Wentink M M, Berger M A M, de Kloet A J, Meesters J, Band G P H, Wolterbeek R, Goossens P H, Vliet Vlieland T P M
a Sophia Rehabilitation Centre , The Hague , The Netherlands.
b The Hague University of Applied Sciences , The Hague , The Netherlands.
Neuropsychol Rehabil. 2016 Oct;26(5-6):847-65. doi: 10.1080/09602011.2016.1162175. Epub 2016 May 17.
Cognitive impairment after stroke has a direct impact on daily functioning and quality of life (QoL) of patients and is associated with higher mortality and healthcare costs. The aim of this study was to determine the effect of a computer-based brain training programme on cognitive functioning, QoL and self-efficacy compared to a control condition in stroke patients. Stroke patients with self-perceived cognitive impairment were randomly allocated to the intervention or control group. The intervention consisted of an 8-week brain training programme (Lumosity Inc.®). The control group received general information about the brain weekly. Assessments consisted of a set of neuropsychological tests and questionnaires. In addition, adherence with trained computer tasks was recorded. No effect of the training was found on cognitive functioning, QoL or self-efficacy when compared to the control condition, except for very limited effects on working memory and speed. This study found very limited effects on neuropsychological tests that were closely related to trained computer tasks, but no transfers to other tests or self-perceived cognitive failures, QoL or self-efficacy. These findings warrant the need for further research into the value of computer-based brain training to improve cognitive functioning in the chronic phase after stroke.
中风后的认知障碍对患者的日常功能和生活质量（QoL）有直接影响，并与更高的死亡率和医疗成本相关。本研究的目的是确定与中风患者的对照条件相比，基于计算机的脑训练计划对认知功能、生活质量和自我效能的影响。自我感知有认知障碍的中风患者被随机分配到干预组或对照组。干预包括一个为期8周的脑训练计划（Lumosity Inc.®）。对照组每周接受有关大脑的一般信息。评估包括一组神经心理学测试和问卷。此外，记录对训练过的计算机任务的依从性。与对照条件相比，除了对工作记忆和速度有非常有限的影响外，未发现训练对认知功能、生活质量或自我效能有影响。本研究发现，对与训练过的计算机任务密切相关的神经心理学测试有非常有限的影响，但对其他测试或自我感知的认知失误、生活质量或自我效能没有迁移作用。这些发现表明有必要进一步研究基于计算机的脑训练对改善中风后慢性期认知功能的价值。
