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创伤性脑损伤后的认知康复:从评估到治疗

Cognitive rehabilitation following traumatic brain injury: assessment to treatment.

作者信息

Tsaousides Theodore, Gordon Wayne A

机构信息

Department of Rehabilitation Medicine, Mount Sinai School of Medicine, New York, NY, USA.

出版信息

Mt Sinai J Med. 2009 Apr;76(2):173-81. doi: 10.1002/msj.20099.

Abstract

Cognitive rehabilitation refers to a set of interventions that aim to improve a person's ability to perform cognitive tasks by retraining previously learned skills and teaching compensatory strategies. Cognitive rehabilitation begins with a thorough neuropsychological assessment to identify cognitive strengths and weaknesses and the degree of change in cognitive ability following a brain injury. The conclusions of the assessment are used to formulate appropriate treatment plans. Common interventions for improvements in attention, memory, and executive function, as well as the nature of comprehensive programs, which combine treatment modalities, are reviewed. Cognitive rehabilitation is effective for mild-to-severe injuries and beneficial at any time post-injury. Sufficient evidence exists supporting the efficacy and effectiveness of cognitive rehabilitation, which has become the treatment of choice for cognitive impairments and leads to improvements in cognitive and psychosocial functioning.

摘要

认知康复是指通过重新训练先前所学技能和教授代偿策略来提高一个人执行认知任务能力的一系列干预措施。认知康复始于全面的神经心理学评估,以确定认知优势和劣势以及脑损伤后认知能力的变化程度。评估结果用于制定适当的治疗计划。本文综述了改善注意力、记忆力和执行功能的常见干预措施,以及结合多种治疗方式的综合项目的性质。认知康复对轻度至重度损伤均有效,且在损伤后的任何时间都有益处。有充分证据支持认知康复的疗效和有效性,认知康复已成为认知障碍的首选治疗方法,并能改善认知和心理社会功能。

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