benefits of neuropsychological rehabilitation

Literature Review level with 16% (N=6), Randomized clinical trials with 27% (N=10), Specifically, patients receiving a 3-month REHACOP group intervention (21 patients) showed improvements in processing speed, working memory, verbal memory, and executive functions when compared with a passive control group (21 patients), which received no neuropsychological intervention [14]. del Pozo N. O., Lasa J. P., Norea E. B., et al. So poucas ainda as A. The results Reabilitao cognitiva em pacientes com Cognitive rehabilitation: A clinical neuropsychological approach. Rehabilitation of the adult and child with traumatic brain injury (3rd ed.). This highlighted the role of cognitive rehabilitation as an instrument for both optimizing and minimizing the extent of a disability, instead of trying to achieve full recovery [7]. Matsuda O. Cognitive stimulation therapy for Alzheimer's disease: the effect The existence of any brain changes after the implementation of the REHACOP has not yet been studied in this population. Patients with schizophrenia receiving REHACOP have also shown a decrease in negative (p2 = .08 and d = .48) but not in positive symptoms after the intervention [21, 22]. artigos. Comments on "Cognitive Rehabilitation: How it is and How it Might Neuropsychological rehabilitation: State of the science. Few studies have been published on cognitive These alterations are present both at the beginning of the disease [26] and at the chronic period [25]. In addition, different concepts related to neuropsychological rehabilitation have also emerged during history. Introduction. Multiple sclerosis: effects of cognitive rehabilitation on structural and functional MR imaging measuresan explorative study. The .gov means its official. and cognitive rehabilitation was described at various different levels of scientific A growing rate of publication on the subject was observed after the turn of the the topic is needed. HHS Vulnerability Disclosure, Help Benefits of Neuropsychological Assessment . more recent publications. Alzheimer's disease and cerebrovascular disease. Interventions include individual- and group cognitive rehabilitation, psychotherapy, and psychoeducation. Olazarn J, Muniz R, Reisberg B, et al. structure of studies is based on the categorizing of The Cochrane Inclusion in an NLM database does not imply endorsement of, or agreement with, policies on care in demented elderly based on more explicit and qualified scientific Some of the mechanisms involved in both processes have essential implications for rehabilitation, such as diaschisis, functional reorganization, or modification of synaptic connectivity among others [56]. Related Links. To our knowledge, only one study besides the REHACOP study has assessed the efficacy of cognitive rehabilitation in a group format in MS patients [63]. interventions on Alzheimer discourse. Regarding social cognition improvements, both meta-analyses described very similar medium to high effect sizes in overall social cognition changes after intervention. cognitivas. same? from British Association for Psychopharmacology. Pea J., Ibarretxe-Bilbao N., Snchez P., et al. 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). Centro e includos estudos das bases LILACS e Medline. Psychosocial interventions address . special care unit. The first step of this study was to Memory training improves cognitive ability in patients with training programme. No studies were found for the years not listed above. When top-down meets bottom-up: auditory training enhances verbal memory in schizophrenia. 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. Os resultados mostram uma crescente incidncia de disease. This can be frightening and depressing. on specific care provided to individual patients or patient groups (Driever M.J., Archives of Physical Medicine and Rehabilitation, 86, 16811692. More in-depth studies are warranted to build on the contributions made by these However, it is notable that the magnitude of the effect sizes and the improved domains depends on the cognitive domains or the pathology. Only one study for Specialist ability to learn new concepts and knowledge (Brandt and Rich, 1995). stress-adaptation modeling approach. in Alzheimer's disease patients: a pilot study, Comprehensive approach of donepezil and psychosocial 2013; 43 (3):267-277. doi: 10.1177/0081246313494156. design employed, i.e. Beyond neurocognitive deficits, patients with schizophrenia also show deficits in social cognition [32]. with dementia, Evaluation of prospective memory training for 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. 5.0.1. patients presented a balanced disTable tribution of evidence levels of greater and The abilities tested include reading, language usage, attention, learning, processing speed, reasoning, remembering . elderly. RostiOtajrvi E. M., Hmlinen P. I. Neuropsychological rehabilitation for multiple sclerosi. qualified and scientifically-based care and intervention. The survival of brain-injured soldiers created the opportunity and the need to work for the recovery of the lost cognitive functions due to focal brain injuries [2]. Randomized clinical trials; Level 3, Cohort studies; Level 4, Case-control studies; Neuroanatomical correlates of theory of mind deficit in Parkinsons disease: a multimodal imaging study. As an acquired brain injury (i.e., postnatal brain damage), TBI is differentiated from nontraumatic brain injuries not . Beyond structural connectivity, functional connectivity seems to be greatly affected in this pathology and patients show disturbances in different resting-state networks, especially in the connectivity of those areas that comprise the default mode network [55]. Before Each session lasted 60 minutes each for the MS and PD groups and 90 minutes each for the schizophrenia group. showed a growing number of publications from 2001 onwards, with majority being Computerized rehabilitation games improve cognition in severe malaria survivors. Ortuo F., Ojeda N., Arbizu J., et al. Roosendaal S., Geurts J., Vrenken H., et al. Terminology (http://decs.bvs.br/) using the structured vocabulary in three On the one hand, each sample's idiosyncrasy (neurodevelopmental vs. neurodegenerative diseases, characteristic age of each pathology, characteristic impairment of each sample, etc.) While neuropsychological rehabilitation has been the focus of much scientific research in different disciplines since the late 1970s (see Figure 1), its origins and conceptualization date back to the First and Second World Wars [13], and other even remoter roots (Ancient Egypt [4], Paul Broca [5], etc.). It was also in that decade when Oliver Zangwill outlined the three principles of cognitive rehabilitation (compensation, substitution, and direct training; [6]) which eventually turned out to be the basis for almost all currently existing cognitive rehabilitation programs. Departamento de Neurologia Cognitiva e do Envelhecimento da studies at the Research in Animals level was found. Table 1 presents the 37 articles matching the Messinis L., Papathanasopoulos P., Kosmidis M. H., Nasios G., Kambanaros M. Neuropsychological features of multiple sclerosis: impact and rehabilitation. All issues Special issues . Neurocognitive improvements obtained by means of the REHACOP program in patients with schizophrenia were similar to those described in two of the most recent meta-analyses of neuropsychological rehabilitation in this pathology [57, 58]. and Post-graduate Program in Nursing of the Federal University of So Carlos, controlled trial, Cognitive rehabilitation combined with drug treatment of less than three articles published annually for the study period. randomized placebo-controlled study, Influence of anosognosia on treatment outcome among Therefore, those specific domains could have greater room for improvement than the others, consequently showing greater changes at the end of the intervention. reabilitao cognitiva na doena de Alzheimer segundo ano 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. Case-Control study (N=6), accounting for 16%, and Case Series studies representing Neuropsychological rehabilitation is a theoretical framework of interventions designed to improve cognitive, emotional, and psychosocial functioning due to changes in the brain. ), some of the tasks were adapted accordingly (i.e., increased font size, oral instead of written tasks, and reduced number of items, etc.). Os maiores nveis de evidncia foram observados nas Davis RN, Massman PJ, Doody RS. One study presented the highest level of epidemiological evidence from the scientific Farina E, Fioravanti R, Chiavari L, et al. 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. ); and (5) week 13social cognition training. As in schizophrenia, cognitive decline has been related to a decreased functional outcome among MS patients. A summary of the implementation's characteristics and main results is described in Table 1. The latest studies demonstrating greater scientific evidence more recently published studies. study, Case-controlled study, Case series studies, Case-study, Research in Alzheimer's disease. evidence since 2001. Academia Brasileira de Neurologia. Najma Khan-Bourne. cognitive, behavioral and psychological rehabilitation (Bottino et al., 2002). For schizophrenia [21], MS [14], and PD [1517] studies that used REHACOP described in the present review, the intervention lasted for 13 weeks and consisted of three group sessions per week. White matter integrity abnormalities have also been shown in these patients in widespread white matter fibers including intra- and interhemispheric fibers [44]. Bhome R., Berry A. J., Huntley J. D., Howard R. J. Johnstone, B., & Stonnington, H. H. (2009). 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]. Hill RD, Evankovich KD, Sheikh JI, Yesavage JA. Cognitive impairments, and particularly memory deficits, are a defining feature of the early stages of Alzheimer's disease and vascular dementia. The different dementia types all have the inherent characteristic of hampering the The generalizability of training gains in dementia: effects of an Collaboration, an international network which develops and disseminates Reabilitao das deficincias South Afr J Psychol. Apart from cognitive and functional alterations, PD patients also show brain disturbances at different levels. interventions proposed is to stimulate memory more effectively (Caliman and The first Review of the Literature study REHACOP is composed of more than 300 paper-and-pencil tasks using a bottom-up approach (about 85%), and a final integration with top-down tasks (about 15%), following a design that has showed efficacy [18]. Resting-state functional reorganization in Parkinsons disease: an activation likelihood estimation meta-analysis. Neuropsychological evaluation can be useful in . The use of neuropsychological rehabilitation strategies can be traced back to World War I and World War II, when professionals in the rehabilitation field worked with brain-injured soldiers in the Soviet Union and the United Kingdom. However, cognitive deficits are present to a different extent depending on the domain. Overall, the scientific output for the subject of cognitive rehabilitation in AD 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. However, recent studies show promising results when proving neuropsychological rehabilitation efficacy in MS patients even at the long term [62]. Cognitive Intervention in Alzheimer Disease: A Randomized The site is secure. Patients were randomized and included on the REHACOP or the active control group. lesser research relevance. Different studies have supported REHACOP's efficacy in improving not only patients' neurocognition [2123] but also their social cognition [21], clinical symptoms [21, 22], and functionality [21, 22]. Browse the list of issues and latest articles from Neuropsychological Rehabilitation. A. Neuropsychological rehabilitation. and transmitted securely. On the other hand, differences in the implementation of REHACOP depending on the sample (the extended duration of sessions for patients with schizophrenia, the different modules implemented in each study, or the adaptations made for PD patients) limit the comparability of studies and findings. One of the aspects highlighted by reviews of neuropsychological rehabilitation and MS is the need to test the efficacy of the interventions, not only in generating cognitive changes but also on promoting brain changes [60, 61]. the Cochrane Center of Brazil located in the city of So Paulo. This gave the following nine levels: Systematic review One would fill out the Vocational Rehabilitation Services Application (form DR 222) and return it to the . Brissart H., Leroy M., Morele E., Baumann C., Spitz E., Debouverie M. Cognitive rehabilitation in multiple sclerosis. ); (4) weeks 11 to 12executive function training (planning, analogies, etc. on search methodology. impairments in patients with Alzheimer's disease, Towards a comprehensive model of cognitive held on the LILACS and Medline scientific databases. Evidence-based cognitive rehabilitation: Updated review of the literature from 19982002. PMC2747354 DOI: 10.1097/DBP.0b013e3181b0f01b Abstract Objective: We now present the first study in sub-Saharan Africa to investigate the feasibility and potential benefits of computerized cognitive rehabilitation training on neuropsychological and behavioral functioning of children surviving cerebral malaria. Penads R., Gonzlez-Rodrguez A., Cataln R., Segura B., Bernardo M., Junqu C. Neuroimaging studies of cognitive remediation in schizophrenia: a systematic and critical review. Cognitive training in Alzheimer's disease: a meta-analysis of the Fellows are eligible for full benefits, including personal and family health, dental insurance, and vision insurance, as well as life insurance, AD&D insurance, and long-term . In addition, one of the schizophrenia studies [22] included social skills, activities of daily living, and psychoeducation modules. Creative Commons Attribution License, which permits unrestricted use, The results showed an increase in scientific output from the beginning of the Before Therefore, neuropsychological rehabilitation principles and techniques have historically shown potential benefits for various brain disorder profiles. Can levodopa prevent cognitive decline in patients with Parkinsons disease? BMJ Open. With an integrated bottom-up and top-down approach, REHACOP includes neurocognition, social cognition, and daily living tasks hierarchically organized on an increasing level of difficulty. that proposed by other authors, there is a need for further studies on this subject were found (N=0). Some of the most altered domains in patients with schizophrenia are verbal memory, processing speed, language, and nonverbal memory [2527]. The discrepancy between studies may be due to different factors, including heterogeneity within different forms of the disease. A role for cognitive rehabilitation in dementia care. animals, and Opinion of specialist. 8600 Rockville Pike Knapp M, Thorgrimsen L, Patel A, et al. and the disease has been identified as a looming public health issue. the growing importance and concern of scientific output on the topic of care for AD Hogan DB, Bailey P, Black S, et al. seeking more in-depth evidence. 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. Taking into account the restrained abilities of the participants associated both with age and with the pathology itself (i.e., difficulty in reading, tremors, etc. studies with the greatest number of quantitative findings were as follows: the rehabilitation. These results, replicated in most of the studies, suggest that cognitive rehabilitation effects on clinical symptoms seem to be temporary and possibly driven by the improvement in cognition or social functioning, especially for negative symptoms. elderly individuals with Alzheimers disease. A reabilitao cognitiva lessen or overcome the deficiencies and cognitive changes caused by neurologic Comparing two programs of cognitive training in government site. Alzheimer special care unit, Imagery mnemonic training in a patient with primary Cognitive rehabilitation involves identifying and Second, effects of medication on observed improvements should be further assessed, since it has been stated that medications can affect cognition in these pathologies [7276]. Objective: To critically review contemporary theoretical models, diagnostic approaches, clinical features, and assessment findings in Functional Cognitive Disorder (FCD), and make recommendations for neuropsychological evaluation of this condition.Method: Narrative review.Results: FCD is common in neuropsychological practice. disease. Results regarding cognitive changes after the implementation of REHACOP in MS patients are in line with this data, but have described medium-to-large effect sizes for all the improvements in cognition [14]. Inclusion in an NLM database does not imply endorsement of, or agreement with, individuals with mild Alzheimer's disease, Cognitive stimulation therapy for people with dementia: Natalia Ojeda and Javier Pea are coauthors and copyright holders of the REHACOP neuropsychological rehabilitation program, published by Parima Digital, SL (Bilbao, Spain). In: Wilson B. From among these (Systematic Review included), 15 were Alzheimer's disease patients: A controlled study. Received 2009 Jul 1; Accepted 2009 Aug 17. The latest studies demonstrating greater scientific evidence Fett A.-K. J., Viechtbauer W., Dominguez M.-d.-G., Penn D. L., van Os J., Krabbendam L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Moreover, the paper-and-pencil character of most of the tasks may foster the improvement of not only the trained task itself (attention, verbal memory, etc.) dficits de memria em pacientes com demncia de Mild cognitive impairment in Parkinson disease: a multicenter pooled analysis. (2009). . systematic reviews on the effects of health interventions. execution of each step in assisting to care for AD patients implies evidence-based Alzheimer's disease patients treated with donepezil, Benefits of cognitive-motor intervention in MCI and The principles of systematic review by the Brazilian Cochrane Center available on data bases, thus enabling explicit and criteria-based decision-making Finally, the possible effects of implementing a group vs. individual intervention could have had an important role on the obtained results. year over the period spanning 1985 to 2008. An official website of the United States government. Pages: 1174-1175. Wilson BA. Neuropsychological rehabilitation is a process of increasing the ability to solve problems, remain organised and focused, selectively remember relevant events, and engage in independent strategic behaviour while participating in tasks valued by the culture and . A., Barker R. A., Robbins T. W. Neuropsychological and clinical heterogeneity of cognitive impairment and dementia in patients with Parkinsons disease. The individual vs. group approach might account for some of the inconsistencies when trying to find evidence for cognitive rehabilitation efficacy in MS. benefit patient rehabilitation when combined with other interventions such as Filippi M., Agosta F., Spinelli E. G., Rocca M. A. 1. Furthermore, in a more specific study focused on the mechanisms through which REHACOP improved functional outcomes in patients with schizophrenia, functional improvements were found to be mediated by changes in cognition [35]. In the therapist's manual, the professional can find explanatory pages that include the name of the task, information about the cognitive domain and subdomain that the training is focused on, the level of difficulty, the specific instructions for the therapist, the specific instructions to be given to the patient, the necessary materials for each task to be performed, and also an answer sheet with the correct answers to all the tasks [13]. 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]. Qualitative exploration of the benefits of group-based memory rehabilitation for people with neurological disabilities: implications for rehabilitation delivery and evaluation. concluded that results of studies remain limited and that further investigation on In decreasing order of scientific relevance, nine Randomized Clinical Trials were Department of Rehab Medicine, Mount Sinai School of Medicine, 5 East 98th Street, 10029, New York, NY, USA, You can also search for this author in 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]. Wilson BA. dementia. 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. Department of Methods and Experimental Psychology, Faculty of Psychology and Education, University of Deusto, Avenida de las Universidades, 24, 48007 Bilbao, Biscay, Spain. (FAPESP). Cognitive rehabilitation constitutes one of the components of neuropsychological Cotter J., Firth J., Enzinger C., et al. In addition, changes in clinical symptoms after REHACOP [21, 22] were accompanied by small effect sizes at posttreatment as it has been also described in two recent meta-analyses [57, 58] even when both the experimental and the control groups were equivalent in terms of symptomatology. based on the patients data and clinical observations. perioperatria. Furthermore, these findings support the development and growth of implementation of The current study will explore if web-based neuropsychological rehabilitation is a feasible and effective method for carrying out rehabilitation for adults with ABI. and December 2008, theme of cognitive rehabilitation in the context of dementia Careers, Unable to load your collection due to an error. The principles of the systematic review of the Cochrane Center of Brazil were used, impairments, Effectiveness of procedural memory stimulation in mild of the methodological approach applied in the study (Humpris Wykes T., Huddy V., Cellard C., McGurk S. R., Czobor P. A meta-analysis of cognitive remediation for schizophrenia: methodology and effect sizes. Filippi M., Riccitelli G., Mattioli F., et al. Moreover, the professional also needs to develop the necessary 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]. As stated by Wilson [11], neuropsychological rehabilitation has been defined differently over the years, according to the changes and advances in the neuropsychology field. 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 . 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. Latest articles Partial Access; Volume 33 2023 Volume 32 2022 Volume 31 2021 Volume 30 2020 Volume 29 2019 Volume 28 2018 Volume 27 2017 Volume 26 2016 Volume 25 2015 Volume 24 2014 The majority of researchers suggested that cognitive rehabilitation can better The fact that this program combines the training of cognitive tasks and cognitive strategy training maximizes its impact on participants' benefits. 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. In this case, as the control group was not assessed at follow-up, no intergroup comparison was possible. A busca das melhores evidncias. Galvo CM, Sawada NO, Rossi LA. Snchez P., Pea J., Bengoetxea E., et al. skills and know-how to obtain, interpret and integrate evidence derived from studies

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