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. 中国防治认知功能障碍专家共识专家组. 中国防治认知功能障碍专家共识. 神经病学与神经康复学杂志, 2006, 3(2): 98-100.
2. Hachinski VC, Bowler JV. Vascular dementia. Neurology, 1993, 43(10): 2159-2160.
3. 贾建平. 重视血管性认知障碍的早期诊断和干预. 中华神经科杂志, 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. 中华医学会神经病学分会痴呆与认知障碍学组写作组. 血管性认知障碍诊治指南. 中华神经科杂志, 2011, 44(2): 142-147.
8. 中国卒中学会, 卒中后认知障碍管理专家委员会. 卒中后认知障碍管理专家共识. 中国卒中杂志, 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. 张秀花. 认知功能的评定//王玉龙. 康复功能评定学. 2版. 北京: 人民卫生出版社, 2015: 91-117.
12. 中国痴呆与认知障碍诊治指南写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 2018中国痴呆与认知障碍诊治指南(三): 痴呆的认知和功能评估. 中华医学杂志, 2018, 98(15): 1125-1129.
13. 中国痴呆与认知障碍诊治指南写作组, 中国医师协会神经内科医师分会认知障碍疾病专业委员会. 2018 中国痴呆与认知障碍诊治指南(五): 轻度认知障碍的诊断与治疗. 中华医学杂志, 2018, 98(17): 1294-1301.
14. 贾阳娟, 韩凝, 王美蓉, 等. MoCA与MMSE在急性缺认知障碍评估中的应用. 中华行为医学与脑科学杂志, 2017, 26(1): 46-50.
15. Ramírez-Moreno JM, Bartolomé Alberca S, Muñoz 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. 神经行为认知状态测验的信度和效度研究. 中国临床康复, 2003, 7(7): 1084-1086.
18. 张瑛, 陈俊宁. 卒中患者智能状态量表在急性脑卒中认知障碍研究中的价值. 中国神经精神疾病杂志, 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. 方云华, 陈善佳, 周小炫, 等. MoCA、MMSE、NCSE等6个脑卒中认知康复评价工具的使用现状调查. 中国康复, 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. 陈雪, 丁伟娜, 孙雅文, 等. 血管性认知功能障碍分数低频振幅的 fMRI 研究. 实用放射学杂志, 2015, 31(2): 177-181.
24. 马思懿, 张宗军. 皮质下血管性认知功能障碍的脑默认网络静息态功能磁共振研究. 医学影像学杂志, 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. 陈双庆, 蔡庆, 沈玉英, 等. 多域遗忘型轻度认知障碍与血管性非痴呆认知障碍的~1H-MRS分析. 临床放射学杂志, 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.
29. 赵薇, 卢东, 杜静, 等. 脑小血管病患者认知障碍的弥散张量成像研究. 阿尔茨海默病及相关病杂志, 2018, 1(3): 193-198.
30. Reijmer YD, Fotiadis P, Martinez-Ramirez S, et al. Structural network alterations and neurological dysfunction in cerebral amyloid angiopathy. Brain, 2015, 138(1): 179-188.
31. 马艳玲, 陈红燕, 王金芳, 等. 脑白质病变伴认知障碍患者弥散张量成像研究. 中华行为医学与脑科学杂志, 2018, 27(8): 688-693.
32. 魏琳, 黄明明, 曹笑婉, 等. MRI及DTI评估大鼠血管性认知障碍. 中国医学影像技术, 2018, 34(2): 161-165.
33. Matsui M, Tanaka K, Yonezawa M, et al. Activation of the prefrontal cortex during memory learning: near-infrared spectroscopy study. Psychiatry Clin Neurosci, 2007, 61(1): 31-38.
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