Brissart H, Daniel F, Morele E, Leroy M, Debouverie M, Defer G L
Service de neurologie, hôpital central, CHU de Nancy, avenue du Maréchal-de-Lattre-de-Tassigny, 54035 Nancy cedex, France.
Rev Neurol (Paris). 2011 Apr;167(4):280-90. doi: 10.1016/j.neurol.2010.07.039. Epub 2010 Dec 21.
Cognitive impairment is now well-known in multiple sclerosis (MS). However, few rehabilitation interventions are proposed or really efficient.
To present a review of cognitive rehabilitation intervention research conducted in people with multiple sclerosis (MS), regarding different findings about episodic memory, working memory, attention and executive function disorders in MS.
A search of Medline (yield 20 papers) and of PsychInfo (yield 1 article), using combinations of the following terms: cognitive rehabilitation, multiple sclerosis, cognitive therapy, neuropsychological rehabilitation, in the title or in the abstract, from 1960 to March 2010, excluding animal studies.
Episodic memory rehabilitation studies appear to be promising. Programs on working memory, attention and executive functions are in the very early phases.
Results are encouraging and allow specific recommendations for future research about: (1) inclusion criteria, often not defined, (2) a specific baseline adapted to the program of rehabilitation, (3) a control measure regarding program efficiency and (4) a role for the psychologist (presence and advice during the program).
认知障碍在多发性硬化症（MS）中现已广为人知。然而，很少有康复干预措施被提出或真正有效。
对针对多发性硬化症（MS）患者进行的认知康复干预研究进行综述，涉及MS患者情景记忆、工作记忆、注意力和执行功能障碍的不同研究结果。
检索1960年至2010年3月期间的Medline（检索到20篇论文）和PsychInfo（检索到1篇文章），在标题或摘要中使用以下术语组合：认知康复、多发性硬化症、认知疗法、神经心理康复，排除动物研究。
情景记忆康复研究似乎很有前景。工作记忆、注意力和执行功能方面的项目尚处于非常早期的阶段。
结果令人鼓舞，并允许对未来研究提出具体建议：（1）纳入标准，通常未明确界定；（2）适应康复计划的特定基线；（3）关于项目效率的对照措施；（4）心理学家的作用（在项目期间的参与和建议）。
