Computer Aided Attention Training Software And The Clinical Research

[Objective]To study the effects of computer assisted attention training on cognitive and ADL in patients with brain injury by the2012version attention training software; prepare the groud for further improvement of the software (designing and operation) and for promotion of its clinical application.[Methods]1. Thirty nine brain injury patients with attention disfunction assessed by MMSE and MoCA were randomly divided into two groups:attention software training group and control group.2. Both groups received the same medical therapy, hyperbaric oxygen, physical therapy and traditional therapy, with the attention intervention group received four-week computer assisted training.3. Based on attention test part of MMSE, MoCA, NCSE and LOTCA, and Bathel were evaluated at the beginning and the four week respetively, observeed the cognitive and ADL function after ceasing the cognitive intervention, and then revaluated by them at the eighth week.4. To make the statistical analysis to deal with clinical research data, such as the mean±standard deviation, variance analysis, chi-square test and t-test.[Results]1. At the beginning, there is no significant difference between the MMSE, MoCA, NCSE, LOTCA and Bathel test.(P>0.05)2. The MMSE attention score shown, between the two groups, there was significant difference in training4th week and after training4th week, and the score of training group higher than the control group. In each group, the score increased all the8weeks, and which increased extent in after training4th week bigger than in the first training weeks of training group.3. The MoCA attention and NCSE attention score shown that between the two groups, there was no significant difference in training4th week (P>0.05), and the significant difference in the last4th week (P<0.05), the core of training group higher than the control group. In each group, the score increased all the8weeks, and which increased extent in after training4th week bigger than in the first training weeks of training group.4. The LOTCA attention score and Bathel scores shown that between the two groups, there was significant difference in training4th week and after training4th week, and the score of training group was higher than the control group. In each group, the score increased all the8weeks.[Conclusion]1. This attention disorder training software design is reasonable, easy to operate, portable design of personalized.2. This attention training software can improve the overall level of cognitive and ADL function in patients with brain injury.3. The therapeutic efficacy can be maintained within a short term after ceasing of the cognitive training. This study shows that this software can be widely utilized in clinical intervention.