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首页> 美国卫生研究院文献>Taylor Francis Open Select >Dissociable effects of attention vs working memory training on cognitive performance and everyday functioning following fronto-parietal strokes
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Dissociable effects of attention vs working memory training on cognitive performance and everyday functioning following fronto-parietal strokes

机译：注意与工作记忆训练对额顶卒中后认知表现和日常功能的可分解作用

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摘要

Difficulties with attention are common following stroke, particularly in patients with frontal and parietal damage, and are associated with poor outcome. Home-based online cognitive training may have the potential to provide an efficient and effective way to improve attentional functions in such patients. Little work has been carried out to assess the efficacy of this approach in stroke patients, and the lack of studies with active control conditions and rigorous evaluations of cognitive functioning pre and post-training means understanding is limited as to whether and how such interventions may be effective. Here, in a feasibility pilot study, we compare the effects of 20 days of cognitive training using either novel Selective Attention Training (SAT) or commercial Working Memory Training (WMT) programme, versus a waitlist control on a range of attentional and working memory tasks. We demonstrate separable effects of each training condition, with SAT leading to improvements in spatial and non-spatial aspects of attention and WMT leading to improvements on closely related working memory tasks. In addition, both training groups reported improvements in everyday functioning, which were associated with improvements in attention, suggesting that improving attention may be of particular importance in maximising functional improvements in this patient group.
机译：脑卒中后，尤其是额叶和顶叶损伤患者，注意力不集中是很常见的，并且与不良预后相关。基于家庭的在线认知训练可能具有提供一种有效且有效的方式来改善此类患者的注意力功能的潜力。很少有工作评估这种方法对中风患者的疗效，并且缺乏有效的控制条件研究以及对训练前后认知功能的严格评估，这意味着对这种干预措施是否以及如何进行的了解有限。有效。在这里，在一项可行性试点研究中，我们比较了使用新颖的选择性注意训练（SAT）或商业工作记忆训练（WMT）程序进行的20天认知训练的效果，并比较了一系列注意和工作记忆任务的候补控制。我们展示了每种训练条件的可分离效果，其中SAT导致注意力的空间和非空间方面的改善，WMT导致与紧密相关的工作记忆任务的改善。此外，两个训练组均报告了日常功能的改善，这与注意力的改善有关，这表明提高注意力在使该患者组的功能改善最大化方面可能尤为重要。

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