The objective of this study is to assess and compare the effect of applying a computerised cognitive training programme and virtual environment rehabilitation system on cognitive functions in patients after a stroke. METHODS A controlled trial included 121 persons referred to second stage rehabilitation. The subjects were differentiated into three impact groups by a single blinded trial. RESULTS The trial revealed that cognitive functions improved in all patient groups (p<0.001). A paired comparison analysis of all groups demonstrated a tendency for cognitive functions, evaluated by the MoCA-LT test, to be more strongly improved in patients who practised a computerised cognitive training programme during their OT sessions than those who did not (p=0.054). CONCLUSIONS The final outcome of the trial was that cognitive functions significantly improved in patients who practised computerised cognitive training programmes or virtual environment rehabilitation systems, compared to those participants who only had occupational therapy sessions.

中文翻译：

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中风后康复系统认知功能的变化。

本研究的目的是评估和比较应用计算机认知训练程序和虚拟环境康复系统对中风后患者认知功能的影响。方法 一项对照试验纳入了 121 名接受第二阶段康复治疗的患者。通过单盲试验将受试者分为三个影响组。结果试验显示所有患者组的认知功能均得到改善（p<0.001）。对所有组进行的配对比较分析表明，通过 MoCA-LT 测试评估，在 OT 期间进行计算机化认知训练计划的患者比未进行计算机化认知训练计划的患者的认知功能有更明显的改善趋势 (p=0.054) 。结论 该试验的最终结果是，与仅接受职业治疗课程的参与者相比，进行计算机认知训练计划或虚拟环境康复系统的患者的认知功能显着改善。