中风和脑外伤康复过程中的认知储备:系统综述。

IF 3 3区 心理学 Q2 CLINICAL NEUROLOGY Clinical Neuropsychologist Pub Date : 2024-09-22 DOI:10.1080/13854046.2024.2405226
Giulia Oliva, Fabio Masina, Nazanin Hosseinkhani, Sonia Montemurro, Giorgio Arcara
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引用次数: 0

摘要

目的:认知储备(CR认知储备(CR)是大脑应对与衰老和/或疾病相关的变化的能力。认知储备最初用于解释痴呆症临床表现的个体差异,最近已成为中风和创伤性脑损伤(TBI)的相关概念。本系统综述旨在研究 CR 是否可以预测中风和创伤性脑损伤后的临床恢复和康复效果,以及用于估算 CR 的不同变量(即替代变量)与这些临床人群的预后和康复效果之间的关系。研究方法:在Pubmed、Embase和PsycInfo上搜索截至2023年1月12日发表的文章,并遵循系统综述和元分析首选报告项目(PRISMA)协议指南。结果在完成所有筛选阶段后,共纳入 31 项研究。总体而言,研究结果表明,在认知功能、功能、职业和社会情感能力以及精神和神经量表等大多数临床方面,CR 越高,预后越好,康复效果越好。结论较高的 CR 似乎与中风和创伤性脑损伤后更有利的预后和更好的康复效果相关。结果表明,临床实践中应考虑 CR,以便更准确地预测康复情况和康复效果。然而,一些不一致的结果表明有必要进行进一步的研究,可能需要使用多种 CR 代用指标。
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Cognitive reserve in the recovery and rehabilitation of stroke and traumatic brain injury: A systematic review.

Objective: Cognitive reserve (CR) is the brain's ability to cope with changes related to aging and/or disease. Originally introduced to explain individual differences in the clinical manifestations of dementia, CR has recently emerged as a relevant construct in stroke and traumatic brain injury (TBI). This systematic review aims to investigate whether CR could predict post-stroke and TBI clinical recovery and rehabilitation outcomes, and how different variables used to estimate CR (i.e., proxies) are related to the prognosis and effectiveness of rehabilitation in these clinical populations. Method: A search was made in Pubmed, Embase, and PsycInfo for articles published until 12 January 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) protocol guidelines. Results: 31 studies were included after completing all screening stages. Overall, results show that a higher CR was associated with a better prognosis and a more effective rehabilitation in most of the clinical aspects considered: cognitive functioning, functional, occupational, and socio-emotional abilities, as well as psychiatric and neurological scales. Conclusions: A higher CR seems to be associated with a more favorable prognosis and a better rehabilitation outcome after stroke and TBI. Results suggest that CR should be taken into account in clinical practice to make more accurate predictions about recovery and effectiveness of rehabilitation. However, some inconsistencies suggest the need for further investigations, possibly using multiple proxies for CR.

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来源期刊
Clinical Neuropsychologist
Clinical Neuropsychologist 医学-临床神经学
CiteScore
8.40
自引率
12.80%
发文量
61
审稿时长
6-12 weeks
期刊介绍: The Clinical Neuropsychologist (TCN) serves as the premier forum for (1) state-of-the-art clinically-relevant scientific research, (2) in-depth professional discussions of matters germane to evidence-based practice, and (3) clinical case studies in neuropsychology. Of particular interest are papers that can make definitive statements about a given topic (thereby having implications for the standards of clinical practice) and those with the potential to expand today’s clinical frontiers. Research on all age groups, and on both clinical and normal populations, is considered.
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