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创伤性脑损伤患者的计算机化认知康复:随机对照试验的系统评价

Computerized cognitive rehabilitation for patients with traumatic brain injury: A systematic review of randomized controlled trials.

作者信息

Alashram Anas R

机构信息

Department of Physiotherapy, Middle East University, Amman, Jordan.

Applied Science Research Center, Applied Science Private University, Amman, Jordan.

出版信息

Appl Neuropsychol Adult. 2024 May 10:1-10. doi: 10.1080/23279095.2024.2350607.

Abstract

Cognitive impairments are among the most common sequences of patients with traumatic brain injury (TBI). Computerized cognitive rehabilitation uses multimedia and informatics resources to deliver cognitive training. This review aims to investigate the effects of computerized cognitive training in patients with TBI. PubMed, SCOPUS, MEDLINE, PEDro, Web of Science, REHABDATA, and EMBASE were searched from their inception until August 2023. The methodological quality was assessed using the Cochrane Collaboration tool. After screening 461 records, a total of six studies met the specified inclusion criteria and involved 270 participants (mean age 46.91 years), 41% of whom were female. The included studies exhibited "high" quality on the Cochrane Collaboration tool. There were improvements in various cognitive domains in patients with TBI following computerized cognitive training. Computerized cognitive training is a safe intervention for patients with TBI. The evidence for the effect of computerized cognitive training on patients with TBI is promising. Combining computerized cognitive training with other interventions may yield more beneficial effects in improving cognitive function in patients with TBI than computerized cognitive training alone. Additional studies with larger sample sizes and long-term follow-up are warranted.

摘要

认知障碍是创伤性脑损伤(TBI)患者最常见的后遗症之一。计算机化认知康复利用多媒体和信息资源进行认知训练。本综述旨在研究计算机化认知训练对TBI患者的影响。检索了PubMed、SCOPUS、MEDLINE、PEDro、Web of Science、REHABDATA和EMBASE自创建至2023年8月的文献。使用Cochrane协作工具评估方法学质量。在筛选了461条记录后,共有6项研究符合指定的纳入标准,涉及270名参与者(平均年龄46.91岁),其中41%为女性。纳入的研究在Cochrane协作工具上显示为“高质量”。计算机化认知训练后,TBI患者的各个认知领域均有改善。计算机化认知训练对TBI患者是一种安全的干预措施。计算机化认知训练对TBI患者疗效的证据很有前景。与单独进行计算机化认知训练相比,将计算机化认知训练与其他干预措施相结合可能在改善TBI患者认知功能方面产生更有益的效果。有必要开展更多样本量更大且进行长期随访的研究。

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