published early this decade. Moreover, transfer effects generated by the REHACOP in some of the samples merit further discussion. Gray matter decreases have been described in these patients, mainly in the frontal and temporal areas [53]. Memory training improves cognitive ability in patients with Diagnosis and treatment of dementia: Approach to management of Department of Methods and Experimental Psychology, Faculty of Psychology and Education, University of Deusto, Avenida de las Universidades, 24, 48007 Bilbao, Biscay, Spain. Onder G, Zanetti O, Giacobini E, et al. The movement disorder society evidence-based medicine review update: treatments for the non-motor symptoms of Parkinsons disease. Wilson BA. Social cognition in multiple sclerosis: a systematic review and meta-analysis. their powerful search tools. A pilot study of the neuropsychological benefits of the contents by NLM or the National Institutes of Health. impairments, Effectiveness of procedural memory stimulation in mild dementia patients, Efficacy of an evidence-based cognitive stimulation Each session lasted 60 minutes each for the MS and PD groups and 90 minutes each for the schizophrenia group. were considered for analysis and a total of 37 articles were found. Mahendra N, Arkin S. Effects of four years of exercise, language, and social This gave the following nine levels: Systematic review that proposed by other authors, there is a need for further studies on this subject Pea J., Ibarretxe-Bilbao N., Garca-Gorostiaga I., Gomez-Beldarrain M. A., Dez-Cirarda M., Ojeda N. Improving functional disability and cognition in Parkinson disease randomized controlled trial. Brouwer, E., Van Zomeren, E., Berg, I., Bouma, A., & de Haan, E. (2002). The first step of this study was to ), some of the tasks were adapted accordingly (i.e., increased font size, oral instead of written tasks, and reduced number of items, etc.). This implementation included slight modifications to how neuropsychological rehabilitation was conceptualized and what its aims were, given the course of neurodegenerative diseases. Neuropsychological benefits of computerized cognitive rehabilitation FOIA Updated on September 22, 2022 Medically reviewed by Rachel Goldman, PhD, FTOS Verywell / Theresa Chiechi Table of Contents Types of Breath Deep Breathing Benefits How to Do Deep Breathing Tips and Tricks Apps for Deep Breathing Take a deep breatha good, deep breathand let it out. Beyond neurocognitive deficits, patients with schizophrenia also show deficits in social cognition [32]. Neurocognition and social cognition deficits have been found to be strongly related to functional alterations in patients with schizophrenia, especially in the case of social cognition [33]. So Paulo, SP, Brazil. These mechanisms, along with other characteristics that have been demonstrated to influence neuropsychological rehabilitation efficacy (e.g., sociodemographic characteristics, injury-related variables, and psychological factors [56]), might be involved in the common mechanism through which neuropsychological rehabilitation seems to work across pathological conditions. As stated by Wilson [11], neuropsychological rehabilitation has been defined differently over the years, according to the changes and advances in the neuropsychology field. Moore S, Sandman CA, McGrady K, Kesslak JP. A classification which determines the quantitative and qualitative The largest effect sizes were found for changes in visual memory (d = .81), theory of mind (d = .83), and functional disability (d = 1.02), proving the existence of transfer effects to nontrained domains in this pathology. Neurofunctional correlates of attention rehabilitation in Parkinsons disease: an explorative study. decisions, this study sought to review scientific publications by assessing year of dementia: a systematic literature review. disease: a pilot study. New York: Psychology Press. The site is secure. Wilson B. A prtica baseada em evidncias: Subsequently, studies studies with the greatest number of quantitative findings were as follows: the elderly and elderly aged 80 years or older. One would fill out the Vocational Rehabilitation Services Application (form DR 222) and return it to the . levels of evidence, both in the context of data and information acquired from Request PDF | A Pilot Study of the Neuropsychological Benefits of Computerized Cognitive Rehabilitation in Ugandan Children With HIV | Because antiretroviral treatment (ART) fails to improve . So Carlos, So Paulo, SP, Brazil. dficits de memria em pacientes com demncia de Burns A. of the methodological approach applied in the study (Humpris A., Gracey, F., Evans, J. J., & Bateman, A. Pea J., Ibarretxe-Bilbao N., Snchez P., et al. White matter integrity abnormalities have also been shown in these patients in widespread white matter fibers including intra- and interhemispheric fibers [44]. 2002). Method: More recently, functional connectivity abnormalities have also been described in this pathology that affect not only the default mode network but also other resting-state networks such as salience, executive, working memory, sensorimotor, and visual networks [45]. In decreasing order of methodological merit, after the Systematic Review studies, the D., 1999). Psychosocial interventions address . Psychosocial interventions cover areas in the personal, physical, and social context, and the interventions may include family psychotherapy and psychoeducation and vocational training. Cognitive, physical, and psychological benefits of yoga for acquired The psychoeducation module is focused on the pathology and symptom management. Creative Commons Attribution License, which permits unrestricted use, pharmacologic treatment, interventions involving family members and environmental To date, the effects of cognitive rehabilitation on the brains of patients with schizophrenia have been described regarding both functional and anatomical characteristics. programme for people with dementia. In that study, results were similar to those obtained by REHACOP, showing increased brain activation at resting state in the left dorsolateral prefrontal cortex and the left superior parietal cortex [69]. In addition, cognitive decline has been found to be directly linked to lower quality of life (QoL) indices in MS [36]. FOIA Neuropsychological Rehabilitation | SpringerLink Health and Aging Research Group CNPq. The authors would like to thank all the participants and all the associations that took part in the studies. illustrated in Figure 1. However, it is notable that the magnitude of the effect sizes and the improved domains depends on the cognitive domains or the pathology. mild Alzheimer's disease. Mechanisms of functional improvement through cognitive rehabilitation in schizophrenia. All issues Special issues . Studies included in this review were supported by the Department of Health of the Basque Government (grant number 2011111102 to Dr. Natalia Ojeda and grant number 2011111117 to Dr. Naroa Ibarretxe-Bilbao), the Spanish Ministry of Economy and Competitiveness (grant number PSI2012-32441 to Dr. Naroa Ibarretxe-Bilbao), and the Education Department of the Basque Government (Equipo A) (grant number IT946-16 and grant number BFI-2010-407). training programme. was first adopted in the medical community within the countrys larger states and in output addressing the care and assistance of patients with Alzheimers disease as Abnormalities have been described in both normal appearing white and gray matter of these patients, showing cortical and subcortical alterations, pointing mainly to decreased white and gray matter volumes [43]. Apart from cognitive and functional alterations, PD patients also show brain disturbances at different levels. Benefits of cognitive-motor intervention in MCI and mild to moderate . The results demonstrated an increase in scientific output from 2001 on Provided by the Springer Nature SharedIt content-sharing initiative, https://doi.org/10.1007/978-0-387-79948-3_1096, Reference Module Humanities and Social Sciences. Rehabilitation of sensory and cognitive function typically involves methods for retraining neural pathways or training new neural pathways to regain or improve neurocognitive functioning that have been diminished by disease or trauma. In fact, when reviewing the neuropsychological rehabilitation literature, some of these features have shown to be especially important for the effective design and implementation of different intervention programs [18, 56]. Interventions include individual- and group cognitive rehabilitation, psychotherapy, and psychoeducation. Integrative group-based cognitive rehabilitation efficacy in multiple sclerosis: a randomized clinical trial. There were more cognitive benefits in the severe malaria than non-malaria cohorts. Bird M. Behavioural difficulties and cued recall of adaptive behaviour in A. Cognitive rehabilitation in the 21st century. As stated by Wilson [ 11 ], neuropsychological rehabilitation has been defined differently over the years, according to the changes and advances in the neuropsychology field. Dez-Cirarda M., Ojeda N., Pea J., et al. This could explain the fact that schizophrenia seems to be the sample with the highest number of improved cognitive domains and the highest magnitudes of improvement. This approach highlights the importance of implementing bottom-up approaches in neuropsychological rehabilitation programs in order to have an impact on the basic cognitive processes that have been altered and that could be affecting higher-order functions [19, 20]. with Alzheimer's disease and cerebrovascular disease, A rehabilitation program for mild memory based on the patients data and clinical observations. Learning from our Successes and Failures: Reflections and Bhome R., Berry A. J., Huntley J. D., Howard R. J. policies on care in demented elderly based on more explicit and qualified scientific Working memory training in patients with multiple sclerosiscomparison of two different training schedules. Quayhagen MP, Quayhagen M, Corbeil RR, et al. REHACOP (http://rehacop.deusto.es) is an integrative neuropsychological rehabilitation program that was designed by neuropsychology experts at the University of Deusto [13], relying on the knowledge that has been previously generated. support of FAPESP. (2009). Nove nveis Wilson, B. Neuropsychological rehabilitation is a theoretical framework of interventions designed to improve cognitive, emotional, and psychosocial functioning due to changes in the brain. mdia inferior a trs artigos por ano no perodo estudado Muslimovi D., Post B., Speelman J. D., Schmand B. Cognitive profile of patients with newly diagnosed Parkinson disease. rehabilitation, with an average of three articles published per year during the Cotter J., Firth J., Enzinger C., et al. To perform the search, the key search words were first defined according to the Cognitive function and quality of life in multiple sclerosis patients. concluded that results of studies remain limited and that further investigation on more recently published studies. However, neuropsychological rehabilitation has been proposed as a broader concept than those previously mentioned as it addresses not only cognitive impairments but also those emotional, psychosocial, and behavioral deficits caused by any brain damage in a more or less structured way [3]. Cognitive stimulation therapy for people with dementia: A growing rate of publication on the subject was observed after the turn of the Amatya B., Khan F., Ng L., Galea M., Cochrane Multiple Sclerosis and Rare Diseases of the CNS Group Rehabilitation for people with multiple sclerosis: an overview of Cochrane systematic reviews. 2013; 43 (3):267-277. doi: 10.1177/0081246313494156. The current study will explore if web-based neuropsychological rehabilitation is a feasible and effective method for carrying out rehabilitation for adults with ABI. TIRR Memorial Hermann Department of Neuropsychology & Rehabilitation Psychology Houston, TX 77030. intervention in Alzheimer's disease: a single case study, Meaningful treatment outcomes in Alzheimer's Changes in anatomical connectivity are present especially regarding intra- and interhemispheric fibers such as the corpus callosum and the uncinate fasciculus [59]. Furthermore, cognitive deficits have also been described even before the onset of the disease [28, 29] and in nave patients [30]. Tax calculation will be finalised at checkout. concluded that results remain limited and that further studies on the topic are Future studies are needed investigating cognitive rehabilitation in Alzheimer Disease Collaboration, an international network which develops and disseminates Relationship between number and year of studies based on search levels of evidence were considered for analysis. Cognitive alterations in patients with this pathology include deficits in attention, executive functioning, long-term visual and verbal memory, and visuoconstructive abilities, as well as global cognition [3638]. As shown in Table 2, the highest prevalence of with dementia, Evaluation of prospective memory training for Neuropsychological rehabilitation in general, and specifically REHACOP, could be operating through the same mechanisms that are common to all different conditions such as psychiatric and neurodegenerative pathologies. cholinesterase inhibitors in Alzheimer's disease: randomized PD patients receiving REHACOP group intervention (20 patients) exhibited improvements in processing speed, visual memory, theory of mind, and functional disability at posttreatment when compared to the active control group (22 patients) that performed occupational activities during the same period of time and with the same frequency [15]. It is characterized by cognitive symptoms that are not . As neuropsychology itself, cognitive rehabilitation history is strongly tied to historical medical advances [13]. impairments in patients with Alzheimer's disease, Towards a comprehensive model of cognitive patients, to pool and disseminate the aspects and concepts present among the highest Reabilitao cognitiva em pacientes com Abstract. Boake C. A history of cognitive rehabilitation of head-injured patients, 1915 to 1980. interventions on Alzheimer discourse, Occupational therapy and dementia: the experience of an Kixmiller JS. and cognitive rehabilitation was described at various different levels of scientific In terms of levels of evidence, of the 37 studies found, a mean of approximately 4.12 Published online: 01 Apr 2022. The characterization of one of the samples as a neurodevelopmental condition (i.e. New York: Oxford University Press. In this case, as the control group was not assessed at follow-up, no intergroup comparison was possible. 2Nurse, Associate Professor of the Department of Nursing (eds) Encyclopedia of Clinical Neuropsychology. Cognitive, or neuropsychological, indicates that the intervention addresses the impact of cognitive impairments on everyday life, and on the engagement in . Changes in resting-state brain networks were also found when comparing baseline and follow-up (18 months), with increased activation in frontotemporal networks at follow-up (15 patients in the experimental group and no control group) [17]. Engelhardt E, Brucki SM, Cavalcanti JL, Forlenza OV, Laks J, Vale FA. Even at that time (1940s), cognitive rehabilitation was described from an integral approach, involving not only the affected cognitive domain per se but also patients' social, functional, and family areas [2]. Rehabilitation Psychology and Neuropsychology - Johns Hopkins Medicine Before 2002, 2003, 2004, 2005, 2006, 2007 and 2008), representing the opposite pattern to Founded in 1993 in Psychosocial interventions cover areas in the personal . aids (Clare and Wood, 2008, pg.2). Lifelogging can be seen as a successful memory rehabilitation tool. case study. Overall, the scientific output for the subject of cognitive rehabilitation in AD Introduction. del Pozo N. O., Lasa J. P., Norea E. B., et al. Memory rehabilitation: restorative, specific knowledge acquisition Evidence-based cognitive rehabilitation: Recommendations for clinical practice. Task arrangement is addressed to maximize improvements and transfer effects into participant's daily living. FAPESP Grantholder. disease (AD) is the leading type of dementia in terms of number of cases diagnosed, the same specific period and that the present study found no reason for the high Combining social cognitive treatment, cognitive remediation, and functional skills training in schizophrenia: a randomized controlled trial. Leroi I., McDonald K., Pantula H., Harbishettar V. Cognitive impairment in Parkinson disease: impact on quality of life, disability, and caregiver burden. Be". However, as expected in the study, no anatomical changes were found after the REHACOP intervention, and both gray and white matter showed a decreased volume and integrity, respectively, in widespread brain areas, following the normal progression of neurodegenerative processes [17]. The strongest associations regarding neurocognition have been found between verbal fluency and community functioning and between verbal learning and memory and social behavior in the milieu [33]. Besides cognition and functionality, the effects of REHACOP on brain connectivity have been studied and described in PD patients [16, 17]. Department of Physical Medicine and Rehabilitation. Increased brain connectivity and activation after cognitive rehabilitation in Parkinsons disease: a randomized controlled trial. Theoretical approaches to cognitive rehabilitation. Validity assessment in clinical neuropsychological practice: evaluating and managing noncredible performance. Cutajar R., Ferriani E., Scandellari C., et al. It is worth noting the functional improvements in these patients that appear in many different domains of functionality, highlighting direct but also transfer effects of other improvements obtained by means of the REHACOP's implementation in patients with schizophrenia. controlled trial, Cognitive rehabilitation combined with drug treatment Cognitive training in MS: effects and relation to brain atrophy. Brissart H., Leroy M., Morele E., Baumann C., Spitz E., Debouverie M. Cognitive rehabilitation in multiple sclerosis. evidence since 2001. dementia was found on La Biblioteca Cochrane Plus and was duly In addition, one of the schizophrenia studies [22] included social skills, activities of daily living, and psychoeducation modules. the theme of cognitive rehabilitation in the elderly with Alzheimer type (2005). A busca das melhores evidncias. The efficacy of psychosocial approaches to behaviour disorders in onward. Snchez P., Pea J., Bengoetxea E., et al. Cognitive rehabilitation interventions after stroke: protocol for a The highest effect sizes for changes in cognition were found in processing speed in MS, in visual memory in PD, and in verbal memory in schizophrenia, which might be due to the fact that these are some of the most impaired cognitive domains in each condition [25, 36, 46]. therapy programme for people with dementia, Effects of cognitive-communication stimulation for A rehabilitation program for mild memory Wilson B. 2002, one in 2006 and one in 2007), five Case Series Studies (three in 2002, one in A. Neuropsychological rehabilitation. Savla G. N., Vella L., Armstrong C. C., Penn D. L., Twamley E. W. Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence. The results showed an increase in scientific output from the beginning of the vila R, Miotto E. Reabilitao neuropsicolgica de The highest levels of evidence were observed in the Prakash R. S., Snook E. M., Lewis J. M., Motl R. W., Kramer A. F. Cognitive impairments in relapsing-remitting multiple sclerosis: a meta-analysis. In: Hamer S, Collinson G, editors. Philadelphia: Davis. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. The latest studies demonstrating greater scientific evidence REHACOP is an integrative neuropsychological rehabilitation program designed by specialist neuropsychologists. Hogan DB, Bailey P, Black S, et al. These results emphasize the efficacy of the intervention not only in the short term but also maintained over time, although the lack of assessment of the active control group at follow-up limits this conclusion in relation to REHACOP. Neuropsychological rehabilitation has been the focus of much scientific research over the past decades due to its efficacy in different pathologies. perioperatria. Silverstein S. M., Wilkniss S. M. At issue: the future of cognitive rehabilitation of schizophrenia. The data obtained revealed that few studies on cognitive rehabilitation were Tasks are divided into eight modules, each of which is focused on a specific cognitive domain or area, namely, (a) attention, (b) learning and memory, (c) language, (d) executive functions, (e) social cognition, (f) social skills, (g) activities of daily living, and (h) psychoeducation. provide individualized care focusing on the individual and group solutions. Driever MJ. diet, physical exercises and supervision of daily activities are conducive to Major changes in NR have occurred over the past decade or so. Virtual Health Library (http://www.bireme.br/php/index.php) at the DeCS link Health Vogt A., Kappos L., Calabrese P., et al. Regarding the distribution of annual An official website of the United States government. Specifically regarding MS, two of the latest published reviews [60, 61] have stated that, based on the neuropsychological rehabilitation efficacy studies available to date, there is low-level evidence that neuropsychological rehabilitation reduces cognitive decline in MS patients. Google Scholar. A neuropsychological evaluation measures how well a person's brain is working. O objetivo foi revisar publicaes cientficas sobre A role for cognitive rehabilitation in dementia care. (Alzheimer) in the elderly, and presentation in the form Full text free. The sessions' structure for the schizophrenia, MS, and PD studies was designed and implemented as follows: (1) weeks 1 to 4attention training (sustained, selective, divided, and shifting attention); (2) weeks 5 to 7learning and memory training; (3) weeks 8 to 10language training (grammar, syntax, vocabulary, etc. Level 5, Case series studies; Level 6, Case studies; Level 7, Research in animals A student or their parents can send a written application and meet with the agency staff. RostiOtajrvi E. M., Hmlinen P. I. Neuropsychological rehabilitation for multiple sclerosi. Foram utilizados PubMed Influence of anosognosia on treatment outcome among dementia In academic institutions this becomes a difficult issue because in addition to accounting for one's salary and fringe benefits you may be paying for your share of a medical practice . Reality orientation therapy combined with cholinesterase The parent study was a randomized controlled trial (RCT) entitled "Neuropsychological Benefits of Computerized Cognitive Rehabilitation Training in Ugandan Children Surviving Severe Malaria: A Randomized Controlled Trial" (Boivin et al., 2018). multidisciplinar. medication, their benefits are potentially greater and can allow medication to be Opinion level was found (2002). Cognitive rehabilitation combined with drug treatment in Methods studies at the Research in Animals level was found. Dez-Cirarda M., Ojeda N., Pea J., et al. Occupational therapy and dementia: the experience of an Alzheimer Evidence-based practice emerged with the aim of reaching consensus on the most Cicerone, K. D., Dahlberg, C., Maleex, J., Langenbahn, D., Felicetti, T., et al. execution of each step in assisting to care for AD patients implies evidence-based Randomized clinical trials; Level 3, Cohort studies; Level 4, Case-control studies; Mishara A. L., Goldberg T. E. A meta-analysis and critical review of the effects of conventional neuroleptic treatment on cognition in schizophrenia: opening a closed book. The main objective outcome for rehabilitation is to assist in regaining physical abilities and improving . rehabilitation, Clinical practice with anti-dementia drugs: a Effectiveness of procedural memory stimulation in mild Thus, improvements in trained domains may not be enough to enhance social functioning in MS patients. Regional DTI differences in multiple sclerosis patients. Special attention must be paid to basic cognitive processes such as visual or auditory perception, which are also impaired in these patients [31] and might have an important role in the neuropsychological rehabilitation process [19, 20]. Changes after REHACOP's implementation in PD have been studied both at posttreatment [15, 16] and follow-up [17]. Among social cognition domains, theory of mind has shown the greatest improvements after implementation (p2 = .15), followed by social perception (p2 = .08) and emotion processing (p2 = .07) [21]. lesions (Wilson, 1996; vila and Miotto, 2002). An RCT to treat learning impairment in multiple sclerosis: the MEMREHAB trial. Ownsworth T., Fleming J., Shum D., Kuipers P., Strong J. MS and PD) could be generating these differences since neuroplasticity as well as other neurorestorative processes seem to be impaired in neurodegenerative diseases [70]. reference studies retrieved by the Systematic Review, 18 were articles found on the A., Barker R. A., Robbins T. W. Neuropsychological and clinical heterogeneity of cognitive impairment and dementia in patients with Parkinsons disease. Neuropsychological evaluation can identify the onset and type of mild cognitive impairment and dementia so that early intervention can occur. Benefits of Cognitive Rehabilitation and Neuropsychological Frontiers | A neurobehavioral therapy approach to the rehabilitation quantitative method of investigation. Spector A, Thorgrimsen L, Woods B, et al. (FAPESP). cognitive rehabilitation. Impact on employment and social functioning. Alzheimer's disease patients: a pilot study. The abilities tested include reading, language usage, attention, learning, processing speed, reasoning, remembering . The aim of this study was to review the scientific publications on cognitive clinical decisions on the most efficacious treatment intervention (Galvo CM, Patients on these studies were randomized to the REHACOP or the active control group which performed occupational activities with the same duration and frequency as the REHACOP group (38 patients in the experimental group vs. 38 patients in the active control group [23], 36 patients in the experimental group vs. 48 patients in the active control group [22], and 52 patients in the experimental group vs. 49 patients in the active control group [21]). rehabilitation. The study of evidence-based practices first emerged in Cognitive rehabilitation and cognitive training for Foram encontrados 37 When assessing REHACOP's efficacy in PD after a longer period of time (18 months; 15 patients included in the experimental group), improvements were found in verbal memory, visual memory, executive functions, theory of mind, and functional disability when comparing baseline and follow-up [17]. (1999). Johnstone, B., & Stonnington, H. H. (2009). These studies have reinforced the efficacy of the REHACOP program, not only in the short term but also in the long term at 18-month follow-up, supporting the idea that REHACOP's benefits can be maintained even after the end of the program. doena de Alzheimer: relato de trabalho em equipe rehabilitation (Prigatano, 1997; vila and Miotto, 2002). Articles published, by level of evidence. In addition, some of the cognitive rehabilitation studies in MS do not use an integrative approach and intervene only on one or two specific cognitive domains [64, 65], preventing the transfer effects and significant improvements in the rest of the domains.
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