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Los efectos combinados del entrenamiento de rehabilitación reparadora y compensatoria en las funciones ejecutivas en
Ayesha Saddiqa1, Zainab Noor Qazi2, Arfa Zafar2
1Department of Physical Therapy, Mohi-u-Din Islamic University, Mirpur, Pakistan.
Disability and rehabilitation
|February 10, 2026
Resumen
La rehabilitación restaurativa y compensatoria combinada mejoró significativamente las funciones ejecutivas y la calidad de vida en pacientes con ictus agudo con deterioro cognitivo leve. Este enfoque ofrece una alternativa más efectiva al entrenamiento cognitivo convencional para los sobrevivientes de ACV.
Área de la Ciencia:
- La Neurorrehabilitación es la rehabilitación neurológica.
- La rehabilitación cognitiva es una rehabilitación cognitiva.
- Recuperación después de un accidente cerebrovascular.
Sus antecedentes:
- El deterioro cognitivo leve es común en pacientes con accidente cerebrovascular agudo.
- Los déficits de la función ejecutiva afectan la vida diaria y la recuperación después de un accidente cerebrovascular.
- Es posible que las estrategias actuales de rehabilitación no aborden completamente los trastornos cognitivos.
Objetivo del estudio:
- Evaluar la eficacia de la rehabilitación restaurativa y compensatoria combinada en las funciones ejecutivas en pacientes con ictus agudo con deterioro cognitivo leve.
- Para comparar este nuevo enfoque con la terapia convencional.
Principales métodos:
- Un ensayo controlado aleatorizado en el que participaron 36 pacientes con ictus agudo de la arteria cerebral media.
- El grupo de intervención recibió rehabilitación restaurativa y compensatoria combinadas (n = 18).
- El grupo de control recibió terapia convencional (n=18).
- Las evaluaciones incluyeron MOCA, MRS, CASP y SSQOL al inicio y las semanas 3, 6 y 9, analizadas a través de ANOVA.
Principales resultados:
- El grupo experimental demostró mejoras significativas en MOCA (20.5 a 27.1) y CASP (45.2 a 50.3) en la semana 9 (p<0.05).
- El grupo experimental mostró una mayor mejora en MRS (3.5 a 2.7) en comparación con los controles (p<0.05).
- La calidad de vida específica del accidente cerebrovascular (SSQOL) disminuyó en el grupo de control, pero mostró tendencias de mejora en el grupo de intervención.
Conclusiones:
- La rehabilitación restaurativa y compensatoria combinada es superior al entrenamiento cognitivo convencional para mejorar las funciones ejecutivas en sobrevivientes de accidente cerebrovascular con deterioro cognitivo leve.
- Esta estrategia de rehabilitación mejora la independencia funcional y la calidad de vida.
- Los hallazgos apoyan la integración de este enfoque combinado en los protocolos de atención del accidente cerebrovascular.
Palabras clave:
El sistema de compensación es compensatorio.El conocimiento cognitivo cognitivo.ejecutivo ejecutivo ejecutivo ejecutivo.entrenamiento de capacitación para la rehabilitación.Restaurador restaurador es un método de restauración que se utiliza para restaurar.El golpe del golpe del golpe del golpe del golpe.
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