Halalmeh Dia R, Salama HusamEddin Z, Alnajjar Yousef A, Salama Ahmed Z, Waack Andrew, Ansari Yusuf-Zain, Moisi Marc D
Department of Neurosurgery, Hurley Medical Center, Michigan, USA; Department of Neurosurgery, University of Iowa Hospital & Clinics, Iowa City, Iowa, USA.
Department of Neurosurgery, Hurley Medical Center, Michigan, USA.
World Neurosurg. 2025 Mar;195:123679. doi: 10.1016/j.wneu.2025.123679. Epub 2025 Jan 27.
Spinal cord injury (SCI) poses a complex set of physiological, psychological, and cognitive challenges that significantly affect an individual's quality of life. Analysis of longitudinal studies reveals that cognitive changes following SCI are often underestimated yet significantly impact patient's ability to adapt to their new circumstances. However, the role of neuropsychology in SCI management and rehabilitation is yet to be elucidated. This article offers an in-depth review of the role of neuropsychology in understanding and addressing the cognitive, emotional, and behavioral outcomes of SCI. Additionally, we delve into the emotional and psychological consequences of SCI, which can include increased stress, depression, anxiety, and potential changes in personality and social functioning. Neuropsychological assessment tools are highlighted as essential for diagnosing and monitoring these psychological shifts, aiding in the creation of personalized rehabilitation interventions. We also explore the role of neuroplasticity in cognitive rehabilitation post-SCI, emphasizing the potential of targeted cognitive training to alleviate cognitive deficits and improve adaptive functioning. The article further investigates the interplay between physical and cognitive recovery, underscoring the reciprocal relationship between motor function and cognitive improvement. In conclusion, this review emphasizes the crucial role of neuropsychology in understanding the multifaceted impact of SCI. By enhancing our comprehension of the intricate connections among neural integrity, cognitive function, and psychological well-being, neuropsychology provides valuable insights for developing holistic rehabilitation strategies that address both the cognitive and emotional challenges faced by individuals with SCI. As neurorehabilitation continues to advance, integrating neuropsychological principles offers promise for improving the overall recovery and quality of life for those affected by spinal cord injury.
脊髓损伤（SCI）带来了一系列复杂的生理、心理和认知挑战，这些挑战会显著影响个人的生活质量。对纵向研究的分析表明，脊髓损伤后的认知变化常常被低估，但却对患者适应新环境的能力有重大影响。然而，神经心理学在脊髓损伤管理和康复中的作用尚未得到阐明。本文深入探讨了神经心理学在理解和应对脊髓损伤的认知、情感和行为结果方面的作用。此外，我们还深入研究了脊髓损伤的情感和心理后果，这可能包括压力增加、抑郁、焦虑以及性格和社会功能的潜在变化。神经心理学评估工具被强调为诊断和监测这些心理变化的关键，有助于制定个性化的康复干预措施。我们还探讨了神经可塑性在脊髓损伤后认知康复中的作用，强调了针对性认知训练在减轻认知缺陷和改善适应功能方面的潜力。本文进一步研究了身体恢复与认知恢复之间的相互作用，强调了运动功能与认知改善之间的相互关系。总之，本综述强调了神经心理学在理解脊髓损伤多方面影响中的关键作用。通过加强我们对神经完整性、认知功能和心理健康之间复杂联系的理解，神经心理学为制定全面的康复策略提供了宝贵的见解，以应对脊髓损伤患者面临的认知和情感挑战。随着神经康复的不断发展，整合神经心理学原理有望改善脊髓损伤患者的整体恢复情况和生活质量。
