Executive function intervention for elderly patients after cerebral infarction
10.3760/cma.j.issn.0254-1424.2012.06.008
- VernacularTitle:中老年脑梗死患者执行功能的康复效果研究
- Author:
Changxiang CHEN
;
Yan XING
;
Jianmin LI
- Publication Type:Journal Article
- Keywords:
Cerebral infarction;
Executive function intervention;
Cognitive impairment
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2012;34(6):436-439
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of executive function intervention on the executive functioning of elderly patients with cerebral infarction,and to seek the best way to improve executive function in such patients.Methods Eighty elderly patients with cerebral infarction were randomly divided into an intervention group and a control group.A series of executive function interventions were administered to those in the intervention group with no intervention in the control group.The two groups were given the same conventional medication.The Behavioral Assessment of the Dysexecutive Syndrome (BADS) was taken before the intervention,then 3 months and 6 months after recruitment.Results In the intervention group the average score and the total standard score had increased significantly after 3 months except for the action program test and the modified six elements test.Both indicators were still significantly increased from the baseline afar 6 months except for the modified six elements test.The average score and the total standard score had increased significantly between 3 months and 6 months except on the key search test.Both the time determination test and the total standard score had statistically significant average differences.The control group showed no significant differences.After 3 months,the average scores and the total test standard scores in the intervention group were signifieantiy higher than those in control group except on the action program test.The rules conversion card test,the time determination test and the total standard score difference all showed statistically significant differences between the groups.After 6 months the intervention group's scores remained significantly higher than those of the control group except on the action program test.Conclusions Executive function interventions are effective in delaying the progress and improving the prognosis of executive dysfunction in elderly patients with cerebral infarction,and the therapy has persistent effects.
