O'Neil-Pirozzi Therese M, Hsu Henry
a Northeastern University , Boston , MA , USA.
b Spaulding Rehabilitation Hospital/Harvard Medical School , Boston , MA , USA.
Brain Inj. 2016;30(13-14):1617-1625. doi: 10.1080/02699052.2016.1199906. Epub 2016 Sep 28.
The purpose of this pilot study was to explore feasibility and effects of participation in a computerized cognitive fitness exercise program by a group of adults with chronic moderate-to-severe cognitive impairments following an acquired brain injury (ABI).
This study used a mixed methods design with a convenience sample of individuals forming two groups (+/- exercise).
Following neurocognitive and satisfaction with life pre-testing of 14 participants, seven were enrolled in a 5-month, 5-days a week computerized cognitive exercise program. Post-testing of all participants and semi-structured interviews of exercise group participants were completed.
It was feasible for adults with chronic moderate-to-severe cognitive impairments post-ABI to participate in a computerized cognitive exercise program with ongoing external cues to initiate exercise sessions and/or to complete them as needed. Significant exercise group improvements were made on memory and verbal fluency post-tests and life satisfaction. The majority of exercise group participants reported some degree of positive impact on cognitive abilities and some on everyday functioning from program participation.
Adults with chronic moderate-to-severe cognitive impairments following an ABI may benefit from participation in computerized cognitive exercise programs. Further study is warranted.
本初步研究的目的是探讨一群患有后天性脑损伤（ABI）且患有慢性中度至重度认知障碍的成年人参与计算机化认知健身锻炼计划的可行性和效果。
本研究采用混合方法设计，以方便抽样的方式将个体分为两组（锻炼组/非锻炼组）。
在对14名参与者进行神经认知和生活满意度预测试后，7人参加了为期5个月、每周5天的计算机化认知锻炼计划。完成了所有参与者的后测试以及锻炼组参与者的半结构化访谈。
对于患有慢性中度至重度认知障碍的ABI后成年人来说，参与一个带有持续外部提示以启动锻炼课程和/或根据需要完成课程的计算机化认知锻炼计划是可行的。锻炼组在记忆、言语流畅性后测试和生活满意度方面有显著改善。大多数锻炼组参与者报告称，参与该计划对认知能力有一定程度的积极影响，对日常功能也有一些积极影响。
患有慢性中度至重度认知障碍的ABI后成年人可能会从参与计算机化认知锻炼计划中受益。有必要进行进一步研究。
