van 't Hooft Ingrid, Andersson Karin, Bergman Barbro, Sejersen Thomas, von Wendt Lennart, Bartfai Aniko
Neuropediatric Unit, Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
NeuroRehabilitation. 2007;22(2):109-16.
The overall aim of the present study was to assess in greater detail the sustained effects of a broad-based cognitive training programme on the neuropsychological performance of children with acquired brain injury. In particular, the long term (6 months) effects on cognitive functions, as well as how various moderators (gender, age at the time of injury/diagnosis, time since injury/diagnosis, age at the training) might influence outcome were investigated. A group of 38 children, 9-16 years of age, with various types of acquired brain injury had earlier been randomly assigned into treatment and control groups. These two groups had first been assessed directly after completion of the training and were now reassessed 6 months later. The treatment group exhibited significantly more persistent improvements with respect to complex tasks of attention and memory in comparison to the control group. In contrast there were no differences on simple reaction time tests. We conclude that the long term effects on cognitive functions of this broad-based neuro-cognitive training is encouraging. These positive results should be further investigated in larger more specific diagnostic groups and in different settings.
本研究的总体目标是更详细地评估一项基础广泛的认知训练计划对后天性脑损伤儿童神经心理表现的持续影响。特别是,研究了对认知功能的长期(6个月)影响,以及各种调节因素(性别、受伤/诊断时的年龄、受伤/诊断后的时间、训练时的年龄)如何可能影响结果。一组38名9至16岁、患有各种类型后天性脑损伤的儿童早些时候被随机分为治疗组和对照组。这两组在训练完成后立即进行了首次评估,现在在6个月后进行了重新评估。与对照组相比,治疗组在注意力和记忆的复杂任务方面表现出明显更持久的改善。相比之下,在简单反应时间测试中没有差异。我们得出结论,这种基础广泛的神经认知训练对认知功能的长期影响是令人鼓舞的。这些积极结果应在更大、更具体的诊断组和不同环境中进一步研究。