在获得脑损伤和多发性硬化症后,工作记忆的康复:系统性审查
Guillaume Mazo1, Stéphanie Pantaléo2, Arianne van der Oord2
1DysCo Laboratory, Paris 8 Saint-Denis University, Paris, France.
Neuropsychological rehabilitation
|March 2, 2024
概括
多任务工作记忆 (WM) 康复在获得性脑损伤 (ABI) 和多发性硬化症 (MS) 患者中显示出前景. 有证据表明,在治疗师的支持下进行早期的长期培训,尽管具体的计划和长期影响需要进一步研究.
科学领域:
- 神经康复疗法 神经康复疗法
- 认知心理学 认知心理学
- 临床神经科学 临床神经科学
背景情况:
- 获得性脑损伤 (ABI) 和多发性硬化症 (MS) 往往导致工作记忆 (WM) 缺陷.
- 对WM损伤的有效康复策略对于患者的康复和生活质量至关重要.
研究的目的:
- 系统地审查获得性脑损伤 (ABI) 和多发性硬化症 (MS) 患者工作记忆 (WM) 康复干预措施的有效性.
- 为了确定最佳的培训方法和参数,WM康复.
主要方法:
- 根据PRISMA指南进行了系统的数据库搜索.
- 包括的研究被评估为方法质量和偏差风险.
- 根据已识别的康复方法分析了结果,评估了31项研究和11个不同的培训计划.
主要成果:
- 在各种WM康复计划中观察到总体积极的结果,尽管方法存在差异.
- 只有三个程序证明了将影响转移到近WM和日常生活中,并进行长期维护.
- 多任务培训,早期干预,更长的时间和一些治疗师的支持似乎比单任务或仅仅是计算机化的n-back培训更有益.
结论:
- 目前的证据支持ABI和MS群体的多任务WM培训,而不是单任务计划.
- 虽然令人鼓舞,但总体证据水平仍然适度,特别是在长期维护和转移到日常运行方面.
- 需要进一步的研究,以确定WM康复计划的最终建议,并评估特定参数的影响,如培训时间和治疗师参与等.
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