中风是世界上最常见的残疾原因之一。它有感官,电机,和认知症状。许多认知领域可能参与中风。本系统综述重点关注中风后的工作记忆领域缺陷及其各种康复方法。本评论基于系统评论和荟萃分析(PRISMA)指南的首选报告项目。对于这篇评论,我们搜索了PubMed,谷歌学者,和ScienceDirect数据库,并根据过去10年专门研究人类的免费全文英文论文的纳入标准进行彻底筛选。搜索中包含的文章是随机对照试验(RCTs),观察性研究,荟萃分析研究,系统评价,传统的评论使用每种类型的研究最常用的工具进行后续质量评估,并选择了八篇论文。从这些文件中,全文进行了研究,分析,并制成表格。我们发现了五种不同的康复方法:经颅直流电刺激,计算机辅助认知康复,身体活动,目标设定,和多模式康复。我们发现目标设定,计算机辅助认知康复,多模式康复可以改善工作记忆缺陷。虽然经颅直流电刺激和身体活动不一致,需要进一步的研究。样本量小,没有后续行动,只包括一些研究,笔划的大小,以及轻度认知障碍等合并症,痴呆症,和抑郁症是这项研究的主要局限性。未来的审查必须包括更多的大样本量的研究,包括跟进作为纳入标准。我们需要对这些方法进行更多的临床试验,以获得更好的知识。
Stroke is one of the most common causes of disability in the world. It has sensory, motor, and cognitive symptoms. Many cognitive domains might get involved in a stroke. This systematic review focuses on working memory domain deficits after stroke and their various rehabilitation methods. This review is based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA) guidelines. For this review, we have searched PubMed, Google Scholar, and Science Direct databases and screened thoroughly with the inclusion criteria of free full-text English papers in the last 10 years that have exclusively studied humans. The articles included in the search are randomized control trials (RCTs), observational studies, meta-analysis studies, systematic reviews, and traditional reviews. Consequent quality assessment was done using the most commonly used tools for each type of study and eight papers were selected. From these papers, full-text articles were studied, analyzed, and tabulated. We found five different rehabilitation methods: transcranial direct-current stimulation, computer-assisted cognitive rehabilitation, physical activity, goal setting, and multimodal rehabilitation. We found that goal setting, computer-assisted cognitive rehabilitation, and multimodal rehabilitation can improve working memory deficits. While transcranial direct current stimulation and physical activity were inconsistent, further studies are needed. The small sample size, no follow-up, the inclusion of only a few studies, the size of the stroke, and comorbid conditions like mild cognitive impairment, dementia, and depression were the main limitations of this study. Future reviews must include a larger number of studies with large sample sizes, including follow-up as an inclusion criterion. We need more clinical trials on these methods for better knowledge.