Computer-assisted cognition training relieves cognitive dysfunction after a stroke: A multicenter randomized and controlled study
10.3760/cma.j.issn.0254-1424.2022.11.004
- VernacularTitle:计算机辅助认知训练治疗卒中后认知功能障碍的多中心随机对照研究
- Author:
Ziqi ZHAO
1
;
Kehong ZHAO
;
Yun QU
Author Information
1. 四川大学华西医院康复医学中心，成都 610041
- Keywords:
Computer-assisted training;
Cognition training;
Stroke;
Cognitive dysfunction;
Immediate memory;
Delayed memory;
Computation ability
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(11):978-981
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical efficacy of computer-assisted cognitive training in the treatment of cognitive impairment after stroke.Methods:A total of 155 stroke survivors with vascular cognitive impairment were identified at 31 hospitals. They were randomly divided into a control group of 72 and an experimental group of 77 (6 failed to follow up). The control group received 30 minutes of conventional cognition training 5 times a week for 2 weeks, while the experimental group was given computer-assisted cognition training. Before and after the treatment, both groups′ cognition was evaluated using Chinese versions of the Mini Mental State Assessment Scale (MMSE) and the Montreal Cognitive Test (MoCA).Results:After the treatment, the average MMSE and MoCA scores of the observation group [(22.5±3.62) and (19.69±4.43)] and the control group [(21.7±4.30) and (19.10±5.58)] were significantly better than those before the treatment [(19.3±3.08) and (16.79±4.58); (19.7±3.11) and (17.74±5.25)]. The post-treatment difference between the groups′ averages was not significant, but the observation group′s improvements on the immediate memory, delayed memory and calculation portions of the MMSE were significantly greater than those of the control group.Conclusions:Computer-assisted cognition training can improve the overall cognitive functioning of stroke survivors, achieving the same therapeutic effect as conventional cognitive therapy. It is more effective than conventional cognitive therapy in promoting immediate memory, delayed memory and calculation ability.
