Rehacom Cognitive Rehabilitation on the Neurocognitive Status of Patients with Temporal Lobe Epilepsy After Anterior Temporal Lobectomy.

IF 2.4 Q3 CLINICAL NEUROLOGY

Clinical Neuropsychiatry Pub Date : 2025-08-01 DOI:10.36131/cnfioritieditore20250403

Kiana Amani, Behnoosh Farahmand, Morteza Faghih Jouibari, Sajad Shafiee, Zahra Azizan, Behnam Amini, Vajiheh Aghamollaii, Abbas Tafakhori

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Abstract

Objective: This study aims to evaluate the effectiveness of RehaCom cognitive rehabilitation in improving neurocognitive functions in patients with temporal lobe epilepsy (TLE) following anterior temporal lobectomy (ATL), a common surgical intervention for medically refractory epilepsy.

Method: A total of 12 patients who had undergone ATL participated in a 10-session RehaCom rehabilitation program. Cognitive assessments were conducted pre- and post-intervention, measuring verbal memory, figural memory, attention, and executive function. Cognitive improvements were analyzed using repeated measures ANOVA and non-parametric tests to evaluate changes in performance and the effect of the surgery side on outcomes.

Results: Significant improvements were observed in verbal memory, working memory, and learning ability, especially in patients who underwent left anterior temporal lobectomy. Overall, cognitive improvements were evident across both groups, though specific patterns of recovery differed depending on the side of the surgery.

Conclusions: RehaCom cognitive rehabilitation significantly improves cognitive functions, particularly in memory, attention, and executive function, following ATL. The side of surgery plays a role in determining specific outcomes, with left ATL patients benefiting more in verbal memory. These findings support the use of RehaCom as a multi-domain, adaptive rehabilitation tool for enhancing cognitive recovery in TLE patients post-ATL.

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认知康复对颞叶前切除术后颞叶癫痫患者神经认知状态的影响。

目的：本研究旨在评价RehaCom认知康复治疗在颞叶前切除术（ATL）后颞叶癫痫（TLE）患者神经认知功能的改善效果。颞叶前切除术是治疗难治性癫痫的常用手术干预手段。方法：对12例经ATL治疗的患者进行10期RehaCom康复治疗。在干预前后进行认知评估，测量言语记忆、图形记忆、注意力和执行功能。使用重复测量方差分析和非参数检验来分析认知改善，以评估表现的变化和手术方对结果的影响。结果：言语记忆、工作记忆和学习能力显著改善，尤其是在左颞叶切除患者中。总体而言，两组患者的认知能力都有明显改善，尽管具体的恢复模式因手术部位而异。结论：RehaCom认知康复可显著改善ATL患者的认知功能，尤其是记忆、注意力和执行功能。手术的一侧在决定具体结果方面发挥着作用，左侧ATL患者在言语记忆方面受益更多。这些发现支持将RehaCom作为一种多领域、适应性康复工具，用于增强TLE患者atl后的认知恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Neuropsychiatry CLINICAL NEUROLOGY-

CiteScore

11.10

自引率

1.60%

发文量