| Author/Editor | Čižman Štaba, Urša; Klun, Tara; Resnik Robida, Karmen; Vrhovac, Suzana; Drnovšek, Petra; Logar, Svetlana | |
| Title | Starost kot varovalni dejavnik kognitivne okvare po pridobljeni možganski poškodbi | |
| Translated title | Age as protective factor against cognitive impairment after acquired brain injury | |
| Type | članek | |
| Vol. and No. | Letnik 18, št. 1 | |
| Publication year | 2019 | |
| Volume | str. 10-15 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Uvod: V raziskavi nas je zanimalo, ali nižja starost v času pridobljene možganske poškodbe (PMP) ščiti pred pridobljenimi kognitivnimi motnjami. Metode: Primerjali smo nevropsihološki profil izboljšanja kognitivnih funkcij otrok/mladostnikov in odraslih bolnikov po PMP v srednjem in daljšem obdobju okrevanja v rehabilitacijski obravnavi (šest in 12 mesecev po PMP). V pilotno raziskavo je bilo vključenih 25 udeležencev (14 otrok/mladostnikov in 11 odraslih) v dveh časovnih točkah (T1 % šest mesecev in T2 - 12 mesecev po PMP). Nevropsihološka baterija je zajemala oceno pozornosti in delovnega spomina, verbalnega spomina, izvršilnih sposobnosti in hitrosti miselnega procesiranja. Rezultati: Rezultati raziskave pri obeh starostnih skupinah kažejo statistično značilen učinek časa od poškodbe in kognitivne rehabilitacije na izboljšanje psihomotorične hitrosti, pri starejših pa še dodatno izboljšanje na področju izvršilnih sposobnosti. Mlajši udeleženci so v primerjavi s starejšimi dosegali statistično značilno višje rezultate na področju deljene pozornosti šest mesecev po poškodbi, ne pa tudi ob drugem testiranju (T2=12 mesecev). Statistično značilen vpliv starosti pa se je pokazal na področju neposrednega besednega priklica in odloženega priklica, kjer so udeleženci mlajše skupine dosegli višje rezultate tako šest mesecev (T1) kot tudi 12 mesecev (T2) po PMP. Izid pri otrocih/mladostnikih je podoben kot pri odraslih, pri čemer znotraj skupine mladostnikov opazimo statistično značilen napredek na več kognitivnih področjih. Zaključki: Varovalni učinek starosti po pridobljeni možganski poškodbi smo potrdili za besedni spomin, kjer so mlajši udeleženci dosegali boljše rezultate v primerjavi s starejšimi v obeh merjenih časovnih točkah.Introduction: We examined whether younger during acquired brain injury (ABI) protects against acquired cognitive impairment. Methods: The profile of cognitive improvement over time after ABI was assessed for a group of children and adolescents, for whom the effects of cognitive rehabilitation were compared to those of a group of adults. The current pilot study included 25 participants (14 children/adolescents and 11 adults). A neuropsychological battery was used to assess cognitive functioning at two time points (T1 % six months, and T2 % 12 months after ABI). The neuropsychological battery entailed the assessment of attention processing, verbal memory functions, executive functions and mental processing speed. Results: The results showed a statistically significant effect of cognitive rehabilitation over time, whereby mental speed processing improved for both groups; additionally, we observed statistically significant improvement of executive functions in the group of adults. When comparing the groups, the results show statistically significantly better cognitive functioning in the group of children and adolescents, who attained higher scores on divided attention at six months (T1) but not at 12 months after ABI (T2), as well as on memory functioning, where they attained statistically significantly better results at both time points (T1 and T2) for recall and delayed recall of verbal material. The effect of cognitive rehabilitation was similar in both groups; however, statistically significant improvement on several cognitive areas was detected within the group of adolescents. Conclusion: The protective effect of younger age for cognitive functioning after the ABI was confirmed for verbal memory at both time points. | |
| Descriptors | Brain Injuries Cognition rehabilitation | |
| Keywords | age cognitive functioning neuropsychology acquired brain injury memory starost kognitivne sposobnosti nevropsihologija pridobljena možganska poškodba spomin |