Dissertation
Dissertation > Medicine, health > Neurology and psychiatry > Psychiatry > Cerebral organic mental disorder

Research on Rehabilitation for Post-stroke Patients with Cognitive Disorders

Author ZhangFengXiang
Tutor GuoZongJun
School Qingdao University
Course Geriatrics
Keywords Stroke Cognitive disorders cognitive evaluation cognitive function rehabilitation computer cognitive training
CLC R749.1
Type Master's thesis
Year 2011
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1. ObjectiveTo study the rehabilitation effects which were in cognition, movement function and activity of daily living (ADL) of computer cognitive rehabilitation training for post-stroke patients with cognitive disorders, to provide clinical foundation for cognitive rehabilita--tion training by computer applying in post-stroke patients with cognitive disorders.2. MethodA total of 60 post-stroke patients with cognitive disorders which were stable and met a rehabilitation criterion were randomly divided into computer cognitive training group (rehabilitation group 30) and non-computer cognitive training group control group(control group 30), the congtrol group were received only general rehabilitation training (routine work and physical work); the computer training group were received general rehabilitation training and computer cognitive rehabilitation training. The computer training group were received computer cognitive rehabilitation training once a day.40 minutes every day and for 2 months. All patients were assessed with Montreal Cognitive Assessment(MoCA), Fugl-meyer scale(FMS) and modified Barthel Index(MBI) to evaluate their cognition, movement function and activity of daily living (ADL) before rehabilitation and after 2 months.3. ResultThere was no significant difference in cognition, movement function and activity of daily living (ADL) between computer rehabilitation training group and control group before rehabilitation (P>0.05); the scores in cognition, movement function and activity of daily living (ADL) after rehabilitation were higher than before traing in two groups(P<0.05); the scores in cognition, movement function and activity of daily living (ADL) in computer traing group were higher than in control group after 2-month traing (P<0.05); the scores of rehabilitation group in naming. Attention. Language. delaying memory and orientation were control group higher (P<0.05).4. ConclusionGeneral rehabilitation training could improve the cognitive function,movement functions and ADL; but the general rehabilitation training and computer cognitive rehabilitation training improved cognitive function,movement functions and ADL more evidently than only the general rehabilitation training, were more evident in naming. attention. language. delaying memory and orientation; cognitive rehabilitation training by computer could improve cognitive function more evidently, cognitive function could improve movement functions and ADL; cognitive rehabilitation training by computer could make them participate in action positively.

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