نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری تخصصی، گروه روانشناسی عمومی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
2 استادیار، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
3 استاد، گروه نورولوژی، مرکز تحقیقات علوم اعصاب، پژوهشکده سالمندی، دانشگاه علوم پزشکی تبریز، تبریز، ایران
4 دانشیار، آزمایشگاه علوم اعصاب شناختی، دانشگاه تبریز، تبریز، ایران
چکیده
کلیدواژهها
عنوان مقاله [English]
نویسندگان [English]
Background and Aims: Stroke is the most important neurological disease in old people. Cognitive impairment, such as attention deficit, is one of the common problems in stroke patients. So, the aim of the present study was to evaluate the effect of computer-based cognitive rehabilitation on sustained attention, divided attention, and selective attention function in patients with stroke.
Materials and Methods: A quasi- experimental investigation was carried out using a pretest- posttest design and a control group. A total of 30 stroke patients aged 30-65 meeting the inclusion criteria were randomly assigned to experimental and control groups. The experimental group was trained for 21 sessions using Captain’s Log Cognitive Rehabilitation Software, but the control group did not receive any intervention. Integrated Visual and Auditory Continuous Performance Test was used as pretest and posttest.
Results: Data analysis, using single-variable covariance, showed a significant difference between experimental and control groups in attention scores (selective attention, sustained attention, and divided attention).
Conclusion:According to the findings of the present study, it can be deduced that computer cognitive rehabilitation programs can be used to improve the components of attention in people with stroke.
کلیدواژهها [English]
10. Toby BC, Randolph SM, Ronald ML. stroke,cognitive,deficits and rehabilitation: still an incomplete picture. international journal of stroke. 2013; 8:38-45. ##
11. Barker-Collo S, Feigin V, Parag V, Lawes C, Senior H. Auckland stroke outcomes study part 2: Cognition and functional outcomes 5 years poststroke. Neurology. 2010; 75(18):1608-1616. ##
12. Loetscher T, Lincoln NB. Cognitive rehabilitation for attention deficits following stroke. Cochrane Database Syst Rev. 2013; 5:CD002842. ##
13. van de Ven RM, Murre JMJ, Veltman DJ and Schmand BA. Computer-Based Cognitive Training for Executive Functions after Stroke: A Systematic Review Front. Hum. Neurosci. 2016; 10:150. ##
14. Stapleton T, Ashburn A, Stack E. A pilot study of attention deficits, balance control and falls in the subacute stage following stroke. Clinical Rehabilitation. 2001; 15(4):437-444. ##
15. Penner IK, Kappos L. Retraining attention in MS. Journal of the neurological sciences. 2006; 245 (1):147-151. ##
16. Mitchell AJ, Kemp S, Benito-Leon J, Reuber M. The influence of cognitive impairment on health-related quality of life in neurological disease. Acta Neuropsychiatrica. 2010; 22:2–13. ##
17. Nys GMS, van Zandvoort MJE, van der Worp HB, deHaan EHF, de Kort PLM, Jansen BPW. Early cognitive impairment predicts long-term depressive symptoms and quality of life after stroke. Journal of the Neurological Sciences. 2006; 247:149–56. ##
18. Sohlberg MC, Matter CA. Cognitive rehabilitation: An Integrative Neuropsychological Approach. The Guilford press. 2001. ##
19. Claesson L, Lindén T, Skoog I, Blomstrand C. Cognitive impairment after stroke- Impact on activities of daily living and costs of care for elderly people. Cerebrovascular Diseases. 2005;19(2):102-9. ##
20. Cicerone KD, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M. Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation. 2011;92:519–30##
21. Oldfield RC. The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychology. 1971; 9(1): 97-113. ##
22. Alipour A, Agah Haris M. Reliability and validity of the Edinburgh handedness questionnaire in Iran. Journal of Psychologlical Sciences. 2007; 6(22): 117-33. [In Persian] ##
23. Nasredddine ZS, Phillips NA, BedirianV, Charbonneau S, Whitehead V, Collin I, Chertkow H. The Montreal Cognititive Assessment MOCA: a brief screening tool for mild cognitive impairment . journal of the American Geriatrics Society. 2005; 53(4): 695-699. ##
24. Emsaki G, Molavi H, Chitsaz A, Movahed Abtahi M, Asgari K. Psychometric Properties of the Montreal Cognitive Assessment (MoCA) in Parkinson's Disease Patients in Isfahan. Journal of Isfahan Medical School . 2011; 29(158): 1391-1399. [In Persian] ##
25. Ghaziri J, Tucholka A, Larue V, Blanchette-Sylvestre M, Reyburn G, Gilbert G, Beauregard M. Neurofeedback Training Induces Changes in White and Gray Matter.Clinical EEG Neuroscience. 2013, DOI: 10.1177/155005941347603. ##
26. White JN, Hutchens TA, Lubar JF. Quantitative electroencephalographic assessment during neuropsychological task performance in adults with Attention Deficit Hyperactivity Disorder. Journal of Adult Development. 2005; 12 (2-3): 113-121. ##
27. Sandford JA, Turner A. Integrated Visual and Auditory Continuous Performance Test Manual. Richmond, VA: Braintrain Inc; 2000. ##
28. Gholami R, Esteki M, Nosratabadi M. Relationship between IVA Measures and QEEG Pattern in Children with Attention-Deficit/Hyperactivity Disorder. 2017, 3(3): 25-38. ##
29. Jenaabadi H, Gavidel- Heidari M. Comparative Examination of Attention and answer control rate in two groups of people with Attention – Deficit Hyperactivity Disorder and Cognitive Disorder. Biquarterly Journal of Cognitive Strategies in Learning. 2017, 5(9): 2-11. ##
30. Shahsavarani A, Rasoulzadeh k, Ashayeri H, Satari K. The impact of stress on selective attention and visual focus with regard to its effect on teaching and learning. New Thoughts on Education. 2011; 4 (6): 169-194. [In Persian] ##
31. Chen CX, Mao RH, Li SX, ZHAO YN, Zhang M. Effect of visual training on cognitive function in stroke patients. International journal of Nursing sciences. 2015;4(2):329-333. ##
32. Barker-Collo SL, Feigin VL, Lawes CM, Parag V, Senior H, Rodgers A. Reducing attention deficits after stroke using attention process training: a randomized controlled trial. Stroke. 2009, 40(10):3293-3298. ##
34. Mainero C, Caramia F, Pozzilli C, Pisani A, Pestalozza I, Borriello G, Bozzao L, Pantano P. FMRI evidence of brain reorganization during attention and memory tasks in multiple sclerosis. Neuroimage. 2004; 21(3): 858–67. ##
35. Cho HY, Kim KT, Jung JH. Effects of computer assisted cognitive rehabilitation on brain wave, memory and attention of stroke patients: a randomized control trial. Journal of physical therapy science. 2015;27(4):1029-1032##
36. Stathopoulou S, Lubar JF. EEG changes in traumatic brain injured patients after cognitive rehabilitation. Journal of Neurotherapy. 2004; 8 (2): 21- 51. ##
37. Khanjani Z, Farhoudi M, Nazari M, Saeedi M, Abravani, P. Effectiveness of cognitive rehabilitation on selective and divided attention and executive function in adults with stroke. Shenakht Journal of Psychology and Psychiatry. 2018; 5(3):81-94 [In Persian]. ##
38. Rohring S, Kulke H, Reulbach U, Peetz H, Schupp W: Effectivity of a neuropsychological training in attention functions by a teletherapeutic setting. Neurologie and Rehabilitation. 2004; 10(5):239-46. ##
39. Kolb B, Wishaw YQ, Fundamental of human neuropsychology: Tehran; Arjomand. 2015.P. 464. ##