Aerobas slodzes treniņš kognitīvo spēju uzlabošanai insulta pacientiem ar hroniskiem funkcionēšanas traucējumiem: sistemātisks literatūras pārskats
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Date
2023
Authors
Journal Title
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Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: Aerobas slodzes treniņš kognitīvo spēju uzlabošanai insulta
pacientiem ar hroniskiem funkcionēšanas traucējumiem – sistemātisks literatūras pārskats.
Pamatojums: Insults ir otrais izplatītākais nāves cēlonis un trešais visbiežākais
invaliditātes cēlonis visā pasaulē. Aptuveni 20-60% no pacientu pēc insulta attīstās kognitīvie
traucējumi, kas parasti parādās 3 līdz 6 mēnešu laikā pēc notikuma. Ilgtermiņa aerobās slodzes
ietekmē uzlabojas smadzeņu aktivitāte pieres daivas un hipokampa apvidū, kā rezultātā var tikt
uzlabotas insulta pacienta kognitīvās spējas.
Mērķis: Apkopot un izanalizēt datus no zinātniskajiem pētījumiem par visefektīvāko
aerobo slodzi, kas var uzlabot kognitīvās spējas insulta pacientiem ar hroniskiem
funkcionēšanas traucējumiem.
Metodes: Pētījumi tika meklēti sekojošās datubāzēs - EBSCO, PubMed un Science
Direct, izmantojot atslēgas vārdus: (stroke OR stroke patients) AND (aerobic exercise OR
aerobic fitness OR rehabilitation) AND (cognitive function OR brain activity OR memory OR
brain volume OR executive function OR cognitive performance) – dažādā secībā, kombinācijās
un locījumos.
Rezultāti: Tika atlasīti trīs pētījumi, kuros bija pielietota aeroba slodze salīdzinājumā ar
citām terapijas metodēm. Visos pētījumos tika pielietoti līdzīgi kognitīvo spēju novērtēšanas
instrumenti un tika pierādīts, ka mērenas intensitātes aeroba slodze uzlabo dalībnieku
uzmanības noturēšanu, koncentrēšanos, problēmu risināšanas funkciju, vizuālo uztveri un
izpildfunkciju. Divos no pētījumiem tika pierādīts, ka mērenas intensitātes aeroba slodze
kombinācijā ar kognitīvo treniņu ir efektīvāka kognitīvo spēju uzlabošanā, salīdzinot ar spēka
treniņiem. Vienā no pētījumiem tika pierādīts, ka divdesmit līdz trīsdesmit minūšu mērenas
intensītātes aeroba slodze sniedz tūlītējus kognitīvās kontroles efektus pastiprinot cilvēka
uzmanību un uzlabojot reakcijas laika ātrumu.
Secinājumi: Veicot mērenas intensitātes 30 minūšu aerobo slodzi trīs reizes nedēļā,
vismaz 10 nedēļas, un kombinējot to ar kognitīvo treniņu iespējams visefektīvāk uzlabot
kognitīvās spējas (uzmanību, atmiņu, reakcijas ātrumu, koncentrēšanos, izpildfunkciju) insulta
pacientiem ar kognitīvajiem traucējumiem.
Title: Aerobic exercise for improving cognitive abilities for stroke patients with chronic functional impairment: a systematic review. Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Approximately 20-60% of patients develop cognitive impairment after a stroke, usually appearing within 3 to 6 months after the incident. Long-term aerobic training improves brain activity of the frontal lobe and hippocampus, which can lead to improving cognitive abilities for stroke patients. Objective: Collect and analyze data from scientific research on the most effective aerobic exercise that can improve cognitive abilities in stroke patients with chronic functional impairment. Methods: Databases used - EBSCO, PubMed un Science Direct. Keywords used: (stroke OR stroke patients) AND (aerobic exercise OR aerobic fitness OR rehabilitation) AND (cognitive function OR brain activity OR memory OR brain volume OR executive function OR cognitive performance) – in any order or combination. Results: Three scientific studies were selected that used aerobic exercise in comparison with other treatment methods. All studies used similar cognitive assessment tools and demonstrated that moderate intensity aerobic exercise improves attention, concentration, problem solving function, visual perception and executive function. Two of the studies showed that moderate intensity aerobic exercise in combination with cognitive training is more effective in improving cognitive abilities compared to strength training. One study showed that twenty to thirty minutes of moderate intensity aerobic exercise provides immediate cognitive control effects by enhancing a person's focus and improving reaction time speed. Conclusions: Performing moderate intensity 30-minute aerobic exercise three times a week, for at least 10 weeks, and combining it with cognitive training, it is possible to most effectively improve cognitive abilities (attention, memory, reaction speed, concentration, executive function) in stroke patients with cognitive impairment.
Title: Aerobic exercise for improving cognitive abilities for stroke patients with chronic functional impairment: a systematic review. Background: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Approximately 20-60% of patients develop cognitive impairment after a stroke, usually appearing within 3 to 6 months after the incident. Long-term aerobic training improves brain activity of the frontal lobe and hippocampus, which can lead to improving cognitive abilities for stroke patients. Objective: Collect and analyze data from scientific research on the most effective aerobic exercise that can improve cognitive abilities in stroke patients with chronic functional impairment. Methods: Databases used - EBSCO, PubMed un Science Direct. Keywords used: (stroke OR stroke patients) AND (aerobic exercise OR aerobic fitness OR rehabilitation) AND (cognitive function OR brain activity OR memory OR brain volume OR executive function OR cognitive performance) – in any order or combination. Results: Three scientific studies were selected that used aerobic exercise in comparison with other treatment methods. All studies used similar cognitive assessment tools and demonstrated that moderate intensity aerobic exercise improves attention, concentration, problem solving function, visual perception and executive function. Two of the studies showed that moderate intensity aerobic exercise in combination with cognitive training is more effective in improving cognitive abilities compared to strength training. One study showed that twenty to thirty minutes of moderate intensity aerobic exercise provides immediate cognitive control effects by enhancing a person's focus and improving reaction time speed. Conclusions: Performing moderate intensity 30-minute aerobic exercise three times a week, for at least 10 weeks, and combining it with cognitive training, it is possible to most effectively improve cognitive abilities (attention, memory, reaction speed, concentration, executive function) in stroke patients with cognitive impairment.
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
Aeroba slodze, kognitīvās spējas, insults, Aerobic exercise, cognitive abilities, stroke