中风后早期评估和恢复认知功能。
Assessing and restoring cognitive functions early after stroke.
作者信息
Zucchella Chiara, Capone Annarita, Codella Valentina, Vecchione Carmine, Buccino Giovanni, Sandrini Giorgio, Pierelli Francesco, Bartolo Michelangelo
出版信息
Funct Neurol. 2014 Oct-Dec;29(4):255-62.
Abstract
Cognitive impairment is a frequent complication of stroke. The aim of this study was to evaluate the effectiveness of cognitive training performed early after stroke. Ninety-two patients were randomly assigned to either the study group (SG) or the control group (CG). Cognitive rehabilitation consisted of 16 individual one-hour sessions in which patients performed therapist- guided computer exercises. The patients in the CG performed a sham intervention. After four weeks all the patients were re-evaluated. In the SG, significant improvements (p<0.05) were detected in all neuropsychological measures at the post-training evaluation, while the CG showed mild (not statistically significant) improvements on cognitive tests. Between-group analysis revealed statistically significant differences in the domains of memory and visual attention. Cognitive training performed early after stroke seems to be a viable option for improving cognitive outcome in stroke survivors. Further studies should assess whether this may favor their reintegration into everyday life.
摘要
认知障碍是中风的常见并发症。本研究的目的是评估中风后早期进行认知训练的效果。92名患者被随机分为研究组（SG）或对照组（CG）。认知康复包括16次为时1小时的个体训练，患者在训练中进行由治疗师指导的计算机练习。CG组的患者进行了假干预。四周后对所有患者进行重新评估。在SG组，训练后评估时所有神经心理学指标均有显著改善（p<0.05），而CG组在认知测试中显示出轻微（无统计学意义）的改善。组间分析显示在记忆和视觉注意力领域存在统计学显著差异。中风后早期进行认知训练似乎是改善中风幸存者认知结局的一个可行选择。进一步的研究应评估这是否有利于他们重新融入日常生活。
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