对神经退行性疾病的认知干预
Jason W Krellman1, Giulia Mercuri2
1Department of Neurology, Columbia University Irving Medical Center, 710 West 168Th Street, New York, NY, 10032-3784, USA. jk3878@cumc.columbia.edu.
Current neurology and neuroscience reports
|July 10, 2023
概括
对阿尔茨海默病 (AD) 和帕金森病 (PD) 的非药物干预显示出不同的结果. 认知康复 (CR) 是最有前途的,需要灵活,个性化的方法来治疗渐进的神经退行性疾病.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 认知心理学 认知心理学
背景情况:
- 阿尔茨海默病 (AD) 和帕金森病 (PD) 是一种进展性神经退行性疾病.
- 认知能力下降是影响AD和PD患者生活质量的重要症状.
研究的目的:
- 批判性地审查最近关于非药物干预措施的研究,以提高AD和PD的认知能力.
- 评估不同类别干预措施的有效性和局限性.
主要方法:
- 干预措施分为认知刺激 (CS),认知训练 (CT) 和认知康复 (CR) 的分类.
- 对每个类别的好处,耐用性和现实世界的实用性进行研究结果的分析.
主要成果:
- 认知刺激 (CS) 提供暂时的,非特定的好处.
- 认知训练 (CT) 提高了特定的认知功能,但缺乏持久的,现实世界的应用.
- 认知康复 (CR) 由于其整体和灵活的性质,是最有前途的,尽管严格研究具有挑战性.
结论:
- 针对AD和PD的最佳认知干预需要一个多方面的,个性化的方法.
- 认知康复 (CR) 需要动态的,长期的策略,以适应患者不断变化的需求.
- 临床医生应根据患者的耐受性,需要和进展性神经退行性疾病的目标选择干预措施.
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