Cognitive Functioning and Assessment in Adults with Cerebral Palsy: A Scoping Review

In this scoping review, we summarize the current knowledge of cognitive functioning in adults with cerebral palsy (CP), and identify the neuropsychological tests typically used in this population. 39 studies from the period January 1990 - August 2023 were included in the review, and they differ widely in their aims and approach to studying cognition. Very few studies have cognitive assessment as their core aim and use a neuropsychological test battery. The included studies show great variability in reported intelligence and cognitive functioning in adults with CP, and cognitive deficits have been reported in all cognitive domains. Most of the studies suffer from methodological limitations, and there is ample room for improvement within the field. We conclude by suggesting a number of recommendations that may contribute to increasing our understanding of cognitive impairments in adults with CP.本范围综述（scoping review）旨在梳理当前学界关于成人脑瘫（cerebral palsy, CP）患者认知功能的研究进展，并明确该人群中常用的神经心理学测验工具。本综述纳入了1990年1月至2023年8月期间的39项相关研究，这些研究在认知研究的目标与方法上存在显著差异。仅有极少数研究以认知评估为核心研究目标，并采用了标准化神经心理测验组合（neuropsychological test battery）。纳入的研究显示，成人脑瘫患者的智力与认知功能报告结果存在极大异质性，且所有认知领域均有认知缺陷的相关报道。多数研究存在方法学局限性，该领域仍有大量可优化的空间。最后，我们提出若干建议，以期增进学界对成人脑瘫患者认知损伤的理解。