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RehaCom 康复训练改善多发性硬化症患者的多种认知功能。

RehaCom rehabilitation training improves a wide-range of cognitive functions in multiple sclerosis patients.

机构信息

Department of Psychology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

Department of Rehabilitation, Brain and Cognition Clinic, Tehran, Iran.

出版信息

Appl Neuropsychol Adult. 2022 Mar-Apr;29(2):262-272. doi: 10.1080/23279095.2020.1747070. Epub 2020 May 5.

Abstract

Multiple sclerosis (MS) is a chronic neurodegenerative disease that impairs cognitive performance. Attention, response control, working memory, and processing speed are highly impaired in MS. On the other hand, RehaCom is a computerized software that improves cognitive dysfunctions. In this study, we aimed to investigate the effect of RehaCom on attention, response control, processing speed, working memory, visuospatial skills, and verbal/non-verbal executive functions in MS patients. Sixty patients were selected randomly and divided into control ( = 30) and experimental ( = 30) groups. Integrated Auditory Visual-2 (IVA-2), Paced Auditory Serial Addition Test (PASAT), Symbol Digit Modalities Test (SDMT), Judgment of Line Orientation (JLO) and The Delis-Kaplan Executive Function System (DKEFS) were used to assess cognitive functions. Patients in the experimental group were treated by RehaCom for 5 weeks (two 60-min sessions per week). Cognitive performance of all patients in both groups was assessed at weeks 5 and 10 (post-test and follow-up stages, respectively). The results showed that RehaCom treatment improved all studied cognitive functions at the post-test stage. This effect also remained at the follow-up stage for some cognitive functions. In conclusion, treatment with RehaCom may have significant therapeutic effects on cognitive dysfunctions in MS patients.

摘要

多发性硬化症(MS)是一种慢性神经退行性疾病,会损害认知表现。注意力、反应控制、工作记忆和处理速度在 MS 中受到严重损害。另一方面,RehaCom 是一种计算机化软件,可以改善认知功能障碍。在这项研究中,我们旨在研究 RehaCom 对 MS 患者注意力、反应控制、处理速度、工作记忆、视空间技能和言语/非言语执行功能的影响。随机选择了 60 名患者,并将他们分为对照组(n=30)和实验组(n=30)。使用综合视听-2(IVA-2)、Paced Auditory Serial Addition Test(PASAT)、Symbol Digit Modalities Test(SDMT)、Line Orientation 判断力测试(JLO)和 Delis-Kaplan 执行功能系统(DKEFS)来评估认知功能。实验组患者接受 RehaCom 治疗 5 周(每周两次,每次 60 分钟)。两组患者在第 5 周和第 10 周(分别为后测和随访阶段)评估认知表现。结果表明,RehaCom 治疗在后测阶段改善了所有研究的认知功能。这种效果在一些认知功能的随访阶段仍然存在。总之,RehaCom 治疗可能对 MS 患者的认知功能障碍有显著的治疗效果。

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