RHEABILITATION FOR MEMORY AND ATTENTION DEFICITES
FOLLOWING STROKE IN PEDIATRIC PATIENTS.
Zykov V., Komarova
I.B., Cherkasov V.
Background. More than 80% of
pediatric stroke (PS) patients have cognitive finctions (CF) impairment
resulted in poor school performance and social adaptation.
Aim
of the study was to compare the effects of neuropsyhology training (NPT) and NPT
combined with encephabol on memory and attention states in PS patients.
Material. 38 pts (aged
7-15) were included within 0,5 – 7 years after ishemic stroke. Pts were
assigned for either NPT (Group1, n=15) or NPT combined with Encephabol 500 mg
daily (Group2, n=23) for a period of 2 months. NPT was performed 40 minutes
daily by the patients’ parents after preliminary instructing. Memory and
attention states were assessed by test of “10 words” and Shulte’s test. 30
normal children served as controls for cognitive assessment.
Results. CF were impaired
in PS patients vs controls: number of words reproduced in test of “10 words”: 7,2±1,14 vs 9.5±0.4, time required
to complete Shulte’s test: 112,7±5,39sec vs 76,8±3,85sec, p<0.05. CF have not been changed after 2 months of treatment
in Gr1. In Gr2 number of reproduced words increased by 1,08±0.2, duration of Shulte’s test decresed by 24,3±4.25sec.
Conclusion. In PS patients NPT
combined with encephabol improved memory and attention states. NPT alone was
uneffective.