Slomine Beth, Locascio Gianna
Department of Neuropsychology, Kennedy Krieger Institute, 707 North Broadway, Baltimore, MD 21205, USA.
Dev Disabil Res Rev. 2009;15(2):133-43. doi: 10.1002/ddrr.56.
Cognitive deficits are frequent consequences of acquired brain injury (ABI) and often require intervention. We review the theoretical and empirical literature on cognitive rehabilitation in a variety of treatment domains including attention, memory, unilateral neglect, speech and language, executive functioning, and family involvement/education. Because there are more well-designed studies examining the efficacy of cognitive rehabilitation in adults with brain injury, the major findings from this body of literature are also highlighted. In addition, given that similar cognitive and behavioral concerns are often apparent in children with certain neurodevelopmental disorders, selected literature focusing on interventions for these groups of children is included. Limitations and challenges inherent in examining cognitive interventions in children with ABI are also discussed. Overall, despite the growing body of literature examining the efficacy of cognitive rehabilitation in children with ABI, there continues to be a great need to develop well-designed studies to examine the efficacy of these interventions.
认知缺陷是后天性脑损伤(ABI)常见的后果,通常需要进行干预。我们回顾了各种治疗领域中关于认知康复的理论和实证文献,包括注意力、记忆、单侧忽视、言语和语言、执行功能以及家庭参与/教育。由于有更多设计良好的研究考察了脑损伤成人认知康复的疗效,因此也突出了这一文献主体的主要发现。此外,鉴于某些神经发育障碍儿童中常常出现类似的认知和行为问题,还纳入了关注这些儿童群体干预措施的部分文献。同时也讨论了在ABI儿童中研究认知干预所固有的局限性和挑战。总体而言,尽管越来越多的文献考察了ABI儿童认知康复的疗效,但仍然非常需要开展设计良好的研究来检验这些干预措施的疗效。