改善脊髓损伤的成年人认知功能的干预措施的有效性:系统性审查
Yan Li1, Yule Hu1, Ilaria Pozzato2,3
1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Journal of neurotrauma
|April 16, 2024
概括
在脊髓损伤 (SCI) 后对认知障碍的干预表明有效性的证据有限. 与认知训练相结合的体育炼似乎是最有希望的,但对于SCI认知康复需要更多高质量的研究.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 认知障碍是脊髓损伤 (SCI) 的常见并发症,对患者的生活产生负面影响.
- 针对SCI后认知缺陷的干预措施的有效性在很大程度上仍未确定.
研究的目的:
- 系统地审查对照试验,评估SCI成人认知功能的干预措施.
- 综合各种治疗方法对SCI后认知障碍的疗效的证据.
主要方法:
- 从主要数据库获取到2023年12月的受控试验的系统审查.
- 由两位审查员进行的独立选,发现的综合,以及使用Cochrane Risk of Bias 2.0.0.的偏见风险评估.
- 包含了8项中等质量的研究,检查了运动,饮食,刺激和药物治疗.
主要成果:
- 身体炼/基于活动的疗法与认知训练相结合,显示出对认知改善的最大希望.
- 药物治疗,饮食修改和补充剂显示出潜力,但有明显的副作用 (例如,血压不稳定,胃肠道问题).
- 通过刺激技术没有观察到认知能力的改善;总体证据受研究质量和样本大小的限制.
结论:
- 在SCI之后,对认知功能的干预进行高质量的研究非常稀缺.
- 目前的证据由于方法上的局限性而不确定,需要对SCI认知康复进行进一步的严格调查.
更多相关视频
07:01Working Memory Training for Older Participants: A Control Group Training Regimen and Initial Intellectual Functioning Assessment
Published on: September 20, 2020
4.7K
07:31A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
Published on: February 13, 2020
6.9K
相关概念视频
Cognitive Development During Adulthood
94
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
94
Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
122
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
122
