)。CFQ测量的认知问题症状有显著下降(p<0.005)。

结论

中风一年多后,系统的WM训练可显著改善WM和注意力。

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