经直流刺激与认知训练相结合,改善了两个执行功能:认知灵活性和创伤性脑损伤后的信息更新
Fatemeh Afsharian1, Razieh Khorram Abadi2, Reza Taheri3
1Master of General Psychology, Persian Gulf University of Bushehr, Bushehr, Iran.
Acta psychologica
|November 6, 2024
概括
将跨直流刺激 (tDCS) 与认知训练相结合,显著改善了创伤性脑损伤 (TBI) 患者的认知灵活性和信息更新. 这种综合方法为增强TBI后的执行职能提供了一个有希望的途径.
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
- 认知心理学 认知心理学
背景情况:
- 创伤性脑损伤 (TBI) 经常导致认知灵活性和信息更新的持续缺陷,这是关键的执行功能.
- 执行功能受损严重影响TBI患者的独立性和适应能力.
- 之前的研究已经独立探索了非侵入性脑刺激和认知训练.
研究的目的:
- 研究跨直流刺激 (tDCS) 和基于计算机的认知训练对TBI患者的认知灵活性和信息更新的联合影响.
- 为了比较这种联合干预的疗效与没有治疗的对照组.
主要方法:
- 30名患有执行功能障碍的TBI患者 (受伤后2-12周) 被随机分配到实验组或对照组.
- 实验组接受了前额叶皮层的10次阳极tDCS (2.0mA),并与RehaCom认知训练相结合,持续2周.
- 在干预前和后评估认知灵活性和信息更新,使用威斯康星卡排序测试,n-back任务和定量脑电图 (qEEG).
主要成果:
- 两组之间观察到,α,β和马波段功率的统计学上显著差异 (p < .05).
- 与对照组相比,实验组在认知灵活性 (威斯康星州卡片排序测试) 和信息更新 (n-back任务) 中显著改善 (p < .05).
结论:
- 结合tDCS和认知训练,可以提高TBI患者的认知灵活性和信息更新.
- 这种联合干预可以增强前额前部的可塑性和连接性,从而改善TBI后的执行功能.
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