DOI: 10.14704/nq.2018.16.4.1212

Computer Aided Technology-Based Cognitive Rehabilitation Efficacy Against Patients’ Cerebral Stroke

Xiaolin Liu, Xiong’ang Huang, Jian Lin, Lin Li, Rui Zhang, Rongtao Ding

Abstract


Cognitive dysfunction caused by cerebral stroke in different degrees throws patients into troubles in daily life. It, therefore, has been a great challenge about how to develop a positive and accurate diagnosis and treatment program against cognitive impairments and in favor of rehabilitation of patients after cerebral stroke. This paper investigates 128 cases of stroke patients randomly chosen and included into the traditional rehabilitation and computer-aided training groups who respectively received routine drug and traditional cognitive rehabilitation therapies for 4 weeks, except that the computer-aided training group also underwent a computer-aided cognitive exercises. A Montreal Cognitive Assessment (MOCA) was introduced for rating both groups. After a comparative analysis was conducted on the results, it turns out that, after cerebral stroke of patients, whether the traditional cognitive rehabilitation therapy or the computer-aided cognitive therapy they received, the cognitive dysfunction can be relieved, but the computer-aided training process, as an adjuvant therapy, has a more significant efficacy against this symptom. It is proved that the Computer Aided Technology (CAT) has played a great role in the rehabilitation of patients with cognitive dysfunction after cerebral stroke, which attributes to its strong targeted therapy, practicality, time-saving and less effort, and good scientificity. Not only that, it also has a great practical significance for clinical cognitive rehabilitation.

Keywords


Computer Aided Technology; Cerebral stroke; cognitive dysfunction

Full Text:

PDF

References


Curry AD, Ryan SR, Malik A, Zeno D, Willcockson IU. Development of a computer-aided training program for brief cognitive-behavioral therapy in primary care. Academic Psychiatry 2013; 37(2):120-24.

Cumming TB, Bernhardt J, Linden T. The montreal cognitive assessment: short cognitive evaluation in a large stroke trial. Stroke 2011; 42(9): 2642-44.

Ferrucci L, Guralnik JM, Salive ME, Pahor M, Corti MC, Baroni A. Cognitive impairment and risk of stroke in the older population. Journal of the American Geriatrics Society 1996; 44(11): 1410-11.

Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Franco S. Heart disease and stroke statistics—2013 update. Circulation 2013;127(1):e6-245.

Hulme A, Maclennan, WJ, Ritchie RT, John VA, Shotton PA. Baclofen in the elderly stroke patient its side-effects and pharmacokinetics. European Journal of Clinical Pharmacology 1985; 29(4): 467-69.

Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term cognitive impairment and functional disability among survivors of severe sepsis. JAMA 2010;304(16):1787-94.

Kauhanen ML, Korpelainen JT, Hiltunen P, Määttä R, Mononen H, Brusin E, Sotaniemi KA, Myllylä VV. Aphasia, depression, and non-verbal cognitive impairment in ischaemic stroke. Cerebrovascular Diseases 2000; 10(6):455-61.

Kneebone II. A framework to support cognitive behavior therapy for emotional disorder after stroke. Cognitive & Behavioral Practice 2016; 23(1): 99-109.

Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I. The montreal cognitive assessment, moca: a brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society 2005; 53(4): 695-99.

Pasi M, Salvadori E, Poggesi A, Inzitari D, Pantoni L. Factors predicting the montreal cognitive assessment (moca) applicability and performances in a stroke unit. Journal of Neurology 2013; 260(6): 1518-26.

Patel M, Coshall C, Rudd AG, Wolfe CD. Natural history of cognitive impairment after stroke and factors associated with its recovery. Clinical Rehabilitation 2003; 17(2):158-66.

Petersen RC, Stevens JC, Ganguli M, Tangalos EG, Cummings JL, DeKosky ST. Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review) Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2001; 56(9):1133-42.

Sachdev PS, Brodaty H, Valenzuela MJ, Lorentz L, Looi JC, Berman K. Clinical determinants of dementia and mild cognitive impairment following ischaemic stroke: the sydney stroke study. Dementia & Geriatric Cognitive Disorders 2006; 21(5-6): 275-83.

Tatemichi TK, Desmond DW, Stern, Y, Paik M, Sano M, Bagiella E. Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. Journal of Neurology Neurosurgery & Psychiatry 1994; 57(2): 202-07.

Tham W, Auchus AP, Thong M, Goh ML, Chang HM, Wong MC, Chen CP. Progression of cognitive impairment after stroke: one year results from a longitudinal study of Singaporean stroke patients. Journal of the Neurological Sciences 2002; 203:49-52.

Toglia J, Fitzgerald KA, O'Dell MW, Mastrogiovanni AR, Lin CD. The Mini-Mental State Examination and Montreal Cognitive Assessment in persons with mild subacute stroke: relationship to functional outcome. Archives of Physical Medicine and Rehabilitation 2011;92(5):792-98.


Supporting Agencies

Public welfare Technology Application Research Program of Science Technology Department of Zhejiang Province (2015C33184).



| NeuroScience + QuantumPhysics> NeuroQuantology :: Copyright 2001-2018