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Intervention Review

Cognitive rehabilitation for attention deficits following stroke

  1. Nadina Lincoln1,*,
  2. Mariam Majid2,
  3. Nicola Weyman3

Editorial Group: Cochrane Stroke Group

Published Online: 23 OCT 2000

Assessed as up-to-date: 19 MAY 2000

DOI: 10.1002/14651858.CD002842


How to Cite

Lincoln N, Majid M, Weyman N. Cognitive rehabilitation for attention deficits following stroke. Cochrane Database of Systematic Reviews 2000, Issue 4. Art. No.: CD002842. DOI: 10.1002/14651858.CD002842.

Author Information

  1. 1

    University of Nottingham, Institute of Work, Health & Organisations, Nottingham, UK

  2. 2

    University of Newcastle upon Tyne, Department of Clinical Psychology, Newcaste upon Tyne, UK

  3. 3

    University of Nottingham, School of Psychology, Nottingham, UK

*Nadina Lincoln, Institute of Work, Health & Organisations, University of Nottingham, William Lee 8, Science and Technology Park, Nottingham, NG7 2RQ, UK. nadina.lincoln@nottingham.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 23 OCT 2000

SEARCH

This is not the most recent version of the article. View current version (31 MAY 2013)

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Attention problems occur following stroke and are treated using computerised activities or paper and pencil tasks.

Objectives

To determine the effects of cognitive rehabilitation for attention deficits following stroke.

Search methods

We searched the Cochrane Stroke Group Trials Register, Medline, EMBASE, CINAHL and CLIN PSYCH databases and reference lists from relevant articles. Date of most recent searches: December 1998

Selection criteria

Controlled trials of attention training in stroke. Studies with mixed aetiology groups were excluded unless they included more than 75% of stroke patients or separate data were available for the stroke patients.

Data collection and analysis

Two reviewers extracted trial data and assessed trial quality. Reviewers contacted investigators for further details of trials.

Main results

Two trials were identified with 56 participants. The two trials showed a benefit of training on measures of alertness and sustained attention. Only one trial included a measure of functional independence and this showed no significant effect of training.

Authors' conclusions

There is some indication that training improves alertness and sustained attention but no evidence to support or refute the use of cognitive rehabilitation for attention deficits to improve functional independence following stroke.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Cognitive rehabilitation for attention deficits following stroke

Cognitive training can improve alertness and sustained attention but there is no evidence that it helps people to do daily activities without help after stroke. Attention problems can occur following stroke (a sudden catastrophe in the brain either because an artery to the brain blocks, or because an artery in or on the brain ruptures and bleeds). They are common in people with damage to the right side of their brain. Although there is some spontaneous recovery, some symptoms may persist for years. Cognitive rehabilitation training aims to improve attention, memory and perception. The review found that training improves alertness and sustained attention. The review found no evidence to show that cognitive rehabilitation can improve people's ability to do daily activities without help after a stroke (for example, getting dressed).

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

認知功能復健對於中風後病人注意力缺陷的影響

使用電腦化或是紙筆的活動來治療中風後注意力的問題

目標

評估認知功能復健對於中風後病人的注意力問題

搜尋策略

我們搜尋了Cochrane Stroke Group Trials Register, Medline, EMBASE, CINAHL and CLIN PSYCH 等資料庫和相關文獻的參考資料. 搜尋至1998年12月.

選擇標準

我們選擇了中風後注意力訓練的對照性試驗. 我們排除了有多病因的研究,除了有75%以上的病人為中風的研究或是對於中風的病人有個別的資料.

資料收集與分析

2位回顧者摘錄試驗數據並評估試驗品質. 也聯絡試驗者以獲得進一步的試驗細節

主要結論

2個包含56人的試驗被選入.2個試驗顯示對於警覺性和持續注意力有改善. 只有1個試驗評估功能上的獨立性,結果顯示沒有明顯的好處.

作者結論

有跡象顯示訓練能改善警覺性和持續注意力但是認知復健對於注意力的影響是否能改善中風後功能上的獨立則無法下結論.

翻譯人

本摘要由奇美醫院何乘彰翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

認知復健能改善警覺性和持續注意力但並無證據證實能改善中風後日常生活的獨立性. 中風對於腦部是一個突然的大災難,一則是血管的梗塞或是血管壁破裂出血,特別是傷到右腦時. 雖然有部分症狀會自動痊癒但有些則會持續數年. 認知復健目的在於改善注意力,記憶和感受力. 本回顧發現訓練能改善警覺性和持續注意力但對於中風後病人自主生活能力,如穿衣,並無幫助.