IRCCS Centro Neurolesi "Bonino Pulejo", Messina, Italy.
Stomatodental Center, Messina, Italy.
NeuroRehabilitation. 2019;45(2):285-290. doi: 10.3233/NRE-192789.
Parkinson's disease (PD) is a neurodegenerative disease due to dopamine deficiency in the basal ganglia, leading to motor symptoms such as bradykinesia, tremor, stiffness, and postural instability. This disease may also be associated with a broad spectrum of non-motor symptoms. More than 24% of patients with PD have one or more cognitive symptoms.
To evaluate the effects of computer-assisted cognitive rehabilitation (CACR) in Parkinson's disease (PD).
Sixty patients with PD were enrolled in this study and were randomly divided into control group (CG) and experimental group (EG). Each participant was evaluated at the beginning (T0) and at the end of training (T1). The CG underwent standard cognitive training (SCT) while EG performed CACR using the ERICA platform, aimed at improving several cognitive domains. In both the group, each training consisted of 3 sessions a week, each of these lasting sixty minutes, for eight weeks.
Although both the groups had significant improvement after CR, we observed more significant changes in the EG, especially concerning attention, orientation and visual-spatial domains.
Our data demonstrate that CACR is more effective than SCT in improving visual-spatial and executive deficits, in patients affected by PD.
帕金森病(PD)是一种由于基底神经节多巴胺缺乏引起的神经退行性疾病,导致运动症状,如运动迟缓、震颤、僵硬和姿势不稳。这种疾病也可能与广泛的非运动症状有关。超过 24%的 PD 患者有一个或多个认知症状。
评估计算机辅助认知康复(CACR)在帕金森病(PD)中的作用。
本研究纳入 60 名 PD 患者,随机分为对照组(CG)和实验组(EG)。每位参与者在开始(T0)和训练结束时(T1)进行评估。CG 接受标准认知训练(SCT),而 EG 使用 ERICA 平台进行 CACR,旨在改善几个认知领域。在两组中,每次训练包括每周 3 次,每次 60 分钟,持续 8 周。
尽管两组在 CR 后都有显著改善,但我们观察到 EG 有更显著的变化,特别是在注意力、定向和视觉空间领域。
我们的数据表明,CACR 在改善 PD 患者的视觉空间和执行功能缺陷方面比 SCT 更有效。