Effect of Cognitive Training Based on PASS Theory on Post-stroke Cognitive Impairment / 中国康复理论与实践

ABSTRACT

Objective:To observe the effect of cognitive training based on PASS theory on cognition in patients with post-stroke cognitive impairment (PSCI). Methods:From August, 2018 to June, 2019, 42 patients with PSCI were randomly divided into control group (n = 21) and intervention group (n = 21). The intervention group accepted computer-assisted cognitive training based on the PASS theory, and the control group accepted routine computer-assisted cognitive training, for four weeks. They were assessed with Mini-Mental State Examination (MMSE) and Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) before and after training. Results:There were 18 patients in each group finishing the trail. After training, the scores of MMSE and LOTCA increased in both groups (t > 8.831, P < 0.001), and increased more in the intervention group than in the control group (t > 2.198, P < 0.05). For the LOTCA factors scores, it increased in orientation, visual perception, spatial perception, motion praxis, visuomotor organization and thinking operations in both groups (t > 2.122, P < 0.05) after training, and increased more in the intervention group than in the control group in visual perception, spatial perception and thinking operations (t > 2.356, P < 0.05), and the differences of visuomotor organization was more in the intervention group than in the control group (t = 2.354, P < 0.05). Conclusion:Cognitive training based on PASS theory can improve cognition for patients with PSCI, especially for visual perception, spatial perception, thinking operations and visuomotor organization.