Relevant bibliographies by topics / Cognition disorders – Patients – Rehabilitation

Academic literature on the topic 'Cognition disorders – Patients – Rehabilitation'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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Journal articles on the topic "Cognition disorders – Patients – Rehabilitation"

Froß, M., M. Sailer, and J. Lamprecht. "Einfluss kognitiver Dysfunktionen auf die Mobilität im Verlauf der neurologischen Rehabilitation nach Schlaganfall." Neurologie & Rehabilitation 26, no. 4 (2020): 207–13. http://dx.doi.org/10.14624/nr2010001.

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Zusammenfassung Kognitive Störungen treten häufig nach einem Schlaganfall auf, persistieren meistens länger als motorische Funktionsstörungen und können den Verlauf der Therapie beeinflussen, da die kognitive »Performance« und das motorische Lernen in Beziehung zueinander stehen. Die Studie adressiert daher folgende Fragen: a) Welche kognitiven Störungen weisen Schlaganfallpatienten zu Beginn der Rehabilitation auf? b) Wie verändert sich die Mobilität im Rehabilitationsverlauf? c) Welche kognitiven Störungen beeinflussen die Verbesserung der Mobilität im Rehabilitations-verlauf negativ? Im Ergebnis zeigte sich, dass ein Drittel der Schlaganfallpatienten zu Rehabili-tationsbeginn unter kognitiven Störungen, vor allem im Bereich der Exekutivfunktionen, leidet. Dabei haben insbesondere Einschränkungen im konvergenten Denken einen negativen Einfluss auf eine Mobilitätsverbesserung im Verlauf der neurologischen Rehabilitation. Schlüsselwörter: Schlaganfall, Neurorehabilitation, Kognition, Exekutivfunktionen, Mobilität The impact of cognitive dysfunctions post stroke on the mobility during the neurorehabilitation process Abstract Cognitive impairment post stroke is common and usually persists longer than motor impairment and may influence the rehabilitation process, because cognition and motor learning are related. Therefore, this study addresses the following questions: a) Which cognitive disorders appear in stroke patients at the beginning of rehabilitation (admission)? b) How does mobility change during the rehabilitation process? Which cognitive disorders negatively influence the improvement of mobility during the rehabilitation process? The results reveal that one-third of stroke patients suffer from cognitive disorders at admission, especially in the domain of executive functions. Particularly impairments in convergent thinking negatively influence the improvement in mobility during the neurological rehabilitation process. Keywords: stroke, neurorehabilitation, cognition, executive functions, mobility

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Whitney, Susan L., Patrick J. Sparto, and Joseph M. Furman. "Vestibular Rehabilitation and Factors That Can Affect Outcome." Seminars in Neurology 40, no. 01 (December 30, 2019): 165–72. http://dx.doi.org/10.1055/s-0039-3402062.

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AbstractThis review will discuss the developmental, environmental, medical, psychological, visual, and other sensory-related factors that affect recovery after vestibular dysfunction. A general overview of the evidence for vestibular rehabilitation for patients with peripheral and central vestibular disorders is provided. Recent findings suggest that age, physical activity, certain congenital disorders, length of symptoms, musculoskeletal, visual and neuromuscular comorbidities, cognition, sleep, and medications are all factors that influence the effectiveness and outcome of vestibular rehabilitation. Psychological factors that also affect outcome include anxiety, depression, fear of movement, and fear of falling. Recovery in patients with vestibular disorders may be enhanced if the practitioner recognizes and attempts to remediate modifiable factors.

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Bełz, Aleksandra, Artur Mąka, and Joanna Głogowska-Szeląg. "Pulmonary Rehabilitation in Elderly Patients." Acta Balneologica 61, no. 4 (2019): 274–77. http://dx.doi.org/10.36740/abal201904109.

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Pulmonary rehabilitation is a comprehensive, patient-tailored intervention, that can be started at any stage of a respiratory disorder. Patients with chronic obstructive pulmonary disease are the biggest referred group, but almost every patient with other chronic lung disorder will benefit from pulmonary rehabilitation program. Contraindications for rehabilitation are sparse: severe cognitive dysfunction, mental illness, unstable comorbidity and dyspnoea at rest. The multidisciplinary care consists of a team of specialists, including pulmonologist, physiotherapist, nurse, clinical psychologist and dietitian. Pulmonary rehabilitation programs include exercise training, education, dietary counselling and psychological support. The basis of respiratory rehabilitation is broadly defined physiotherapy, which increases muscle strength and improves aerobic fitness. Each patient requires an individualized treatment plan. Pulmonary rehabilitation consists of endurance exercises, strength training, interval training, exercises of the chest wall motion, inspiratory muscle training and, in case of neurological disorders, percutaneous neuromuscular electrostimulation (NSE). The effectiveness of rehabilitation should be assessed, which might be difficult in elderly patients. In summary, pulmonary rehabilitation is beneficial in many aspects, as it reduces clinical symptoms, improves physical performance, mental status and patients’ quality of life.

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Kim, Im, Park, Kim, Sohn, and Jee. "Improvement of Cognitive Function after Continuous Positive Airway Pressure Treatment for Subacute Stroke Patients with Obstructive Sleep Apnea: A Randomized Controlled Trial." Brain Sciences 9, no. 10 (September 25, 2019): 252. http://dx.doi.org/10.3390/brainsci9100252.

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Background: Obstructive sleep apnea (OSA) is common after stroke. Various studies on continuous positive airway pressure (CPAP) therapy for OSA after stroke have been published. However, there have been no studies from Korea and Asia. The present Korean study aimed to determine whether CPAP treatment during inpatient rehabilitation of stroke patients with sleep disorders, especially OSA, improves function, cognition, sleep quality, and daytime sleepiness. Methods: This single-blind randomized controlled study included 40 stroke patients with OSA between November 2017 and November 2018. The patients were divided into the CPAP treatment group (CPAP and rehabilitation; n = 20) and control group (only rehabilitation; n = 20). The intervention period was 3 weeks. The primary outcomes were function and cognition improvements, and the secondary outcomes were sleep-related improvements. Results: CPAP treatment started at an average of 4.6 ± 2.8 days after admission. Both groups showed improvements in stroke severity, function, and cognition after the 3-week intervention. However, after the intervention, the degree of change in attention and calculation was significantly higher in the CPAP treatment group than in the control group. Additionally, the improvements in sleep quality and daytime sleepiness were greater in the CPAP treatment group than in the control group. Conclusion: CPAP treatment can improve cognitive function, sleep quality, and daytime sleepiness, and it should be considered as part of the rehabilitation program for patients with stroke. Our findings might help in the treatment of stroke patients with OSA in Korea.

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Yamori, Mana. "Dysphagia rehabilitation for the patients with cognitive disorders." Higher Brain Function Research 21, no. 3 (2001): 169–76. http://dx.doi.org/10.2496/apr.21.169.

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Bérod, A. Clerc, M. Klay, B. Santos-Eggimann, and F. Paccaud. "Anxiety, Depressive, or Cognitive Disorders in Rehabilitation Patients." American Journal of Physical Medicine & Rehabilitation 79, no. 3 (May 2000): 266–77. http://dx.doi.org/10.1097/00002060-200005000-00009.

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Barbosa, Alessandra Ferreira, Janini Chen, Fernanda Freitag, Debora Valente, Carolina de Oliveira Souza, Mariana Callil Voos, and Hsin Fen Chien. "Gait, posture and cognition in Parkinson's disease." Dementia & Neuropsychologia 10, no. 4 (December 2016): 280–86. http://dx.doi.org/10.1590/s1980-5764-2016dn1004005.

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ABSTRACT Gait disorders and postural instability are the leading causes of falls and disability in Parkinson's disease (PD). Cognition plays an important role in postural control and may interfere with gait and posture assessment and treatment. It is important to recognize gait, posture and balance dysfunctions by choosing proper assessment tools for PD. Patients at higher risk of falling must be referred for rehabilitation as early as possible, because antiparkinsonian drugs and surgery do not improve gait and posture in PD.

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Coppieters, Iris. "Decreased Regional Grey Matter Volume in Women with Chronic Whiplash-Associated Disorders: Relationships with Cognitive Deficits and Disturbed Pain Processing." Pain Physician 7, no. 20;7 (November 12, 2017): E1025—E1051. http://dx.doi.org/10.36076/ppj/2017.7.e1025.

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Background: Patients with chronic whiplash-associated disorders (CWAD) are characterized by pain of traumatic origin, cognitive deficits, and central sensitization (CS). Previous neuroimaging studies revealed altered grey matter volume (GMV) in mild traumatic brain injury patients and chronic pain conditions also characterized by CS. It can therefore be hypothesized that GMV alterations also play a role in the persistent complaints of CWAD. However, brain alterations remain poorly investigated in these patients. Objectives: This study examined regional GMV alterations in patients with CWAD compared to patients with non-traumatic chronic idiopathic neck pain (CINP), who normally do not show CS at a group level, and healthy controls. Additionally, in both patient groups, relationships between regional GMV and measures of cognition as well as pain processing were assessed. Study Design: A cross-sectional case-control study. Setting: This study was performed at the Department of Rehabilitation Sciences and Physiotherapy of Ghent University in cooperation with the Ghent Institute for Functional and Metabolic Imaging. Methods: Ninety-three women (28 healthy controls, 34 CINP patients, and 31 CWAD patients) were enrolled. First, T1-weighted magnetic resonance images (MRIs) were acquired to examine GMV alterations in the brain regions involved in processing cognition and pain. Next, cognitive performance, pain cognitions, and CS symptoms were assessed. Finally, hyperalgesia and conditioned pain modulation efficacy were examined. Results: Regional GMV of the right lateral orbitofrontal cortex, left supramarginal cortex, and left posterior cingulate cortex was decreased in CWAD patients compared to healthy controls (P = 0.023; P = 0.012; P = 0.047, respectively). Additionally, GMV of the right superior parietal cortex and left posterior cingulate cortex was decreased in CWAD patients compared to CINP patients (P = 0.008; P = 0.035, respectively). Decreased regional GMV correlated with worse cognitive performance, higher maladapted pain cognitions, CS symptoms, and hyperalgesia in CWAD patients (rs = -0.515 to -0.657; P < 0.01). In CINP patients, decreased regional GMV correlated only with worse cognitive performance (rs = -0.499 to -0.619; P < 0.01), and no GMV differences compared with the controls could be revealed. Limitations: No conclusions about the causality of the observed relationships can be drawn. Conclusions: These results provide the first evidence for reduced GMV in cortical regions involved in processing cognition and pain in patients with CWAD. Accordingly, it is recommended that therapy approaches for CWAD patients should address the brain and take into account neuroplasticity of the central nervous system (CNS). Key words: Whiplash injuries, neck pain, magnetic resonance imaging, grey matter, cognitive dysfunction, pain catastrophizing, central sensitization

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Montes, J. "Rehabilitation in Social Cognition for Bipolar Patients: A State of the Art." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70358-x.

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Deficits in social cognition have been reported in euthymic bipolar patients. Thus, these deficits could be determining the disability observed in these patients for achieving the functionality expected at work or in sociability. In this way, there is a need for specific programs of rehabilitation in social cognition in bipolar disorder. Unfortunately, there is a paucity of programmes designed for improving social cognition in bipolar patients. A review of these programmes will be presented.

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Petruševičienė, Daiva, and Aleksandras Kriščiūnas. "Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation." Medicina 44, no. 3 (March 19, 2008): 216. http://dx.doi.org/10.3390/medicina44030028.

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In Lithuania, the stroke is not only medical, but social issue as well, since only 20% of patients suffering from stroke remain active at work. Yearly stroke incidence in Lithuania is 7000–8000 cases. The most common outcome of stroke is unilateral paralysis (hemiplegia) followed by disorders of coordination, balance, and movements. Due to dysfunctions of movements, self-care, cognition, behavior, and communication, some part of stroke patients remains disabled. They need assistance and care provided by other people. Occupational therapy, which is part of rehabilitation of patients after stroke, is directed to independence training. There are scarce data related to effectiveness of occupational therapy depending on motor, cognitive, and psychosocial dysfunctions. Goals of study were to estimate effectiveness of occupational therapy at the early stage of rehabilitation depending on type of stroke, localization of brain injury, grade of lesion, age, and gender, to identify factors influencing effectiveness of occupational therapy, and to estimate their positive predictive value. The study included 106 patients at the early stage of rehabilitation, who were admitted to Department of Neurorehabilitation after stabilization of clinical condition from Departments of Neurology and Neurosurgery (mean duration of 14±2 days after stroke). The program of occupational therapy was not fulfilled by 6 patients: 2 patients were transferred to Nursing Hospital due to severe condition, and 4 patients were discharged prematurely and continued rehabilitation in outpatient setting. Hence, study population consisted of 100 subjects (47 men and 53 women) who were diagnosed with stroke (ischemic or hemorrhagic). Patient’s functional status and disorders of activities were evaluated using Barthel Index and Functional Independence Measure. Complexes of occupational therapy were adjusted according to examination of patient’s disorders of activities, age, grade of lesion, other diseases, and complications during rehabilitation process. Effectiveness of occupational therapy in patients after stroke at then early stage of rehabilitation was influenced by gender, age, degree of lesion, type of stroke. Better effectiveness of occupational therapy was observed in men (P<0.05), persons younger than 59 years (P<0.05), persons with hemiparesis (P<0.05) and hemorrhagic stroke (P<0.05). Low effectiveness in stroke patients at the early stage of rehabilitation was influenced by neglect (P<0.05), hemiplegia (P<0.001), and older age of patient (P<0.05). Application of individualized occupational therapy complexes for stroke patients at the early stage of rehabilitation with consideration of motoric and cognitive-psychosocial disorders, significantly improves recovery of impaired functions, though occupational therapy should be continued in later rehabilitation stages, since patients after early stage of rehabilitation still have limited independence in daily activities.

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Dissertations / Theses on the topic "Cognition disorders – Patients – Rehabilitation"

Basterfield, Candice. "The cognitive rehabilitation of a sample of children living with HIV : a specific focus on the cognitive rehabilitation of sustained attention." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1017881.

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Pharmacological interventions to treat Human Immunodeficiency Virus (HIV) with antiretrovirals (ARVs), have dramatically improved the survival rates of HIV positive children maturing into adulthood. However, HIV-associated neurocognitive decline still persists in the era of ARVs. Within the framework of brain plasticity, a number of researchers have begun to assess the feasibility of cognitive rehabilitation therapy as a complement to ARVs to reverse neurocognitive decline as a result of HIV (e.g., Becker et al., 2012). Only one study has been conducted in South Africa, by Zondo & Mulder (2014), assessing the efficacy of cognitive rehabilitation in a paediatric sample. The current research builds on the above mentioned study by implementing an experimental approach to examine the effect of cognitive rehabilitation in a sample of both HIV positive and HIV negative children. Five HIV positive and six HIV negative children were assigned to either an experimental or control group. The experimental group underwent two months of cognitive rehabilitation therapy remediating sustained attention, whereas the control group took part in placebo activities. Sustained attention measures were taken before and after the intervention training sessions, using a sustained attention subtest from the Test of Everyday Attention for Children (TEA-CH). A Mann Whitney U Test revealed that the experimental group (Mdn=38.50) did not differ significantly from the control group (Mdn = 37.00) after the cognitive rehabilitation intervention, U=12.00, z= -.55, p= .66, r= -.17. But a Wilcoxon Signed Rank Test found that there was a significant improvement from pretest scores (Mdn=31.00) to posttest scores (Mdn=38.00) following the rehabilitation for HIV positive participants in the sample, T=15.00, z = -2.02, p= .04, r= -.90. This raises the possibility that cognitive rehabilitation could be used as a low cost intervention in underdeveloped contexts

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Rydholm, Hedman Ann-Marie. "Unequal opportunities for patients with and without cognitive impairment : relatives' and significant others' views on care and rehabilitation after hip fracture /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-118-0/.

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Patel, Avani Rajnikant. "Cognitive Rehab Solutions: A computer-assisted cognitive training program." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2321.

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The purpose of this project is to offer a functionally comprehensive application, Cognitive Rehab Solutions (CRS), that is designed for neuropsychologists to deliver restorative cognitive training in areas of attention and memory of persons with brain impairment.

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Isaac, Clemence. "Élaboration d’un programme de remédiation cognitive au profit des patients bipolaires : approche clinique et neuropsychologique." Thesis, Paris 8, 2018. http://www.theses.fr/2018PA080014/document.

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Introduction : Près de 60% des patients bipolaires stabilisés souffrent de déficits cognitifs associés à des troubles du fonctionnement psychosocial. En l’absence de traitement, ces troubles sont susceptibles de persister tout au long de la vie. Malgré cela, les déficits cognitifs ont longtemps été ignorés dans les troubles bipolaires et il n’existe que peu d’études à l’heure actuelle ciblant cette problématique. Méthodologie : Nous avons développé le programme individuel écologique de remédiation cognitive ECo, élaboré pour les troubles de l’humeur. Nous avons mené une série d’études empiriques afin d’explorer les corrélats psychologiques des troubles cognitifs, ainsi que l’amélioration cognitive, fonctionnelle et psychologique de patients bipolaires suite à une intervention en remédiation cognitive ou une psychothérapie individuelle.Résultats : Les troubles métacognitifs pourraient être associés à une augmentation de la fréquence des activités des patients et à une fragilisation sur le plan cognitif et émotionnel. La remédiation cognitive, et en particulier le programme ECo, a permis d’améliorer les capacités de résolution de problèmes dans notre population. Le programme ECo peut normaliser les fonctions cognitives déficitaires et la régulation métacognitive chez certains patients, mais peut également améliorer la résistance aux facteurs de stress, le contrôle émotionnel, l’ouverture aux relations et l’estime de soi.Conclusion : Un programme de remédiation cognitive écologique et individualisé, centré sur la métacognition et le sentiment d’efficacité personnelle, peut contribuer à améliorer des composantes de la santé fonctionnelle chez les patients bipolaires
Background: Nearly sixty percent of stabilized bipolar patients suffer from important cognitive impairments that lead to significant functional disabilities. Without proper treatment, these impairments remain throughout lifespan. However, cognitive deficits in bipolar disorders have been overlooked and only a few studies investigated treatments to improve cognitive functioning for bipolar patients. Method: We developed ECo, an individual ecological cognitive remediation intervention that was designed for mood disorders. We conducted experimental studies to investigate psychological correlates of cognitive impairments, and the cognitive, functional and psychological improvements of bipolar patients after either cognitive remediation or individual psychotherapy.Results: Our results suggest that metacognitive impairments lead to an increased frequency of everyday life activities that can create a cognitive and emotional overload. We observed that cognitive remediation, and in particular the ECo program, can improve problem solving skills in our population. The ECo program can improve impaired cognitive functions and metacognitive regulation, as well as coping skills, emotional control, openness to relationships and self-esteem.Conclusion: An ecological, individualized cognitive remediation program, targeting metacognition and self-efficacy, can contribute to an improvement of functional health components in bipolar disorders

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Merrick, Daniel. "A follow-up of patients with chronic musculoskeletal pain, focusing on multimodal rehabilitation." Doctoral thesis, Umeå universitet, Rehabiliteringsmedicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-54357.

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Chronic pain is usually defined as pain of more than three months duration. The prevalence of chronic pain among the general population in Sweden is 18%. Compared with the general population, these patients report lower life satisfaction, decreased activity in daily life and higher levels of depression with decreased work ability, and increased sick leave. Research indicates that multimodal rehabilitation (MMR) programmes, including cognitive behavioural approaches for patients disabled by chronic pain, are effective for return to work. The primary aim of this thesis was to assess outcomes by a long-term follow-up of patients with chronic musculoskeletal pain. Furthermore, the aim was to evaluate two different rehabilitation strategies regarding impact on pain intensity, activity, depression, life satisfactions, and sick leave. Two groups, comprising 255 (between the years 1999-2002) and 296 (between 2007-2008) patients respectively, from the Pain Rehabilitation Clinic at Umeå University Hospital, Sweden, were all assessed by interdisciplinary teams. They completed questionnaires regarding pain intensity, disability, life satisfaction, anxiety and depression, and sick leave, before intervention, immediately after intervention (only the first group; n=255), and at one-year follow-up, after participating in a MMR programme in a specialist clinic, or after receiving a rehabilitation plan (RP) with follow-up in primary care. Allocation to either of the two groups was based on the initial interdisciplinary team assessment. Furthermore, a five-year follow-up of 158 patients with whiplash injury was conducted. Pain intensity decreased and life satisfaction increased significantly regarding somatic health in both groups, at follow-up. In addition, depression improved and disability decreased to a higher extent after participating in the MMR programme as compared to RP and subsequent follow-up in primary care. Patients’ positive beliefs about recovery, and positive expectations about work correlated with favourable rehabilitation outcomes. Sick leave at one year follow-up decreased in both groups. Regarding whiplash injury, patients who reported moderate or severe disability also reported significantly higher pain intensity, depression and post-traumatic stress scores and lower perception of general health compared with patients who reported mild or no disability. In conclusion, MMR programmes seem to be beneficial by decreasing pain intensity, depression, disability and sick leave among patients with chronic musculoskeletal pain. Furthermore, patients’ positive beliefs correlate with more favourable long-term outcomes. An interdisciplinary team assessment based on a biopsychosocial approach may be of value for selection of rehabilitation strategy.

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Lamargue, Delphine. "Cognition et sclérose en plaques : développement de nouveaux outils d’évaluation « écologique » en réalité virtuelle et d'un programme spécifique de réhabilitation, caractérisation de l’humeur dépressive, évaluation de la qualité de vie et apport de l’imagerie cérébrale à l'étude de la réhabilitation." Thesis, Bordeaux, 2015. http://www.theses.fr/2015BORD0120/document.

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L’objet de ce travail est de mieux comprendre les modifications cognitives et cérébrales liées à la sclérose en plaques (SEP) et les facteurs pouvant les affecter afin de contribuer à améliorer la prise en charge cognitive des personnes vivant avec une SEP. Nous avons orienté nos travaux selon 2 axes. Le premier visait à optimiser les évaluations cognitives. Nous avons montré une diminution de la qualité de vie (QdV) liée à l’atteinte cognitive et à son retentissement sur le statut professionnel, ainsi que l’intérêt d’utiliser l’Echelle d’Humeur Dépressive version auto-questionnaire que nous avons validée et dont la dimension « perte de contrôle émotionnel » était particulièrement associée à la QdV. Nous avons aussi élaboré des tâches « écologiques » en environnement virtuel et montré leur potentiel à évaluer plusieurs composantes cognitives, voire leurs interactions, suggérant leur intérêt pour évaluer l’impact des troubles cognitifs dans les activités quotidiennes. Le second, pour lequel nous avons présenté les bases théoriques, la méthodologie et les résultats préliminaires, consistait à améliorer la prise en charge cognitive grâce à son évaluation et à la réhabilitation (étude REACTIV, en cours). Nous avons créé des paradigmes en IRMf et un programme de réhabilitation spécifique visant à guider les phénomènes de plasticité cérébrale afin d’optimiser le transfert des acquis dans la vie quotidienne et améliorer la QdV. Lors des résultats préliminaires, nous avons identifié en imagerie multimodale des mesures IRM de deux structures prédictives de la progression de certaines performances cognitives au cours de nos thérapies : le thalamus et le corps calleux
The purpose of this work is to better understand the cognitive and brain changes associated with multiple sclerosis and the influencing factors to help improve cognitive support for people living with MS. We organized our work according to two axes. The first one was to optimize cognitive assessments. We have shown i) a decrease in quality of life (QoL) linked to cognitive impairment and its impact on the professional status and ii) interest in the use of Depressed Mood Scale self-questionnaire that we validated and whose lack of emotional control dimension was particularly associated with QoL. We also developed ecological tasks in virtual environment and showed their potential to evaluate several cognitive components or their interactions, suggesting an interest in evaluating the functional impact of cognitive impairment in daily activities of PwMS. The second, for which we presented the theoretical basis, methodology and preliminary results, was to improve cognitive care through its assessment and rehabilitation (REACTIV study in progress). We created fMRI paradigms and a specific rehabilitation program to guide brain plasticity phenomena in order to optimize the transfer of training in daily life and improve QoL. Preliminary results in multimodal imaging revealed MRI measures of two structures, the thalamus and the corpus callosum, which would be predictive of progression of certain cognitive performance during our therapies

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Young, Man-chi, and 楊敏智. "Determinants of resilience in patients with rheumatic disorders." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B47869653.

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Introduction Rheumatic disease is an autoimmune disorder with an unpredictable course of exacerbation and remission. There is no known cure for the disease at the moment. The patients’ conditions may progressively deteriorate despite intensive therapies, and runs an erratic course with the possibility of disfiguration and alteration in body image. Pain, disabilities and psychological distress are common. Rheumatic patients may respond differently to the same level of pain and physical symptoms. The understanding of the needs of rheumatic patients and how they successfully manage the disease and optimize psychological adjustment can help develop effective psychosocial interventions. Aims The aims of the study are (1) to identify the needs of rheumatic patients and perceptions of their disease, (2) to develop a conceptual framework for psychological adjustment, and (3) to identify factors associated with resilience in rheumatic patients. Methods The present study consisted of two phases. The first phase was a focus group interview, aiming to understand the patients’ feelings and to design a questionnaire. The second phase was a prospective questionnaire survey that includes a baseline study and a six-month follow-up study. Patients were recruited from support groups in Hong Kong. The baseline questionnaire was self-administrated, and the follow-up questionnaire was administrated by telephone interview. The self-regulation model was chosen as the basis for the conceptual framework for psychological adjustment. The questionnaire included demographics, illness representation, coping efforts, appraisal of coping efforts, sense of coherence, quality of care, functional disability, and health-related quality of life. The outcome measures were functional and psychological health, change in adjustment, and positive and negative resilience. Results Having a good and caring doctor, more information on the disease, and public understanding of the disease were the needs of rheumatic patients. The patients perceived that the disease was chronic, cyclical, and had poor consequences. They perceived that the disease caused great pain, stress, depression and anxiety, and affected their daily activities, appearance, and relationship with family and friends. Poor adjustment was associated with chronic and cyclical timeline, and poor perception of personal and treatment control. The analysis of resilience shows that positive perception of treatment control and disease consequence, correct understanding of disease causes, and high sense of own value and importance to the society, were protective. While those who lacked family support and blamed themselves or their families to be the cause of disease, were vulnerable. Discussion and conclusions The present study lends support to the validity of self-regulation model in psychological adjustment to disease, but coping efforts could only partially mediate the relationship of illness representation to appraisal of coping efforts, implying that the coping style might not sufficiently capture the underlying differences in individual coping styles. An effective psychosocial intervention can be developed based on the factors associated with better adjustment and resilience, and targeted at non-working older patients with rheumatoid arthritis. Last but not least, support from the community, and public understanding of the disease are important for rheumatic patients.
published_or_final_version
Psychiatry
Doctoral
Doctor of Philosophy

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Sit, Bik-yan Sonia. "Cognitive function in Chinese stroke patients /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B31595923.

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Duff, Barbara Jane. "Cognition in t(1;11) translocation carriers and patients with psychotic disorders." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/28826.

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Deficits in a number of cognitive domains have been associated with core symptoms of schizophrenia, including working memory, attention, motor skills, reaction time, episodic memory and executive function. Bipolar Disorder is also associated with cognitive impairment; however the level of impairment appears to be less severe than that seen in schizophrenia. A translocation (t(1;11)) containing the Disrupted-in-Schizophrenia 1 (DISC1) gene has been found to be highly associated with schizophrenia, bipolar disorder and major depressive disorder. As such, this gene has been the focus of much research and to date DISC1 has been found to be associated with brain development, brain structure and the glutamate system - all key factors in current models of schizophrenia and affective disorders. The aim of this PhD is to identify cognitive domains that are differentially impaired or unimpaired in a large Scottish family, some of whom carry this rare DISC1 variant, a balanced translocation (t (1;11) (q 42; q14.3)), that segregates with schizophrenia and affective disorders, as well as psychiatric patients with schizophrenia and bipolar disorder and healthy control subjects. All participants have undergone standardised cognitive assessments to measure premorbid I.Q. (NART), current I.Q. (WASI) verbal memory, working memory, verbal fluency, processing speed, motor skills, executive function (BACS) and selected CANTAB tasks to assess simple and five-choice reaction time. Polygenic risk profile scores and self-report questionnaire data have also been investigated. Results indicate an impact of the DISC1 t(1;11) translocation on general intelligence and attention and processing speed. Significant differences were also identified between DISC1 t(1;11) carriers and non-carriers on self-report questionnaire data. Mean scores for polygenic risk for bipolar disorder were significantly different between DISC1 t(1;11) carriers and non-carriers and polygenic risk for schizophrenia was significantly associated with symptom severity, as measured by the Positive and Negative Symptom Scale (PANSS). Within the patient groups, a measure of processing speed (the token motor task) was found to be significantly different between those with schizophrenia and bipolar disorder and there was also a trend for attention and processing speed. As expected, I.Q. was significantly different between patients and control participants. Clinical ratings were significantly associated with neuropsychological and self-report measures. Polygenic risk for major depressive disorder was found to be significantly associated with impaired general intelligence (current IQ) and slowed reaction time in patients who were not currently depressed, suggesting there may be genetic risk markers in this population which impact on cognition. This is a novel finding and further suggests the possibility of a biological component related to the genetics of depression. In conclusion, and in line with the literature, psychosis has a negative impact on cognition with reduced performance across several neuropsychological tasks between patient groups, with schizophrenia patients performing worse than patients with bipolar disorder and both patient groups performing worse than healthy control participants. Cognition is markedly more impaired in DISC1 t(1;11) translocation carriers and especially in those with psychosis. The DISC1 t(1;11) translocation and psychosis may therefore confer a “double hit” on cognition - in addition to psychosis itself - which is known to impair cognitive function, significantly increasing the level of cognitive impairment and increasing the risk for psychosis in general.

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Leung, Nim-no. "Cognitive impairment in Chinese DM patients /." View the Table of Contents & Abstract, 2005. http://sunzi.lib.hku.hk/hkuto/record/B35507081.

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Books on the topic "Cognition disorders – Patients – Rehabilitation"

Nadine, Revheim, and Herlands Tiffany, eds. Treating cognitive deficits in psychiatric patients: Therapist guide. Oxford: Oxford University Press, 2009.

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Mid-South Conference of Human Neuropsychology on the Rehabilitation of Cognitive Disabilities (4th 1986 Memphis, Tenn.). The rehabilitation of cognitive disabilities. New York: Plenum, 1987.

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Lyn, Turkstra, ed. Optimizing cognitive rehabilitation: Effective instructional methods. New York: Guilford Press, 2011.

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Monica, McHenry, and Pierce Jeffrey N, eds. Traumatic brain injury rehabilitation for speech-language pathologists. Boston: Butterworth-Heinemann, 1996.

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Sourcebook for speech, language, and cognition: Stimulus materials for rehabilitation. Detroit: Wayne State University Press, 1992.

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WALC 6: Workbook of activities for language and cognition. East Moline, IL: LinguiSystems, 2004.

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J, Herrmann Douglas, ed. Retraining cognition: Techniques and applications. 3rd ed. Austin, Tex: PRO-ED, Inc., 2010.

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J, Herrmann Douglas, ed. Retraining cognition: Techniques and applications. Gaithersburg, Md: Aspen Publishers, 1996.

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Parenté, Rick. Retraining cognition: Techniques and applications. 3rd ed. Austin, Tex: PRO-ED, Inc., 2010.

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A, Henderson Jennifer, and Auerbach Sanford, eds. Cognitive rehabilitation of closed head injured patients: A dynamic approach. San Diego, Calif: College-Hill Press, 1985.

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Book chapters on the topic "Cognition disorders – Patients – Rehabilitation"

White, Daniel K., Douglas I. Katz, Terry Ellis, Laura Buyan-Dent, and Marie H. Saint-Hilaire. "Rehabilitation of Patients With Atypical Parkinsonian Disorders." In Atypical Parkinsonian Disorders, 485–94. Totowa, NJ: Humana Press, 2005. http://dx.doi.org/10.1385/1-59259-834-x:485.

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Gimigliano, Raffaele, Antimo Moretti, Francesca Gimigliano, Anna Mazzola, and Giovanni Iolascon. "Rehabilitation of Older Patients with Mental Disorders." In Practical Issues in Geriatrics, 407–19. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57406-6_41.

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Goudsmit, Walter. "The Rehabilitation of Patients with Personality Disorders." In Clinical Psychopathology Nomenclature and Classification, 751–55. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4899-5049-9_128.

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Segù, Marzia, and Daniele Manfredini. "Temporomandibular Joint Disorders in the Elderly." In Oral Rehabilitation for Compromised and Elderly Patients, 63–79. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-76129-9_5.

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Iolascon, Giovanni, Francesca Gimigliano, Antimo Moretti, Emanuela Covella, and Raffaele Gimigliano. "Rehabilitation of Older Patients with Osteo-metabolic Disorders." In Practical Issues in Geriatrics, 249–63. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57406-6_27.

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Rees, Jonathan, Jamie E. Gaida, Karin Grävare Silbernagel, Johannes Zwerver, Joseph S. Anthony, and Alex Scott. "Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus." In Metabolic Influences on Risk for Tendon Disorders, 199–208. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-33943-6_19.

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Starmer, Heather M. "Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer." In Clinical Care and Rehabilitation in Head and Neck Cancer, 299–312. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-04702-3_18.

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Wood, Rodger Ll. "Disorders of attention: their effect on behaviour, cognition and rehabilitation." In Clinical Management of Memory Problems, 216–42. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-4523-5_8.

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Zerbinati, Paolo, Erika Giannotti, Maria Longhi, and Davide Mazzoli. "Functional Surgery and Early Rehabilitation Treatment in Hemiplegic Patients." In Advanced Technologies for the Rehabilitation of Gait and Balance Disorders, 523–36. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-72736-3_34.

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Punanova, Natalia, and Tatiana Petrova. "Behavioral Approach to Rehabilitation of Patients with Substance-Use Disorders." In International Handbook of Occupational Therapy Interventions, 277–85. New York, NY: Springer New York, 2009. http://dx.doi.org/10.1007/978-0-387-75424-6_27.

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Conference papers on the topic "Cognition disorders – Patients – Rehabilitation"

Abiri, Reza, Joseph McBride, Xiaopeng Zhao, and Yang Jiang. "A Real-Time Brainwave Based Neuro-Feedback System for Cognitive Enhancement." In ASME 2015 Dynamic Systems and Control Conference. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/dscc2015-9855.

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Brain Computer Interface (BCI) provides a pathway to connect the brain to external devices. Neuro-rehabilitation provides advanced means to assist people with movement disorders such as post-stroke patients and those with lost limbs. While much progress has been made in neuro-rehabilitation as assistive devices, few studies had examined mental rehabilitation assisted by BCI such as memory training using neuroenhancement. It should be noted that many patients with physical disabilities also suffer cognitive difficulties. On the other hand, cognitive decline can also be the result of normal aging without brain injury nor diseases. Here, we propose a novel real-time brainwave BCI platform for enhancing human cognitive by designing and employing a personalized neuro-feedback robot. Short-term memory and attention are among the most important cognitive abilities which manifest in many mental diseases. A social robot is integrated into the BCI system to provide feedback based on individual’s brainwaves and memory performance. As a simple scenario of memory task, real-time EEG signals will be monitored during a visual object memory task. Our novel neuro-feedback system has great potential as a neuro-enhancing device for cognitive rehabilitation.

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Hong, Alexander, Yuma Tsuboi, Goldie Nejat, and Beno Benhabib. "Multimodal Affect Recognition for Assistive Human-Robot Interactions." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3332.

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Socially assistive robots can provide cognitive assistance with activities of daily living, and promote social interactions to those suffering from cognitive impairments and/or social disorders. They can be used as aids for a number of different populations including those living with dementia or autism spectrum disorder, and for stroke patients during post-stroke rehabilitation [1]. Our research focuses on developing socially assistive intelligent robots capable of partaking in natural human-robot interactions (HRI). In particular, we have been working on the emotional aspects of the interactions to provide engaging settings, which in turn lead to better acceptance by the intended users. Herein, we present a novel multimodal affect recognition system for the robot Luke, Fig. 1(a), to engage in emotional assistive interactions. Current multimodal affect recognition systems mainly focus on inputs from facial expressions and vocal intonation [2], [3]. Body language has also been used to determine human affect during social interactions, but has yet to be explored in the development of multimodal recognition systems. Body language has been strongly correlated to vocal intonation [4]. The combined modalities provide emotional information due to the temporal development underlying the neural interaction in audiovisual perception [5]. In this paper, we present a novel multimodal recognition system that uniquely combines inputs from both body language and vocal intonation in order to autonomously determine user affect during assistive HRI.

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Lowndes, Bethany, Amro Abdelrahman, Denny Yu, Nirusha Lachman, and Susan Hallbeck. "Tactile Feedback Wearable During a Surgical Simulation Task: Pilot Study Indicates No Distraction, Frustration or Performance Decrement for Users." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3462.

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With advancements in surgical techniques, patients have experienced improvements in health and recovery outcomes. However, about 87% of laparoscopic surgeons [1] and an increasing number of surveyed allied health professionals [2, 3] report musculoskeletal symptoms. Medical practitioners and human factors engineers have highlighted the “hostile” and “dangerous” operating room (OR) environment [1, 4, 5]. With increasing technology and surgical case complexity, physical demands for surgical team members will continue to increase due to circumstances such as technology restricting posture, taking up working space and more team members working around smaller surgical incisions [6]. There is widespread concern that these medical professionals’ work is unsustainable for safe and healthy patients and surgical team members. Surgical team members can benefit from posture improvement during surgery; however, direct postural feedback may be difficult during their work due to the high visual and auditory stimuli during surgery. The tactile modality has been recently explored as a method to provide additional information without interfering with cognitive resources dedicated to visual and auditory pathways [7]. Tactile devices have successfully been implemented in high-stress environments, e.g., military, healthcare, and rehabilitation with a resulting improvement in performance [8–11]. Vibrotactile feedback has been specifically implemented in the healthcare field for improved performance by 31–75% anesthesiologists during simulated tasks [10]. Additionally, it has contributed to improved postural control in rehabilitation patients[11]. Despite success in other application areas, the potential of tactile devices for improving healthcare workers’ safety and performance remains unexplored. This study is a part of a larger project to design a wearable device that provides realtime vibrotactile feedback for preventing fatigue and musculoskeletal disorders for healthcare workers in the workplace. This specific aim of this study is to measure distraction, frustration, and performance during a surgical simulation task performed with and without vibrotactile feedback. This is a test of initial feasibility of vibrotactile feedback for use in training proper ergonomics for surgical team members. The researchers hypothesize that there will be some distraction with the vibrotactile feedback wearable but no frustration or performance degradation during the basic simulation task.

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Zabaleta, H., M. Bureau, G. Eizmendi, E. Olaiz, J. Medina, and M. Perez. "Exoskeleton design for functional rehabilitation in patients with neurological disorders and stroke." In 2007 IEEE 10th International Conference on Rehabilitation Robotics. IEEE, 2007. http://dx.doi.org/10.1109/icorr.2007.4428415.

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Dawson, A., W. Benka-Coker, B. Courtright, B. Sarfaty, T. Terwilliger, B. Bekelja, and S. Hammerman. "Improved Cognition Following Rehabilitation Attenuated for Older Patients with Chronic Critical Illness." In American Thoracic Society 2020 International Conference, May 15-20, 2020 - Philadelphia, PA. American Thoracic Society, 2020. http://dx.doi.org/10.1164/ajrccm-conference.2020.201.1_meetingabstracts.a4327.

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Ren, Yupeng, Hyung Soon Park, Yue Li, Liang Wang, and Li-Qun Zhang. "A wearable robot for upper limb rehabilitation of patients with neurological disorders." In 2010 IEEE International Conference on Robotics and Biomimetics (ROBIO). IEEE, 2010. http://dx.doi.org/10.1109/robio.2010.5723304.

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Zhao, Hongyu, Zhelong Wang, Sen Qiu, Yanming Shen, and Jianjun Wang. "IMU-based gait analysis for rehabilitation assessment of patients with gait disorders." In 2017 4th International Conference on Systems and Informatics (ICSAI). IEEE, 2017. http://dx.doi.org/10.1109/icsai.2017.8248364.

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Buitrago, Jaime Alberto, Claudia Chávez Andrade, and Eduardo Caicedo Bravo. "A new technological therapy device for children with learning disorders." In REHAB 2019: 5th Workshop on ICTs for improving Patients Rehabilitation Research Techniques. New York, NY, USA: ACM, 2019. http://dx.doi.org/10.1145/3364138.3364140.

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Eremushkin, M. A., E. M. Styazhkina, S. A. Gusarova, and D. V. Razvaliaeva. "Rehabilitation programs for patients with post-stroke motor disorders of the upper limb." In ARBAT READING. Знание-М, 2020. http://dx.doi.org/10.38006/907345-21-8.2020.40.50.

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Obokawa, Yuichi, Jorge Solis, Hiroyuki Ishii, Hiroki Koga, Atsuo Takanishi, and Akitoshi Katsumata. "Clinical massage therapy with the oral-rehabilitation robot in patients with temporomandibular joint disorders." In 2009 9th International Conference on Information Technology and Applications in Biomedicine (ITAB 2009). IEEE, 2009. http://dx.doi.org/10.1109/itab.2009.5394420.

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