a Adelante Rehabilitation Foundation , Hoensbroek , Limburg , The Netherlands.
Neuropsychol Rehabil. 2013;23(6):811-23. doi: 10.1080/09602011.2013.821950. Epub 2013 Sep 2.
The aim of the study was to determine the course of cognitive functioning within the subacute phase (< 4 months) after stroke during rehabilitation. Stroke patients admitted to a rehabilitation centre were submitted to a neuropsychological examination on admission (1 month post-stroke) and upon discharge (4 months post-stroke). Cognitive domains studied were attention, executive functioning, memory, and visual attention. Forty-two patients (mean age = 57.1 years; SD = 7.7) participated. At admission more than half of the patients showed deficits in attention and memory. Patients improved significantly on these domains; the largest improvement was seen in the domain of visual attention, while executive functioning did not improve significantly. A differential course of cognitive functioning was found in the subacute phase after stroke. The prognosis of visual attention is the most prominent.
本研究旨在确定脑卒中后康复亚急性期（<4 个月）内认知功能的变化过程。入组康复中心的脑卒中患者分别于入院时（脑卒中后 1 个月）和出院时（脑卒中后 4 个月）接受神经心理学检查。研究的认知领域包括注意力、执行功能、记忆和视觉注意力。42 名患者（平均年龄 57.1 岁，标准差 7.7）参与了本研究。入院时，超过一半的患者存在注意力和记忆缺陷。患者在这些领域显著改善；视觉注意力领域的改善最为明显，而执行功能改善不明显。在脑卒中后亚急性期，认知功能的变化过程存在差异。视觉注意力的预后最为显著。
