The Role of Neuropsychology in the Management of Spinal Cord Injury: A Comprehensive Literature Review.

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY World neurosurgery Pub Date : 2025-01-27 DOI:10.1016/j.wneu.2025.123679
Dia R Halalmeh, HusamEddin Z Salama, Yousef A Alnajjar, Ahmed Z Salama, Andrew Waack, Yusuf-Zain Ansari, Marc D Moisi
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Abstract

Spinal cord injury (SCI) poses a complex set of physiological, psychological, and cognitive challenges that significantly affect an individual's quality of life. Analysis of longitudinal studies reveals that cognitive changes following SCI are often underestimated yet significantly impact patient's ability to adapt to their new circumstances. However, the role of neuropsychology in SCI management and rehabilitation is yet to be elucidated. This article offers an in-depth review of the role of neuropsychology in understanding and addressing the cognitive, emotional, and behavioral outcomes of SCI. Additionally, we delve into the emotional and psychological consequences of SCI, which can include increased stress, depression, anxiety, and potential changes in personality and social functioning. Neuropsychological assessment tools are highlighted as essential for diagnosing and monitoring these psychological shifts, aiding in the creation of personalized rehabilitation interventions. We also explore the role of neuroplasticity in cognitive rehabilitation post-SCI, emphasizing the potential of targeted cognitive training to alleviate cognitive deficits and improve adaptive functioning. The article further investigates the interplay between physical and cognitive recovery, underscoring the reciprocal relationship between motor function and cognitive improvement. In conclusion, this review emphasizes the crucial role of neuropsychology in understanding the multifaceted impact of SCI. By enhancing our comprehension of the intricate connections among neural integrity, cognitive function, and psychological well-being, neuropsychology provides valuable insights for developing holistic rehabilitation strategies that address both the cognitive and emotional challenges faced by individuals with SCI. As neurorehabilitation continues to advance, integrating neuropsychological principles offers promise for improving the overall recovery and quality of life for those affected by spinal cord injury.

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神经心理学在脊髓损伤治疗中的作用:综合文献综述。
脊髓损伤(SCI)带来一系列复杂的生理、心理和认知挑战,显著影响个体的生活质量。纵向研究分析表明,脊髓损伤后的认知变化往往被低估,但却显著影响患者适应新环境的能力。然而,神经心理学在脊髓损伤治疗和康复中的作用尚未得到阐明。本文对神经心理学在理解和解决脊髓损伤的认知、情感和行为结果方面的作用进行了深入的回顾。此外,我们还深入研究了脊髓损伤的情感和心理后果,包括压力增加、抑郁、焦虑以及人格和社会功能的潜在变化。神经心理学评估工具被强调为诊断和监测这些心理转变的必要工具,有助于创建个性化的康复干预措施。我们还探讨了神经可塑性在脊髓损伤后认知康复中的作用,强调了有针对性的认知训练在减轻认知缺陷和改善适应性功能方面的潜力。本文进一步探讨了身体和认知恢复之间的相互作用,强调了运动功能和认知改善之间的相互关系。总之,这篇综述强调了神经心理学在理解脊髓损伤的多方面影响方面的关键作用。通过增强我们对神经完整性、认知功能和心理健康之间复杂联系的理解,神经心理学为制定整体康复策略提供了有价值的见解,这些策略可以解决脊髓损伤患者面临的认知和情感挑战。随着神经康复的不断发展,整合神经心理学原理为改善脊髓损伤患者的整体恢复和生活质量提供了希望。
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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
期刊最新文献
Comparative Analysis of Hemorrhagic Complications in Deep Brain Stimulation: Microelectrode Recording versus Macrostimulation-Does the Technique Matter? Development and Validation of Machine Learning-Based Model for Hospital Length of Stay in Patients Undergoing Endovascular Interventional Embolization for Intracranial Aneurysms. Reduced Vertebral Hounsfield Unit Values in the Bridging Group of Ossification-Related Segments in Patients with Ossification of the Posterior Longitudinal Ligament of the Cervical Spine. The Role of Neuropsychology in the Management of Spinal Cord Injury: A Comprehensive Literature Review. In Reply to the Letter to the Editor Regarding: "Intersection of Care: Navigating Patient-Hospital Relationships in Neurosurgery".
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