Current situation and trend of rehabilitation for cognitive impairment_West China Medical Journal

Authors：

GONG Zunke , WANG Shiyan ,  CHEN Wei

Xuzhou Rehabilitation Hospital (Xuzhou Central Hospital Rehabilitation Branch), Xuzhou, Jiangsu 221000, P. R. China;

Corresponding?author：

CHEN Wei, Email: chenwei2339@163.com

Keywords：

Cognitive impairment; Rehabilitation; Assessment; Treatment

DOI：

10.7507/1002-0179.201904101

Video：

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Abstract Full text Figures/Tables Video References Cited by

This paper, focusing on vascular cognitive impairment, summarizes the current situation of cognitive impairment rehabilitation at home and abroad, and makes a comprehensive and systematic introduction and review on the concept, assessment, and treatment of cognitive impairment, and so on. This paper raises people’s awareness of cognitive impairment and guides people to make appropriate choices about assessment and treatment methods according to different conditions, in order to improve the diagnosis rate of cognitive impairment, and to comprehensively adopt various rehabilitation treatment methods to improve cognitive rehabilitation efficacy. At the same time, it points out the weak points and future development trend of cognitive impairment rehabilitation in order to help the future work.

Citation： GONG Zunke, WANG Shiyan, CHEN Wei. Current situation and trend of rehabilitation for cognitive impairment. West China Medical Journal, 2019, 34(5): 487-493. doi: 10.7507/1002-0179.201904101 Copy

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1. 中國防治認知功能障礙專家共識專家組. 中國防治認知功能障礙專家共識. 神經病學與神經康復學雜志, 2006, 3(2): 98-100.
2. Hachinski VC, Bowler JV. Vascular dementia. Neurology, 1993, 43(10): 2159-2160.
3. 賈建平. 重視血管性認知障礙的早期診斷和干預. 中華神經科雜志, 2005, 38(1): 4-6.
4. Garrett KD, Browndyke JN, Whelihan W, et al. The neuropsychological profile of vascular cognitive impairment--no dementia: comparisons to patients at risk for cerebrovascular disease and vascular dementia. Arch Clin Neuropsychol, 2004, 19(6): 745-757.
5. Hachinski V, Iadecola C, Petersen RC, et al. National institute of neurological disorders and stroke-Canadian stroke network vascular cognitive impairment harmonization standards. Stroke, 2006, 37(9): 2220-2241.
6. Moorhouse P, Rockwood K. Vascular cognitive impairment: current concepts and clinical developments. Lancet Neurol, 2008, 7(3): 246-255.
7. 中華醫學會神經病學分會癡呆與認知障礙學組寫作組. 血管性認知障礙診治指南. 中華神經科雜志, 2011, 44(2): 142-147.
8. 中國卒中學會, 卒中后認知障礙管理專家委員會. 卒中后認知障礙管理專家共識. 中國卒中雜志, 2017, 12(6): 519-531.
9. Petersen RC. Clinical practice. Mild cognitive impairment. N Engl J Med, 2011, 364(23): 2227-2234.
10. Winblad B, Palmer K, Kivipelto M, et al. Mild cognitive impairment--beyond controversies, towards a consensus: report of the International Working Group on Mild Cognitive Impairment. J Intern Med, 2004, 256(3): 240-246.
11. 張秀花. 認知功能的評定//王玉龍. 康復功能評定學. 2版. 北京: 人民衛生出版社, 2015: 91-117.
12. 中國癡呆與認知障礙診治指南寫作組, 中國醫師協會神經內科醫師分會認知障礙疾病專業委員會. 2018中國癡呆與認知障礙診治指南(三): 癡呆的認知和功能評估. 中華醫學雜志, 2018, 98(15): 1125-1129.
13. 中國癡呆與認知障礙診治指南寫作組, 中國醫師協會神經內科醫師分會認知障礙疾病專業委員會. 2018 中國癡呆與認知障礙診治指南(五): 輕度認知障礙的診斷與治療. 中華醫學雜志, 2018, 98(17): 1294-1301.
14. 賈陽娟, 韓凝, 王美蓉, 等. MoCA與MMSE在急性缺認知障礙評估中的應用. 中華行為醫學與腦科學雜志, 2017, 26(1): 46-50.
15. Ramírez-Moreno JM, Bartolomé Alberca S, Mu?oz Vega P, et al. Screening for cognitive impairment with the Montreal Cognitive Assessment in Spanish patients with minor stroke or transient ischaemic attack. Neurologia, 2019, pii: S0213-4853(19)30002-7.
16. Zietemann V, Georgakis MK, Dondaine TA, et al. Early MoCA predicts long-term cognitive and functional outcome and mortality after stroke. Neurology, 2018, 91(20): e1838-e1850.
17. 朱燕, 王毅, 王文敏. 神經行為認知狀態測驗的信度和效度研究. 中國臨床康復, 2003, 7(7): 1084-1086.
18. 張瑛, 陳俊寧. 卒中患者智能狀態量表在急性腦卒中認知障礙研究中的價值. 中國神經精神疾病雜志, 2000, 26(1): 54.
19. Katz N, Itzkovich M, Avrtbuch S, et al. Loewenstein occupational therapy cognitive assessment (LOTCA) battery for brain-injured patients: reliability and validity. Am J Occup Ther, 1989, 43(3): 184-192.
20. Katz N, Itzkovich M, Averbuch S. The Loewenstein occupational therapy cognitive assessment. Arch Phys Med Rehabil, 2002, 83(8): 1179-1180.
21. 方云華, 陳善佳, 周小炫, 等. MoCA、MMSE、NCSE等6個腦卒中認知康復評價工具的使用現狀調查. 中國康復, 2014, 29(1): 40-42.
22. Chen Y, Wang CX, Liang HZ, et al. Resting-state functional magnetic resonance imaging in patients with leukoaraiosis-associated subcortical vascular cognitive impairment: a cross-sectional study. Neurol Res, 2016, 38(6, SI): 510-517.
23. 陳雪, 丁偉娜, 孫雅文, 等. 血管性認知功能障礙分數低頻振幅的 fMRI 研究. 實用放射學雜志, 2015, 31(2): 177-181.
24. 馬思懿, 張宗軍. 皮質下血管性認知功能障礙的腦默認網絡靜息態功能磁共振研究. 醫學影像學雜志, 2015, 25(2): 189-193.
25. Igarashi H, Suzuki Y, Huber VJ, et al. N-acetylaspartat decrease in acute stage of ischemic stroke: a perspective from experimental and clinical studies. Magn Reson Med Sci, 2015, 14(1): 13-24.
26. 陳雙慶, 蔡慶, 沈玉英, 等. 多域遺忘型輕度認知障礙與血管性非癡呆認知障礙的~1H-MRS分析. 臨床放射學雜志, 2015, 34(9): 1389-1394.
27. Wang SY, Wang M, Wang XX, et al. Study on the clinical application of the MRS in the cognitive assessment after stroke. Eur Rev Med Pharmacol Sci, 2017, 21(10): 2437-2442.
28. Meng N, Shi S, Su Y. Proton magnetic resonance spectroscopy as a diagnostic biomarker in mild cognitive impairment following stroke in acute phase. Neuroreport, 2016, 27(8): 559-563.
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