Ledbetter Christina, Moore Amy Lawson, Mitchell Tanya
Louisiana State University Health Sciences Center, ShreveportLA, United States.
Gibson Institute of Cognitive Research, Colorado SpringsCO, United States.
Front Psychol. 2017 May 22;8:825. doi: 10.3389/fpsyg.2017.00825. eCollection 2017.
Cognitive rehabilitation training is a promising technique for remediating the cognitive deficits associated with brain injury. Extant research is dominated by computer-based interventions with varied results. Results from clinician-delivered cognitive rehabilitation are notably lacking in the literature. The current study examined the cognitive outcomes following ThinkRx, a clinician-delivered cognitive rehabilitation training program for soldiers recovering from traumatic brain injury and acquired brain injury. In a retrospective chart review, we examined cognitive outcomes of 11 cases who had completed an average of 80 h of ThinkRx cognitive rehabilitation training delivered by clinicians and supplemented with digital training exercises. Outcome measures included scores from six cognitive skill batteries on the Woodcock Johnson - III Tests of Cognitive Abilities. Participants achieved gains in all cognitive skills tested and achieved statistically significant changes in long-term memory, processing speed, auditory processing, and fluid reasoning with very large effect sizes. Clinically significant changes in multiple cognitive skills were also noted across cases. Results of the study suggest that ThinkRx clinician-delivered cognitive training supplemented with digital exercises may be a viable method for targeting the cognitive deficits associated with brain injury.
认知康复训练是一种很有前景的技术，用于修复与脑损伤相关的认知缺陷。现有研究主要是基于计算机的干预措施，结果各异。文献中明显缺乏临床医生提供的认知康复的研究结果。本研究考察了ThinkRx（一种由临床医生为从创伤性脑损伤和后天性脑损伤中恢复的士兵提供的认知康复训练项目）后的认知结果。在一项回顾性病历审查中，我们考察了11例患者的认知结果，这些患者平均接受了80小时由临床医生提供并辅以数字训练练习的ThinkRx认知康复训练。结果测量包括伍德科克-约翰逊认知能力测验第三版中六个认知技能组的分数。参与者在所有测试的认知技能方面都取得了进步，并且在长期记忆、处理速度、听觉处理和流体推理方面取得了具有统计学意义的变化，效应量非常大。各病例在多种认知技能方面也出现了具有临床意义的变化。研究结果表明，辅以数字练习的由临床医生提供的ThinkRx认知训练可能是针对与脑损伤相关的认知缺陷的一种可行方法。
