Application progress of computer-assisted cognitive rehabilitation in post-stroke cognitive impairment

doi:10.3969/j.issn.1672-6731.2022.11.002

Abstract

Abstract: Computer-assisted cognitive rehabilitation (CACR), as a good substitute or supplement for traditional cognitive rehabilitation, has been applied to the rehabilitation of post-stroke cognitive impairment (PSCI) due to its repeatability, interest and colorful training content. However, there are still some objective limitations of CACR. This paper reviews the application of CACR in PSCI rehabilitation based on some clinical randomized controlled trials, discusses its effects on cognitive dysfunction, emotional disorders, activities of daily living disorders, and provides evidence for its promotion and application.

Key words: Stroke, Cognition disorders, Therapy, computer-assisted, Rehabilitation, Review

摘要： 计算机辅助认知康复（CACR）系统因其可重复性、趣味性、丰富多彩的训练内容等，成为传统认知康复的补充手段，开始应用于脑卒中后认知障碍（PSCI）患者的康复治疗，但其疗效尚存争议。本文针对目前国内外开展的随机对照临床试验，以及CACR系统在PSCI康复中的应用进行综述，探讨其对认知功能障碍、情绪障碍、日常生活活动能力障碍等的康复疗效，以为其临床推广提供参考依据。

关键词: 卒中, 认知障碍, 治疗,计算机辅助, 康复, 综述

LIN Yu-fan, DU Xiao-xia. Application progress of computer-assisted cognitive rehabilitation in post-stroke cognitive impairment[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2022, 22(11): 922-926.

林煜凡, 杜晓霞. 计算机辅助认知康复在脑卒中后认知障碍中的应用进展[J]. 中国现代神经疾病杂志, 2022, 22(11): 922-926.

/ / Recommend / Download Citations

URL: https://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2022.11.002

https://journal11.magtechjournal.com/cjcnn/EN/Y2022/V22/I11/922

References

[1] Vascular Cognitive Impairment Branch, Chinese Stroke Society. Expert consensus on the management of cognitive impairment after stroke 2021[J]. Zhongguo Zu Zhong Za Zhi, 2021, 16:376-389.[中国卒中学会血管性认知障碍分会.卒中后认知障碍管理专家共识2021[J]. 中国卒中杂志, 2021, 16:376-389].
[2] Ding MY, Xu Y, Wang YZ, Li PX, Mao YT, Yu JT, Cui M, Dong Q. Predictors of cognitive impairment after stroke:a prospective stroke cohort study[J]. J Alzheimers Dis, 2019, 71:1139-1151.
[3] Rohde D, Gaynor E, Large M, Mellon L, Bennett K, Williams DJ, Brewer L, Hall P, Callaly E, Dolan E, Hickey A. Cognitive impairment and medication adherence post-stroke:a five-year follow-up of the ASPIRE-S cohort[J]. PLoS One, 2019, 14:e0223997.
[4] Na R, Yang JH, Yeom Y, Kim YJ, Byun S, Kim K, Kim KW. A systematic review and meta-analysis of nonpharmacological interventions for moderate to severe dementia[J]. Psychiatry Investig, 2019, 16:325-335.
[5] Expert Group of Roundtable on Cognitive Impairment after Stroke, Chinese Stroke Society. Expert consensus on prevention and treatment of cognitive impairment after stroke in China[J].Zhongguo Zu Zhong Za Zhi, 2020, 15:158-166.[中国卒中学会卒中后认知障碍研究圆桌会议专家组. 中国卒中后认知障碍防治研究专家共识[J]. 中国卒中杂志, 2020, 15:158-166].
[6] Faria AL, Pinho MS, Bermúdez I Badia S. A comparison of two personalization and adaptive cognitive rehabilitation approaches:a randomized controlled trial with chronic stroke patients[J]. J Neuroeng Rehabil, 2020, 17:78.
[7] Chen AT, Wang CY, Liu W, Liu X, Zheng B, Duan XQ. Current situation and progress of computerized cognitive assessment and rehabilitation system for stroke patient[J]. Ji Qi Ren Wai Ke Xue Za Zhi (Zhong Ying Wen), 2021, 2:220-224.[陈安天, 王晨雨, 刘威, 刘欣, 郑斌, 段晓琴. 脑卒中后计算机化认知评估与康复系统的现状及研究进展[J]. 机器人外科学杂志(中英文), 2021, 2:220-224].
[8] Zhou Y, Feng H, Li G, Xu C, Wu Y, Li H. Efficacy of computerized cognitive training on improving cognitive functions of stroke patients:a systematic review and meta-analysis of randomized controlled trials[J]. Int J Nurs Pract, 2022, 28:e12966.
[9] Nousia A, Martzoukou M, Siokas V, Aretouli E, Aloizou AM, Folia V, Peristeri E, Messinis L, Nasios G, Dardiotis E. Beneficial effect of computer-based multidomain cognitive training in patients with mild cognitive impairment[J]. Appl Neuropsychol Adult, 2021, 28:717-726.
[10] Talan J. A tailor:made lifestyle prevention plan made some headway in MCI. Why 'It's a great start' but we're not there yet[J]. Neurol Today, 2019, 19:52-54.
[11] Du ZF, Cai C. Rehabilitation study of computer-assisted cognitive training combined with occupational therapy on patients with cognitive impairment after stroke[J]. Zhongguo Shi Yong Shen Jing Ji Bing Za Zhi, 2020, 23:2074-2080.[杜振峰, 蔡琛. 计算机辅助认知训练联合作业治疗对脑卒中认知障碍患者的康复研究[J]. 中国实用神经疾病杂志, 2020, 23:2074-2080].
[12] Maggio MG, Latella D, Maresca G, Sciarrone F, Manuli A, Naro A, De Luca R, Calabrò RS. Virtual reality and cognitive rehabilitation in people with stroke:an overview[J]. J Neurosci Nurs, 2019, 51:101-105.
[13] Dehn LB, Piefke M, Toepper M, Kohsik A, Rogalewski A, Dyck E, Botsch M, Schäbitz WR. Cognitive training in an everyday-like virtual reality enhances visual-spatial memory capacities in stroke survivors with visual field defects[J]. Top Stroke Rehabil, 2020, 27:442-452.
[14] Zhang Q, Fu Y, Lu Y, Zhang Y, Huang Q, Yang Y, Zhang K, Li M. Impact of virtual reality-based therapies on cognition and mental health of stroke patients:systematic review and meta-analysis[J]. J Med Internet Res, 2021, 23:e31007.
[15] Rohde D, Gaynor E, Large M, Mellon L, Hall P, Brewer L, Bennett K, Williams D, Dolan E, Callaly E, Hickey A. The impact of cognitive impairment on poststroke outcomes:a 5-year follow-up[J]. J Geriatr Psychiatry Neurol, 2019, 32:275-281.
[16] Huang YY, Peng B, Chen YY, Huang HQ, Zheng SL. Summary of best evidences for management of post-stroke cognitive impairment[J]. Hu Li Yan Jiu, 2020, 34:3752-3758.[黄雨滟, 彭博, 陈颖异, 黄厚强, 郑思琳. 卒中后认知障碍管理的最佳证据总结[J]. 护理研究, 2020, 34:3752-3758].
[17] Nie P, Liu F, Lin S, Guo J, Chen X, Chen S, Yu L, Lin R. The effects of computer-assisted cognitive rehabilitation on cognitive impairment after stroke:a systematic review and meta-analysis[J]. J Clin Nurs, 2022, 31:1136-1148.
[18] Yoo C, Yong MH, Chung J, Yang Y. Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients[J]. J Phys Ther Sci, 2015, 27:2487-2489.
[19] De Luca R, Leonardi S, Spadaro L, Russo M, Aragona B, Torrisi M, Maggio MG, Bramanti A, Naro A, De Cola MC, Calabrò RS. Improving cognitive function in patients with stroke:can computerized training be the future[J]? J Stroke Cerebrovasc Dis, 2018, 27:1055-1060.
[20] Yao JX, Zhi XD, Wang JY, Wang YX, Mao ZN. Effects of computer-assisted cognitive training on cognitive impairment after stroke and on neurotransmitter levels[J]. Shen Jing Sun Shang Yu Gong Neng Chong Jian, 2021, 16:772-773.[姚军孝, 支晓东, 王君义, 王雅欣, 毛忠南. 计算机辅助认知训练对卒中后认知障碍的改善及对神经递质水平的影响[J]. 神经损伤与功能重建, 2021, 16:772-773].
[21] Park HK, Song MK, Kim JH, Han JY. A randomized controlled trial to evaluate the effectiveness and safety of electro acupuncture and transcranial direct current stimulation with computerized cognitive rehabilitation in patients with vascular cognitive impairment[J]. Medicine (Baltimore), 2020, 99:e21263.
[22] Yeh TT, Chang KC, Wu CY. The active ingredient of cognitive restoration:a multicenter randomized controlled trial of sequential combination of aerobic exercise and computer-based cognitive training in stroke survivors with cognitive decline[J].Arch Phys Med Rehabil, 2019, 100:821-827.
[23] Medeiros GC, Roy D, Kontos N, Beach SR. Post-stroke depression:a 2020 updated review[J]. Gen Hosp Psychiatry, 2020, 66:70-80.
[24] Knapp P, Dunn-Roberts A, Sahib N, Cook L, Astin F, Kontou E, Thomas SA. Frequency of anxiety after stroke:an updated systematic review and Meta-analysis of observational studies[J].Int J Stroke, 2020, 15:244-255.
[25] Shek AC, Biondi A, Ballard D, Wykes T, Simblett SK. Technology-based interventions for mental health support after stroke:a systematic review of their acceptability and feasibility[J]. Neuropsychol Rehabil, 2021, 31:432-452.
[26] Wright JH, Mishkind M, Eells TD, Chan SR. Computer-assisted cognitive-behavior therapy and mobile apps for depression and anxiety[J]. Curr Psychiatry Rep, 2019, 21:62.
[27] Prokopenko SV, Mozheyko EY, Petrova MM, Koryagina TD, Kaskaeva DS, Chernykh TV, Shvetzova IN, Bezdenezhnih AF. Correction of post-stroke cognitive impairments using computer programs[J]. J Neurol Sci, 2013, 325:148-153.
[28] Lee PH, Yeh TT, Yen HY, Hsu WL, Chiu VJ, Lee SC. Impacts of stroke and cognitive impairment on activities of daily living in the Taiwan longitudinal study on aging[J]. Sci Rep, 2021, 11:12199.
[29] Ozen S, Senlikci HB, Guzel S, Yemisci OU. Computer game assisted task specific exercises in the treatment of motor and cognitive function and quality of life in stroke:a randomized control study[J]. J Stroke Cerebrovasc Dis, 2021, 30:105991.
[30] Tchero H, Tabue Teguo M, Lannuzel A, Rusch E. Telerehabilitation for stroke survivors:systematic review and meta-analysis[J]. J Med Internet Res, 2018, 20:e10867.
[31] Schaapsmeerders P, Tuladhar AM, Arntz RM, Franssen S, Maaijwee NA, Rutten-Jacobs LC, Schoonderwaldt HC, Dorresteijn LD, van Dijk EJ, Kessels RP, de Leeuw FE. Remote lower white matter integrity increases the risk of long-term cognitive impairment after ischemic stroke in young adults[J].Stroke, 2016, 47:2517-2525.
[32] Nyberg CK, Nordvik JE, Becker F, Rohani DA, Sederevicius D, Fjell AM, Walhovd KB. A longitudinal study of computerized cognitive training in stroke patients:effects on cognitive function and white matter[J]. Top Stroke Rehabil, 2018, 25:241-247.
[33] Report on Stroke Prevention and Treatment in China Writing Group. Brief report on stroke prevention and treatment in China, 2019[J]. Zhongguo Nao Xue Guan Bing Za Zhi, 2020, 17:272-281.[《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2019》概要[J]. 中国脑血管病杂志, 2020, 17:272-281].
[34] Wentink MM, Meesters J, Berger MAM, de Kloet AJ, Stevens E, Band GPH, Kromme CH, Wolterbeek R, Goossens PH, Vliet Vlieland TPM. Adherence of stroke patients with an online brain training program:the role of health professionals' support[J]. Top Stroke Rehabil, 2018, 25:359-365.

Please choose a citation manager

Content to export