Computer-Assisted Cognitive Training For Post-Stroke Cognitive Dysfunction Assessed The Effect Of Rehabilitation

Objective: To evaluate the patients with ischemic stroke hospitalized with cognitive function,and give them targeted computer-assisted cognitive training.Investigate the effect of computer-assisted cognitive rehabilitation training after stroke cognitive dysfunction.Methods: The Patients with ischemic Stroke were randomly selected in July 2012 to August 2013 in our hospital neurology and rehabilitation admission.We used Montreal Cognitive Assessment(MOCA Scale) to assessed and determined cognitive dysfunction(total score <20) of the 102 patients were randomly divided into two groups.The computer training group(computer group) were 46,and the traditional rehabilitation group(conventional group) were 56.All patients received medical therapy, conventional group using the traditional technical training four weeks of rehabilitation, and the computer group were given training in computer-assisted cognitive rehabilitation on the basis of the traditional.The two groups were again assessed by MOCA Scale 4 weeks later.Results:(1)There were no statistically significant in the gender,age,ducation,diagnosis of two groups(P>0.05).The MOCA scores were no statistically significant(P> 0.05)in two groups of patients before treatment.(2)After 4 weeks of training in Conventional group,the cognitive domains and the overall score of MOCA Scale more than before treatment.which improved their visual-spatial function, attention,orientation,abstract,memory,language scoresoverall score(P <0.05).(3) After four weeks of training,the Computer Group of MOCA Scale were significantly improved in each cognitive domain scores and overall scores(P<0.05).(4)Compared the traditional group after 4 weeks,the Computer training group were higher of MOCA Scale in the visual-spatial function,naming,attention,delayed memory, orientation,and overall score,and there were statistically significance(P<0.05).Conclusions: 1.After stroke, proper,orderly computer-assisted cognitive training and traditional rehabilitation training both improve the role of cognitive impairment. 2.The computer-asisted cognitive training on cognitive domains, as visual-spatial function, attention,orientation,memory were more obvious to traditional rehabilitation training.