人工和计算机辅助训练对视空间认知障碍的疗效比较

Comparison of Artificial and Computer-assisted Cognitive Training on Visuospatial Impairment

目的探讨人工和计算机辅助认知训练对视空间认知障碍患者的临床疗效。方法 63例视空间认知障碍患者随机分为人工组(n=21)、计算机组(n=21)和综合组(n=21),人工组由专业的治疗师进行常规的认知训练,计算机组由专业治疗师利用计算机系统进行认知训练,综合组联合运用计算机和常规训练进行综合训练。采用洛文斯顿作业疗法认知功能评定量表(LOTCA)评定疗效。结果训练后三组的LOTCA评分与训练前比较均显著提高(P<0.001)。训练后,三组在视知觉、空间知觉和动作运用方面无显著性差异(P>0.05);综合组和人工组在视运动组织方面均明显优于计算机组(P<0.01)。结论人工训练和计算机训练能有效提高视空间障碍患者的认知功能。

Objective To explore the effect of artificial and computer-assisted cognitive training on visuospatial impairment.Methods 63 patients with visuospatial impairment were randomly assigned to artificial group（n=21）,computer-assisted training group（n=21） and integration group（n=21）.The artificial group received conventional cognitive training while the computer-assisted training group used computer to assist cognitive training,and the integration group combined computer with conventional cognitive training.All groups were assessed with Loewenstein Occupational Therapy Cognitive Assessment（LOTCA）.Results All groups improved significantly after training（P0.001）.There were no significant difference between 3 groups in visual perception,spatial perception,and motor praxis after training.Compared to the computer-assisted training group,the integration group and the artificial group improved more significantly in visuomotor organization after training.Conclusion Artificial cognitive training and computer-assisted training can effectively improve the cognitive function of patients with visuospatial impairment.