Department of Psychology, Payame Noor University, PO BOX 19395-4697, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Acta Neurol Belg. 2021 Aug;121(4):915-920. doi: 10.1007/s13760-020-01288-4. Epub 2020 Feb 6.
The present study aimed to investigate the effectiveness of a cognitive rehabilitation program in improving the visual and auditory attention performance in stroke patients. The research method was quasi-experimental with a pre-intervention, post-intervention and follow-up design and control group. Twenty ischemic stroke patients with attention disorder were randomly classified into experimental and control groups. Cognitive evaluation of patients, including pre-intervention, immediately and 6 weeks after the intervention, was performed by the IVA + Plus (Integrated Visual and Auditory Continuous Performance Test). The experimental group received a cognitive rehabilitation program as 1-h sessions per week for 8 weeks, but the control group received no intervention. The results indicated significant effects of a cognitive rehabilitation program on the auditory (p = 0.002) and visual (p = 0.009) attention as well as the 6-week follow-up after the intervention, and it improved visual and auditory attention in stroke patients in the experimental group. The effectiveness of a cognitive rehabilitation program improved attention performance in stroke patients and had a positive effect on visual and auditory attention performance in ischemic stroke patients.
本研究旨在探讨认知康复计划对改善脑卒中患者视觉和听觉注意力表现的有效性。研究方法为准实验设计，采用前后测和对照组设计。将 20 名注意力障碍的缺血性脑卒中患者随机分为实验组和对照组。通过 IVA + Plus（综合视觉和听觉连续测试）对患者进行认知评估，包括干预前、干预即刻和干预后 6 周。实验组接受每周 1 小时、共 8 周的认知康复计划，而对照组则不接受任何干预。结果表明，认知康复计划对听觉（p = 0.002）和视觉（p = 0.009）注意力均有显著影响，且在干预后 6 周的随访中也有显著影响，实验组脑卒中患者的视觉和听觉注意力均得到改善。认知康复计划对脑卒中患者的注意力表现有改善作用，对缺血性脑卒中患者的视觉和听觉注意力表现有积极影响。
