Journal articles on the topic 'Cognition disorders – Patients – Rehabilitation'
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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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Ivanova, N. E., M. Y. Efimova, T. M. Alekseeva, M. L. Pospelova, and A. S. Lepekhina. "Neurorehabilitation in cognitive disorders in patients with neurosurgical brain pathology." Translational Medicine 7, no. 3 (August 4, 2020): 5–13. http://dx.doi.org/10.18705/2311-4495-2020-7-3-5-13.
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Background. Neurosurgical pathology of the brain is an urgent problem of modern medicine. Existing models of cognitive rehabilitation are based on neuropsychological correction. The literature does not contain enough information about the effect of medical and physiotherapeutic techniques on higher nervous activity.Objective. To assess the effect of neurorehabilitation in cognitive impairment in patients with neurosurgical brain pathology.Design and methods. The dynamics of cognitive impairment was studied in 165 neurosurgical patients (72 men, 93 women, average age 52.82 ± 14.79 years) at the second stage of rehabilitation. The severity of the deficit of higher cortical functions was assessed upon admission and after 30 days in the rehabilitation department. Roschina test, MMSE, FAB, HDRS were used to detect depression.Results. When analyzing the dynamics of indicators for scoring higher cortical functions, it was found that in all groups of patients, cognitive rehabilitation led to positive results.Conclusion. The combined use of neuropsychological, medical and physiotherapeutic techniques can significantly improve the results of rehabilitation treatment.
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Carelli, Laura, Federica Solca, Andrea Faini, Paolo Meriggi, Davide Sangalli, Pietro Cipresso, Giuseppe Riva, et al. "Brain-Computer Interface for Clinical Purposes: Cognitive Assessment and Rehabilitation." BioMed Research International 2017 (2017): 1–11. http://dx.doi.org/10.1155/2017/1695290.
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Alongside the best-known applications of brain-computer interface (BCI) technology for restoring communication abilities and controlling external devices, we present the state of the art of BCI use for cognitive assessment and training purposes. We first describe some preliminary attempts to develop verbal-motor free BCI-based tests for evaluating specific or multiple cognitive domains in patients with Amyotrophic Lateral Sclerosis, disorders of consciousness, and other neurological diseases. Then we present the more heterogeneous and advanced field of BCI-based cognitive training, which has its roots in the context of neurofeedback therapy and addresses patients with neurological developmental disorders (autism spectrum disorder and attention-deficit/hyperactivity disorder), stroke patients, and elderly subjects. We discuss some advantages of BCI for both assessment and training purposes, the former concerning the possibility of longitudinally and reliably evaluating cognitive functions in patients with severe motor disabilities, the latter regarding the possibility of enhancing patients’ motivation and engagement for improving neural plasticity. Finally, we discuss some present and future challenges in the BCI use for the described purposes.
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Formica, Caterina, Simona De Salvo, Francesco Corallo, Antonella Alagna, Anna Lisa Logiudice, Antonino Todaro, Placido Bramanti, and Silvia Marino. "Role of neurorehabilitative treatment using transcranial magnetic stimulation in disorders of consciousness." Journal of International Medical Research 49, no. 2 (February 2021): 030006052097647. http://dx.doi.org/10.1177/0300060520976472.
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Disorders of consciousness (DOC) result from brain injuries that cause functional changes in vigilance, awareness and behaviour. It is important to correctly diagnose DOC so that the most appropriate rehabilitation treatments can be initiated. Several studies in DOC patients have demonstrated that repetitive transcranial magnetic stimulation (rTMS) has an important role to play in the recovery of consciousness as highlighted by monitoring clinical scale scores. Although studies indicate that rTMS can be used to aid recovery, it is not combined with other rehabilitative cognitive treatments. As of December 2018, there have been no studies published that combined DOC cognitive rehabilitation with TMS. This current review describes the use of rTMS as a form of non-invasive brain stimulation, as distinct from its use as a tool to investigate residual cortical activity, in terms of its possible therapeutic effects including cognitive rehabilitation. Literature searches were undertaken to identify all relevant studies. The available evidence suggests that rTMS may have an important role to play in in monitoring brain function during recovery and making other intensive rehabilitation treatments more effective, such as sensorial stimulations and cognitive training in patients after a severe acquired brain injury. Further research is required to establish the usefulness of rTMS treatment in DOC rehabilitation.
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Cera, Maysa Luchesi, Tatiana Piovesana Pereira Romeiro, Patricia Pupin Mandrá, and Marisa Tomoe Hebihara Fukuda. "Variables associated with speech and language therapy time for aphasia, apraxia of speech and dysarthria." Dementia & Neuropsychologia 13, no. 1 (March 2019): 72–77. http://dx.doi.org/10.1590/1980-57642018dn13-010007.
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ABSTRACT. The most common acquired communication disorders are aphasia, dysarthria and apraxia of speech. Determining the factors associated with speech therapy time of adults with these disorders can further the understanding of the speech and language rehabilitation process within the public service and linked to the health education process. Objective: To analyze the types of acquired neurological disorders of communication of patients treated during the first years of implementation of a medium complexity service, along with demographic data, and rehabilitation time; and to determine associations between rehabilitation time and age, education, type of communication disorder, neurological disease duration and having been seen by a trainee. Methods: A retrospective analysis of the records of patients with acquired neurological disorders of communication who started speech and language rehabilitation between 2010 and 2011 was performed. Results: A total of 86 cases with acquired disorders of communication were seen, of whom 66% had aphasia, 35% dysarthria and 26% apraxia of speech. Mean age was 59 years and stroke was the most frequent cause (71%). Fifty patients completed speech-language rehabilitation and had a mean therapy time of 12 months. Aphasia and apraxia of speech were associated with a longer rehabilitation time. Therapy time until discharge was not significantly associated with lesion duration, education, age or being seen by a trainee. Conclusion: The duration of speech therapy for acquired neurological disorders of communication is long and associated with the type of disorder.
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Belkin, V. A., D. G. Pozdnyakov, and A. A. Belkin. "Diagnosis of the phenomenon of cognitive-motor dissociation in patients with chronic consciousness disorders." Neurology, Neuropsychiatry, Psychosomatics 11, no. 3S (June 24, 2019): 46–51. http://dx.doi.org/10.14412/2074-2711-2019-3s-46-51.
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Locked-in syndrome in basilar artery thrombosis is a classic example of dissociation between preserved consciousness and complete deefferentation as total myoplegia with preserved vertical eye movement. Something similar is observed in post-comatose patients, described under the name “functional locked-in syndrome”, and is also a clinical reflection of the phenomenon of cognitive-motor dissociation (CMD). Diagnosis of this condition in a patient with chronic consciousness disorders indicates that there may be a cognitive imprint, which gives a chance for the maximum realization of the rehabilitation potential of latent consciousness as an exit to the clinical level of small consciousness or creation of a brain-interface. In any case, this patient should be given an extended rehabilitation program.Objective: to search for the optimal set of clinical and instrumental diagnostic methods, allowing the identification of CMD in patients with chronic consciousness disorder.Patients and methods. The 2016–2018 prospective single-center study enrolled patients with unresponsive wakefulness syndrome (UWS) who had received a treatment cycle at the Clinical Brain Institute (Yekaterinburg). The study included 39 patients (22 men, 17 women) aged 19 to 71 years who had sustained various cerebral injuries (traumatic, hypoxic, and acute vascular disease-associated) in different periods (from 32 to 2431 days) before being included in the study. All the patients underwent 5-fold clinical assessments according to the Coma Recovery ScaleRevised (CRS-R) and navigated transcranial magnetic stimulation (nTMS) in order to determine the time course of changes in the activity of the cortical motor centers at the time of presentation of verbal paradigms. Registration of the changes was assessed as the presence of a cognitive imprint and served as a criterion for diagnosing CMD as a positive predictor for the outcome of UWS. The outcome of the state was analyzed using the Glasgow Outcome Scale (GOS) at 180 days.Results and discussion. Positive changes (GOS >3) were noted in 10 (66%) patients with established CMD; the patients who had not diagnosed as having the cognitive potential showed a further increase in the level of cognition in 3 (12.5%) cases. Whether the identified sign could be used in the comprehensive prediction of chronic consciousness disorder was discussed.Conclusion. The use of TMS in diagnosing the phenomenon of CMD optimizes the routing of patients, for whom intensive rehabilitation can contribute to more favorable long-term outcomes.
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Ghaffari, Amin, Malahat Akbarfahimi, and Bijan Forough. "A Comparison of the Relation of Depression, and Cognitive, Motor and Functional Deficits in Chronic Stroke Patients: A Pilot Study." Advances in Bioscience and Clinical Medicine 5, no. 4 (October 1, 2017): 1. http://dx.doi.org/10.7575/aiac.abcmed.17.05.04.01.
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Aim and background: One of the most important psychological disorders after stroke is depression, which leads to reduced quality of life, optimal rehabilitation failure, loss of cognitive tasks and decrease in the recovery process. In this research, relation between patterns of depression and cognitive, motor and function deficits in people with chronic stroke was studied. Methods and materials: In a pilot cross-sectional study, 40 patients with chronic stroke (more than 6 months) were enrolled. Depression (Beck Depression Inventory), cognition (attention test TMT-A & B and Wechsler memory), motor (Motorcity index), basic activities of daily living (Barthel scale) and instrumental activities of daily living (Lawton scale) were evaluated. Results: The results of the study revealed a significant positive correlation between post stroke depression and verbal memory (r=0.440،P<.05), attention (r=0.615،P<.05), motor function(r-0.368،P<.05), independence in basic activities of daily living (r=0.781،P<.05) and instrumental activities of daily living (r=0.741, P<.05). Conclusion: According to the findings, further studies of factors affecting post stroke depression (PSD) clinical and practical aspects are necessary. Cognitive rehabilitation programs with motor rehabilitation can decrease depression and gain independence in activities of daily living and more participation in society activities.
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Stożek, Joanna, Urszula Pustułka-Piwnik, and Marta Curyło. "Argentine tango in the rehabilitation of patients with Parkinson’s disease." Rehabilitacja Medyczna 20, no. 1 (March 31, 2016): 33–38. http://dx.doi.org/10.5604/01.3001.0009.2794.
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Parkinson’s disease (PD) is a progressive, neurodegenerative disease leading to disability. Parkinson’s disease causes the occurrence of movement disorders, such as bradykinesia, hipokinesia, rigidity, tremor, postural instability, gait disorders and falls as well as non-motor symptoms. Rehabilitation is an important part of treatment in Parkinson’s disease and the Argentine tango is one of the suggested, more attractive forms of physical activity. The aim of the study is to present the effects and possibilities of using the Argentine tango in the rehabilitation of patients with Parkinson’s disease on the basis of the overviewed literature. A review of literature was conducted. The MEDLINE (PubMed) database was searched using the key words: “tango” and “Parkinson’s disease”. The study was based on titles and abstracts, and then on full texts, original papers with and without control groups as well as case studies. Ten out of twelve publications were included in the analysis. Most studies evaluating the effects of Argentine tango dancing were performed in patients with mild to moderate Parkinson’s disease severity. Long-term as well as short, intensive tango dancing programs were used. One of the studies compared the effects of Argentine tango dancing to the effects of waltz and foxtrot dancing. One paper compared partnered to individual tango dancing. Studies indicate that the Argentine tango decreases the severity of Parkinson’s disease symptoms and improves: balance, gait, spatial cognition, everyday activities as well as social integration and participation in patients with Parkinson’s disease. The Argentine tango can be an attractive, useful and effective form of rehabilitation in Parkinson’s disease.
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Dos Santos, Mélanie, Olivier Rigal, Isabelle Léger, Idlir Licaj, Sarah Dauchy, Christelle Levy, Sabine Noal, et al. "Cognitive rehabilitation program to improve cognition of cancer patients treated with chemotherapy: A randomized controlled multicenter trial." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 11521. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.11521.
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11521 Background: Cognitive impairment induced by cancer chemotherapy (CT) has been identified as an important side-effect with negative impact on quality of life (QoL) without specific treatment. We evaluated the impact of computer-assisted cognitive rehabilitation (CR) on cognitive complaint, objective cognitive dysfunction and QoL among cancer patients treated with CT. Methods: We included cancer patients with cognitive complaint occurring during CT or within 5 years of the end of CT. Patients were randomly assigned in a 1:1:1 ratio to face-to-face CR with a neuropsychologist (group A), home cognitive exercises (group B) or phone follow-up (group C) with 9 sessions over 3 months. Cognition was assessed by the Functional Assessment of Cancer Therapy Cognitive Function (FACT-Cog) completed by a neuropsychological battery of test and QoL assessment by the FACT-General (FACT-G). The primary endpoint was the proportion of patients with 7-point improvement in the perceived cognitive impairments (PCI) of the FACT-Cog between baseline (T0) and the end of the program (T3). Results: 167 patients were enrolled, median age was 50 years [43-59] and 96% were women with mainly breast cancer. Compliance rate with completion of all sessions was 76, 61 and 75% respectively. Proportion of patients with 7-point PCI improvement were 73, 55 and 56% without reaching the statistically significant difference between group A and B (p = 0.07) and group A and C (p = 0.08). The mean difference in PCI score were 17, 10 and 10 (p = 0.03). Patients with CR improved their working memory with significant difference between group A and C (1.4 versus 0.3, p < 0.001) but not between group A and B (1.4 versus 1.1, p = 0.43). There was a significant impact of CR on the FACT-Cog subscale score of QoL (p = 0.01) in favor of the group A, but not on the different dimensions of the FACT-G. Patients in group A presented improvement in depression compared to group B and C: -6.5 versus -1.7 and -2.3 (p = 0.03). Conclusions: CR with a neuropsychologist improves cognitive complaint. Cognitive stimulation showed improvements in working memory. CR was associated with better QoL linked to cognitive disorders and lower levels of depression. Clinical trial information: NCT01788618.
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Korostiy, Volodymyr, and Iryna Blazhina. "Cognitive impairments in patients with treatment resistant epilepsy and complex rehabilitation." Inter Collegas 8, no. 2 (July 21, 2021): 123–29. http://dx.doi.org/10.35339/ic.8.2.123-129.
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Background. The study of features of comorbid pathology in patients with epilepsy is of particular interest due to the high prevalence of this pathology and a significant impact on the quality of life of patients and their social adaptation. Aim. The aim of the research was to detect versatile cognitive impairments and affective disorders in epilepsy, and to study the results of cognitive training and psychoeducation. Materials and methods. The theoretical analysis of modern scientific researches in the field of cognitive and affective impairments during epilepsy was carried out. We studied the features of clinical and psychopathological manifestations in patients, suffering from epilepsy. The study covered 146patients (85 men and 61 women) who were in inpatient care. The following psychodiagnostic techniques were used: the MOCA test, the Toronto Cognitive Assessment (TorCA), the MiniMult test, the Münsterberg test, the quality of life scale, the Hamilton scale of depression and anxiety. Results. This publication offers the results of a study of cognitive and affective disorders the quality of life in patients who suffer from epilepsy and the results of online cognitive training and psychoeducation. We found cognitive decline in 88% of patients with epilepsy and improvement of cognitive functions by methods of non-pharmacological correction. Conclusions. Affective and cognitive disorders significantly affects the quality of life of patients, their ability to work and socialization. The conducted research showed that compared to the control group of healthy persons, patients with epilepsy showed improvement in their cognitive decline, anxiety and depressive disorders. Cognitive online training appeared to be effective for the patients with epilepsy.
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Caixeta, Leonardo, and Victor Melo Caixeta. "Therapeutic synergism: How can psychopharmacology improve cognitive rehabilitation?" Dementia & Neuropsychologia 13, no. 4 (December 2019): 422–26. http://dx.doi.org/10.1590/1980-57642018dn13-040009.
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ABSTRACT Despite recent advances in cognitive rehabilitation of patients with cognitive disorders, there are many major obstacles to the optimized global use of this therapeutic resource. Objective: The authors outline the concept of ‘therapeutic synergism’, i.e. the concurrent use of pharmacological and cognitive rehabilitation therapies to maximize functional benefits, addressing the optimization of therapeutic approaches for cognitive disorders. Methods: Three psychopharmacological and rehabilitation interrelationship paradigms are presented in three different clinical settings. Results: Paradigm 1: Behavioral and cognitive symptoms that hinder a cognitive rehabilitation program, but can be improved with psychopharmacology. Paradigm 2: Cognitive symptoms that hinder cognitive rehabilitation, but can be improved with anticholinesterases. Paradigm 3: Behavioral symptoms that hamper the use of cognitive rehabilitation, but can be improved by psychotropic drugs. Conclusion: Judicious use of psychotropic drugs in cognitive disorders can benefit, directly or indirectly, cognitive functions, thereby favoring other treatment modalities for cognitive impairment, such as neuropsychological rehabilitation.
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Kostenko, E. V., M. A. Eneeva, L. V. Petrova, and I. V. Pogonchenkova. "Cognitive Disorders and Neuropsychiatric Sequellae Associated with COVID-19." Doctor.Ru 20, no. 5 (2021): 6–12. http://dx.doi.org/10.31550/1727-2378-2021-20-5-6-12.
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Objective of the Review: To summarise and analyse references published during COVID-19 pandemic regarding possible pathogenic mechanisms of neuropsychiatric and cognitive disorders (CD) in COVID patients, based on their manifestations, changes in severity and course of the disease associated with comorbid CD. Key Points. CDs following an acute COVID-19 period, especially in combination with comorbid cognitive disorders, are often diagnosed in various age groups of patients. Since the risk that mild CDs progress and transform to moderate and severe CDs in these patients is higher than the statistically average value, clinicians should be aware of the significance of early diagnosis of cognitive disorders. In selecting methods for psychological diagnostics and correction, it is advisable to rely of the data and lessons learnt from earlier SARS-CoV and MERS-CoV pandemics. Conclusion. A multi-disciplinary approach to organisation of medical rehabilitation involving physiological and cognitive screening will allow personifying neuropsychologic rehabilitation programs, thus improving both short-term and long-term rehabilitation outcomes. Keywords: cognitive disorders, SARS-CoV-2, COVID-19, medical rehabilitation.
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Goldberg, Terry E., Richard D. Greenberg, Suzanne J. Griffin, James M. Gold, Joel E. Kleinman, David Pickar, S. Charles Schulz, and Daniel R. Weinberger. "The Effect of Clozapine on Cognition and Psychiatric Symptoms in Patients with Schizophrenia." British Journal of Psychiatry 162, no. 1 (January 1993): 43–48. http://dx.doi.org/10.1192/bjp.162.1.43.
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Psychiatric symptoms and cognition were assessed in 13 patients with schizophrenia, one patient with schizoaffective disorder, and one patient with psychosis not otherwise specified while they received a conventional neuroleptic and again after an average of 15 months on clozapine. Despite improvements in psychiatric symptoms, attention, memory, and higher-level problem-solving were essentially unchanged. This suggests that certain cognitive deficits are relatively independent of psychotic symptoms in schizophrenia, and are probably central and enduring features of the disorder. Cognitive disability appeared to have been rate-limiting in the sample's rehabilitation, as patients' social and vocational adjustment remained marginal during the study. We also observed that treatment with clozapine was associated with a decline in some memory functions; the potent anticholinergic properties of the drug may have been responsible for this.
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Semiglazova, T. Yu, V. A. Klyuge, B. S. Kasparov, K. O. Kondratyeva, A. A. Krutov, M. A. Zernova, V. A. Chulkova, and V. V. Semiglazov. "International rehabilitation model for oncological patients." Medical Council, no. 10 (July 19, 2018): 108–16. http://dx.doi.org/10.21518/2079-701x-2018-10-108-116.
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Taking into account the multifunctional disorders and consequences of oncological diseases and their treatment, rehabilitation in oncology has many goals and is aimed at restoring the physical, emotional, social, role and cognitive functioning of the patient, as well as returning the patient to previous labor activity. The principles of rehabilitation measures vary considerably from country to country, depending on the social security system in which they are included. In most European countries and in theUnited States of America, rehabilitation activities are mainly carried out on an outpatient basis. Whereas inGermanythere is a unique system in which rehabilitation is performed mainly in a hospital environment. This article presents an overview of rehabilitation measures in oncology practice conducted in different countries.
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Zucchella, Chiara, Andrea Pace, Francesco Pierelli, and Michelangelo Bartolo. "Cognitive rehabilitation in neuro-oncological patients: three case reports." Clinical Management Issues 6, no. 2 (June 15, 2012): 67–73. http://dx.doi.org/10.7175/cmi.v6i2.625.
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Cognitive impairment is one of the most common neurological disorders in neuro-oncological patients, linked with morbidity, disability, and poor quality of life. As pharmacologic interventions have not yet proven effective in the treatment of cognitive deficits, cognitive rehabilitation could represent an alternative approach. This paper presents three case studies, describing the cognitive intervention and discussing its effectiveness in the light of current evidence.
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Kushner, David S., and Christina Amidei. "Rehabilitation of motor dysfunction in primary brain tumor patients†." Neuro-Oncology Practice 2, no. 4 (June 3, 2015): 185–91. http://dx.doi.org/10.1093/nop/npv019.
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Abstract In 2010 it was estimated that >688 000 Americans were living with a primary brain tumor (PBT) corresponding to a U.S. prevalence rate of approximately 221.8 per 100 000 people. Five-year survival is 96.1% in nonmalignant PBTs, 34% in malignant PBTs for all ages, and 71% in children [1985–2005]. Case fatality rates have decreased in the U.S. since the 1970's for nonmalignant PBTs and for medulloblastoma, oligodendroglioma, and astrocytoma. Statistics of increasing survival highlight the importance of rehabilitation interventions to improve function and quality of life in survivors. PBT motor dysfunction is multifactorial, occurring as a result of direct effects of tumor and/or swelling or as a result of treatments; etiologies include encephalopathy, myopathy, neuropathy, infection, poor nutrition, metabolic factors, emotional factors, impaired perception/vision/cognition and complications of immobility. Motor dysfunction may lead to: impaired mobility, impaired activities of daily living, risk for complications of immobility, falls, pain, anxiety/depression, and loss of functional independence and quality of life. Rehabilitation treatment strategies target specific causes of motor dysfunction to improve functional independence and quality of life. This article reviews current knowledge and controversy regarding the role of rehabilitation for motor disorders in PBT patients.
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Ruchinskas, Robert. "Rehabilitation therapists' recognition of cognitive and mood disorders in geriatric patients." Archives of Physical Medicine and Rehabilitation 83, no. 5 (May 2002): 609–12. http://dx.doi.org/10.1053/apmr.2002.32496.
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Tang, Wai-Kwong, Gabor S. Ungvari, Helen F. K. Chiu, Kai-Hoi Sze, Jean Woo, and Richard Kay. "Psychiatric Morbidity in First Time Stroke Patients in Hong Kong: A Pilot Study in a Rehabilitation Unit." Australian & New Zealand Journal of Psychiatry 36, no. 4 (August 2002): 544–49. http://dx.doi.org/10.1046/j.1440-1614.2002.01041.x.
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Objective: There is a paucity of data on post-stroke psychiatric morbidity in Chinese populations. We examined the frequency of post-stroke psychiatric morbidity in Chinese first time stroke patients, including depressive and anxiety disorders, mania, and psychosis. Methods: One hundred and fifty-seven patients following their first stroke, who were consecutively admitted to a rehabilitation unit, participated in this prospective, cross-sectional study. All subjects were interviewed by a qualified psychiatrist using the SCID-DSM-III-R. Subjects’ cognitive function, neurological status, and level of functioning were also measured. Twenty-five (92.6%) of the subjects with the diagnosis of depression were followed up 6.0 ± 3.9 months after the initial assessment. Results: The frequency of all depressive disorders was 17.2%. Major depressive episodes, adjustment disorder with depressed mood, dysthymia, and generalized anxiety disorder were diagnosed in 7.6%, 8.2%, 1.3% and 0.6% of the subjects, respectively. No cases of other anxiety disorders, mania or psychosis were found. The majority of depressed subjects were in remission at the follow-up assessment. Conclusions: The low morbidity of affective disorders and their relatively favourable shortterm outcome in Chinese first time stroke patients warrants further investigation.
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Zubatiuk, Oksana Viktorivna, and Galyna Yakivna Pyliagina. "Impairment of the еmotion control and social functioning in psychoses with depressive-paranoid symptoms." Psychosomatic Medicine and General Practice 3, no. 3 (October 4, 2018): e030388. http://dx.doi.org/10.26766/pmgp.v3i3.88.
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Background. The problem of social functioning is one of the most relevant at the present stage. Over the past decades, first being in the sphere of interests of social psychiatry it has become one of the main focuses of research in clinical psychiatry. The number of works on this topic is increasing and motivating researchers to look for predictors of violations in social functioning. Recently, a lot of attention in these studies is devoted to the study of social cognition. Though, the studies are carried out within the framework of individual nosology types. At the same time, in our opinion, it would be interesting to expand the study using the syndromological approach in the "broad field" of psychotic disorders.
Aim. Study of social cognition in patients with depressive-paranoid symptoms in psychotic disorders with the following nosology types: paranoid schizophrenia (F 20.0), schizoaffective disorder, depressive type (F25.1) and recurrent depressive disorder, current episode severe with psychotic symptoms of inpatient treatment at the stage of remission.
Materials and methods. 61 patients have been examined. They are divided into three groups according to nosology types: 1 group - 21 patients with a diagnosis of paranoid schizophrenia (F 20.0 - Sch), group 2 - 23 patients diagnosed with depressive type of schizoaffective disorder (F 25.1 - SchAD) ) and group 3 - 17 patients suffering from recurrent depressive disorder (F 33.3 - RDD). The evaluation of social cognition, namely the level of emotion management, was conducted using the Russian-language version of the test of J. Meier, P. Selovey and D. Caruso "Emotional Intelligence" (MSCEIT V. 2.0) in the adapted version of E.A. Sergienko, I.I. Vetrova [1] *. One of the four branches of the test was used, namely, "Emotion Management", as well as PANSS and PSP scales.
Results. The MSCEIT test emotion control scales are within the normal range, but the ratios are different in three groups: in the group of patients with Sch (and is the highest among the three groups), the indicators of the regulation scale of their own emotional states in relation to the indicators of emotional regulation of the states of other people prevail. The opposite picture is observed in the group of patients with SchAD. At the same time, the group of patients with RDD has low rates on both scales, but they are close to the lower boundary of the norm. Consequently, at each of the nosology types there is a specificity of cognitive impairment caused by the major disease. It is also indicative that the clinical picture of schizophrenia and schizoaffective disorder is similar but opposite in terms of MSCEIT indicators. The revealed link of indicators of the function of managing emotions and the level of social functioning allows us to determine the "targets" for rehabilitation programs in Sch (regulation of emotional states of other people) and RDD (regulation of their own emotional states). However, in this study, no such "targets" have been detected in the SchAD. There has been detected no clear link between the level of social functioning and the severity of the negative (deficient) symptoms, which for a long time has been considered the main factor of social maladaptation, but our data require additional research and more observations.
Conclusion. The connection of certain psychopathological symptoms with the indicators of emotional management function allows to determine the "risk groups" among patients with each of the nosology types, which in advance can direct psychotherapeutic or psycho-rehabilitation measures focused on the correction of detected cognitive impairments.
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Maruta, N. O., and K. V. Shevchenko-Bitensky. "PROGRAM OF PSYCHOSOCIAL REHABILITATION OF PATIENTS WITH HALLUCINATORY-PARANOID DISORDERS IN DEMENTIAS OF DIFFERENT GENESIS AND STAGE OF DEVELOPMENT AND EVALUATION OF ITS EFFECTIVENESS." Експериментальна і клінічна медицина 85, no. 4 (December 20, 2019): 47–54. http://dx.doi.org/10.35339/ekm.2019.85.04.07.
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The purpose of this study is to develop a program of complex personalized program of psychosocial rehabilitation for patients with hallucinatory-paranoid disorders (HPR) in dementias of different genesis and stage of development and evaluate its effectiveness. The results of approbation of the developed program of complex personalized psychosocial rehabilitation of patients with HPR in dementias of different genesis and stage of development indicate its greater efficiency in comparison with traditional schemes of psychosocial rehabilitation patients of this category which do not consider socio-demographic, psychosocial features of the development and course of HPR in patients with dementia. The differences of the developed program are the differentiation of rehabilitation effects depending on the dominant sector (non-cognitive psychopathological disorders, cognitive disorders, social dysfunction and general medical problems); taking into account the nature of dual relations «patient with HPR in dementia - caregiver»; the state of the preserved resource of the patient in the cognitive mental, somatic and psychosocial spheres; sequence and phasing of restorative approaches.
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Colizzi, Marco, Sarah Tosato, and Mirella Ruggeri. "Cannabis and Cognition: Connecting the Dots towards the Understanding of the Relationship." Brain Sciences 10, no. 3 (February 27, 2020): 133. http://dx.doi.org/10.3390/brainsci10030133.
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Several studies have advanced the understanding of the effects of cannabis on cognitive function. A comprehensive reappraisal of such literature may help in drawing conclusions about the potential risks associated with cannabis use. In summary, the evidence suggests that earlier age of use, high-frequency and high-potency cannabis use, as well as sustained use over time and use of synthetic cannabinoids, are all correlated with a higher likelihood of developing potentially severe and persistent executive function impairments. While the exact mechanisms underlying the adverse effects of cannabis on cognition are not completely clear, Magnetic Resonance Imaging (MRI) studies support the presence of both structural and functional alterations associated with cannabis use. Cognitive dysfunction is also a core feature of many neuropsychiatric disorders and care must be taken regarding the effects of cannabis use in these patient populations. Cognitive impairments affect patients’ daily functions, sociability, and long-term outcome, posing elevated economic, social, and clinical burdens. There is, thus, a compelling case for implementing behavioral and cognitive rehabilitation therapies for these patients, as well as investigating the endocannabinoid system in the development of new psychopharmacological treatments.
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Kalantarova, M. V., L. B. Zavaliy, E. V. Borisonik, M. I. Subotich, A. V. Grechko, I. G. Shchelkunova, and S. S. Petrikov. "Digital Technologies in Rehabilitation of Patients with Focal Brain Injury." Консультативная психология и психотерапия 28, no. 3 (2020): 122–41. http://dx.doi.org/10.17759/cpp.2020280308.
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Focal damage of the brain leads to cognitive impairments, which sufficiently limit the person’s functional capabilities, which, in turn, can lead to secondary disorders of the emotional and personal sphere and social maladjustment. The need to include cognitive rehabilitation in the system of complex treatment methods for patients with focal brain lesions is generally recognized. The article describes methods of neurorehabilitation based on high technologies and indicates their place in the general rehabilitation process. Data yielded by domestic and foreign studies on the effectiveness of digital technologies in the cognitive rehabilitation of patients with focal brain lesions is presented.
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Lahutina, Sofiia Ivanivna. "Short-term CBT of mixed anxiety-depressive disorder." Psychosomatic Medicine and General Practice 3, no. 4 (November 29, 2018): e030494. http://dx.doi.org/10.26766/pmgp.v3i4.94.
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Epidemiological studies indicate that anxiety and depressive disorders are the most common mental health problems, without timely and effective help, they can have a pronounced negative impact on the quality of life of a person. Cognitive-behavioral therapy is one of the most researched and effective psychotherapeutic methods for treating depression, anxiety disorders, PTSD, eating disorders, and many others. The purpose of this article is to show the effectiveness of short-term cognitive-behavioral psychotherapy of mixed anxiety and depressive disorder. The clinical case presented in this article illustrates a person whose mental disorder caused somatic symptoms, reduced life quality. The introduction of cognitive-behavioral therapy in national protocols of treatment of mental disorders will improve the quality of life, facilitate faster re-socialization and rehabilitation of patients.
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Pąchalska, Maria, Jolanta Góral-Półrola, Andrzej Mirski, Celestyna Grzywniak, Maria Łuckoś, and Rafał Morga. "THE AMELIORATION OF BEHAVIORAL DISTURBANCES IN TBI PATIENTS WITH CHRONIC FRONTAL SYNDROME AFTER TREATMENT IN DIFFERENT REHABILITATION PROGRAMS." Acta Neuropsychologica 17, no. 3 (August 25, 2019): 245–60. http://dx.doi.org/10.5604/01.3001.0013.3685.
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We evaluated the effectiveness of three different rehabilitation programs for chronic behavioral disorders in traumatic brain injury (TBI) patients with orbito-frontal damage (OFC), incurred from 13 to 15 years prior to enrollment. From among 547 adult patients with severe TBIs treated neurosurgically from 1999 to 2003, 60 were selected for the study, divided into three groups of 20, matched for age and sex. Each group received one of three different rehabilitation protocols. Group A received a comprehensive program with two components: (1) a 6-month early neuropsychological rehabilitation program targeting cognitive deficits, beginning immediately post-injury, and (2) the “Academy of Life” program, with weekly meetings aimed at reducing behavioral disorders in social transactions. Group B received only cognitive rehabilitation, while Group C received only the “Academy of Life” progam. The Frontal Behavioral Inventory (FBInv) was used to assess behavioral disorders at baseline and again after completion of the study. At baseline, all 60 patients still displayed all or most of the common behavioral symptoms characteristic of frontal syndrome. The improvement achieved by group A (the comprehensive program) was significantly better upon completion of the study than that shown by the patients in groups B (cognitive only) and C (social skills only). A comprehensive program of rehabilitation, which combines early neuropsychological rehabilitation of cognitive deficits with the “Academy of Life” program, aimed at improving social skills, proved to be more effective than either of these two components administered without the other
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Kostenko, E. V., L. V. Petrova, M. A. Eneeva, and V. G. Kravchenko. "Priorities of medical rehabilitation of patients with recent experience of transient ischemic attack." Meditsinskiy sovet = Medical Council, no. 10 (August 12, 2021): 22–33. http://dx.doi.org/10.21518/2079-701x-2021-10-22-33.
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Introduction. Transient ischemic attacks can be a predictor of a more severe cardiovascular event, the risk of which depends on many factors that requires a personalized approach. Neuropsychological disorders (cognitive, emotional) have a significant impact on quality of life and social activity and are often underestimated in patients with TIA. Comprehensive medical rehabilitation with the inclusion of antithrombotic therapy and psychocorrection measures may reduce the risk of recurrent cardiovascular events in patients with TIA.Purpose of the study: to substantiate the efficiency of complex medical and non-pharmacological rehabilitation in patients who underwent TIA by analyzing the characteristics of the main and leading concomitant diseases.Materials and methods. The morbidity of 351 TIA patients was studied and analyzed. The average age of the examined patients was 58.6 ± 2.2 years, there were 64.9% of women and 35.1% of men. All patients received an individualized medical rehabilitation program for 12 months with correction of identified neuropsychological disorders. Depending on background and concomitant diseases the antiplatelet or anticoagulants therapy was differently administrated.Results and dicussion. Psychological, cognitive, and physical disorders (based on subjective complaints) are common in patients with TIA. The prevalence of mental disorders in patients with TIA was 138.2 cases per 100 patients. The correction of cognitive impairment, depressive symptoms is associated with improved quality of life (p < 0.05). Repeated acute cerebrovascular events (TIA, ischemic stroke) were recorded during the first 6 months after TIA in 29 patients (10.4%) with severe stenosis of the brachiocephalic arteries, severe arterial hypertension and paroxysmal atrial fibrillation.Conclusion. The importance of comprehensive medical and social rehabilitation of patients with TIA is determined. The participation of a psychotherapist as a member of a multidisciplinary team is necessary. A significant role of the secondary prevention of acute cerebrovascular events is assigned to rational antithrombotic therapy.
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ROTHI, LESLIE J. GONZALEZ. "Cognitive disorders: Searching for the circumstances of effective treatment: Introduction by the symposium organizer." Journal of the International Neuropsychological Society 4, no. 6 (November 1998): 593–94. http://dx.doi.org/10.1017/s1355617798466086.
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Cognitive deficits associated with neurologic disease or damage are quite common and they are known to negatively impact the lives of patients, caregivers and society at large. Unfortunately, documented effective rehabilitation of cognitive deficits is extremely scarce. In addition the concept of cognitive rehabilitation is usually viewed with tremendous skepticism. This pessimism is manifested in so many ways: It is found in the reluctance of skeptical physicians to refer patients to rehabilitation clinicians, it is seen in the reluctance of service payers to fund clinical efforts, it gets reflected in the graduate training programs which place cognitive rehabilitation in the lower echelons of curricular priorities, it underlies the dearth of funded programs in cognitive rehabilitation research, and it even permeates professional organizations and journals where “treatment studies” represent an extreme minority of presentations and articles. The most salient explanation for this therapeutic nihilism is the implicit belief that “everyone knows it doesn't work.”
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Pisella, Laure, Gilles Rode, Alessandro Farnè, Caroline Tilikete, and Yves Rossetti. "Prism adaptation in the rehabilitation of patients with visuo-spatial cognitive disorders." Current Opinion in Neurology 19, no. 6 (December 2006): 534–42. http://dx.doi.org/10.1097/wco.0b013e328010924b.
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Garcia del Castillo, I., L. Caballero Martinez, M. Magariños, M. J. Martin Calvo, C. Pelaez, R. Calero, I. Mateo, and R. Diaz. "A case control study: Testing a new technique of rehabilitation in schizophrenia and other psychotic disorders using fiction films." European Psychiatry 26, S2 (March 2011): 1357. http://dx.doi.org/10.1016/s0924-9338(11)73062-0.
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IntroductionFiction films offer unexplored support for rehabilitation in patients with schizophrenia and other psychoses. Schizophrenia produces deficits and distortions in perception and understanding of reality, also expressed in the perception and comprehension of films. After two years of experience “ad hoc” we have designed an experimental case-control study in order to study the effectiveness of the proposed technique compared with conventional “cinema-forum”Methodology20 patients treated at the Psychiatric Day Hospital in Puerta de Hierro Hospital (Majadahonda) will participate in the study. Initially, the researcher will collect information on socio-demographic and clinical data of all participants, as well as a written informed consent. There will be an initial assessment using the following instruments:-SCID-PANSS-SCIP (schizophrenia cognitive screening)-Scale GEOPTE (social cognition in schizophrenia)-Social Functioning Scale (SOFAS, PSP)-Scale of disease awareness-IPDE (TP)-Hamilton Scale (anxiety-depression)The material used will be the 12 chapters of the first season of TV series “The Sopranos” by David Chase (2004). Specific techniques of cognitive and affective work are compared against a “cinema-forum”. For the evaluation of the effectiveness of the proposed technique, it will be used a measurement tool designed specifically for the activity, which includes:1.60 item-Scale, specific on each chapter, evaluating:-Attention-Concentration-Memory-Comprehension of the main plot-Comprehension of subplots-Dialogues-Other-Self-identification of deficiencies or errors2. Heteroapplied analogical scales3. Semi-structured qualitative interview
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Kotelnikova, Anastasia V., Anastasia A. Kukshina, Elena A. Turova, and Anastasia S. Tihonova. "Binaural Acoustic Beats in the Psychological Rehabilitation of Patients with Impaired Motor Functions." Bulletin of Rehabilitation Medicine 20, no. 1 (February 26, 2021): 60–69. http://dx.doi.org/10.38025/2078-1962-2021-20-1-60-69.
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The course of diseases associated with movement disorders violates the possibility of independent existence of the individual and is accompanied by the formation of symptoms of increased anxiety, depression and catastrophizing. Over the last years, in addition to psychopharmacological drugs, non-drug methods have been actively included in the complex of treatment and rehabilitation for this patients’ group allowing them to influence the patient’s psyche by neuro-biological activation of sanogenesis links. Aim. To study the possibility of using resonance-acoustic vibration (PRAV) programs in the “relaxation” mode when organizing psychological support for patients with movement disorders in the course of medical rehabilitation. Materials and methods. The study included 93 patients with movement disorders of two nosological groups: movement disorders against the stroke (n=57) and motor disorders against the degenerative-dystrophic diseases of large joints and spine of large joints and spine (n=36), undergoing a standard inpatient course of medical rehabilitation. Results. The dynamics of the emotional state, the intensity of the pain syndrome, characteristics of the cognitive sphere (memory, attention) as a result of psychological correction using PRAV were analyzed. The positive effect of the inclusion of the binaural beats complex in the psychological correction of the patients with impaired motor functions state of health as well as an indifferent response to the attempt to correct memory and attention were determined. Conclusion. It testifies that the application of the method is appropriate in correcting the emotional state, general well-being, overcoming fear of movement and is not effective for pain and recovery of cognitive functions.
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Wölwer, W. "Social cognition in schizophrenia: Impairments and treatment approaches." European Psychiatry 26, S2 (March 2011): 2157. http://dx.doi.org/10.1016/s0924-9338(11)73860-3.
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Impairments in cognitive processes underlying social interaction (i.e. “social cognition”) have increasingly attracted interest in schizophrenia research during the last years. These impairments concern various components of social cognition, exist relatively independent from impairments in basic cognition and from clinical psychopathology, are already present at the onset of the disorder, and can even be detected in persons at high risk of developing schizophrenia. As social cognitive impairments are closely related to poor functional outcome, and because longitudinal studies have proven the stability of social cognitive impairments across the course of the disorder despite clinically efficacious traditional treatment, various specialized treatment and rehabilitation programs targeting social cognitive impairments have been developed during the last years. These programs differ significantly with regard to the conceptualization of the impairments and the required treatment strategies, i.e. whether the impairments are suggested to be represent cognitive “deficits” or cognitive “biases” requiring remediation vs. debiasing approaches. Moreover the programs differ with regard to the scope of cognitive subcomponents addressed, i.e. whether the program focuses on only one social cognitive subcomponent like affect recognition or whether several subcomponents are addressed in parallel. As the evaluation of such programs is still in an infant stage there is still debate about the most efficacious approach.This presentation will give an overview on social cognitive impairments and on respective treatment strategies, before the subsequent presentations will exemplify three treatment programs, which may help schizophrenia patients to overcome their impairments in social cognition and social functioning.
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Bakhareva, O. N., L. V. Chichanovskaya, А. А. Zajtseva, A. S. Morozov, and S. A. Bakharev. "The intensity of speech and cognitive disorders in patients with ischemic stroke at the second stage of rehabilitation against the background of thrombolytic therapy." JOURNAL of SIBERIAN MEDICAL SCIENCES, no. 3 (2021): 34–44. http://dx.doi.org/10.31549/2542-1174-2021-3-34-44.
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Introduction. The increasing frequency of ischemic stroke and its rejuvenation, leading to extremely unfavorable socio-economic consequences, make us reconsider the traditional technology of treatment and rehabilitation of patients with acute cerebrovascular accident (CVA). Thrombolytic therapy (TLT) today has established itself as the most effective method of treatment of ischemic stroke. Aim. To study the influence of thrombolytic therapy on the recovery of speech and cognitive disorders in patients with ischemic stroke at the second stage of rehabilitation. Materials and Methods. The study involved 68 ischemic stroke patients who were admitted to the second stage of rehabilitation. The patients were divided into two groups: 1st (n = 14) — patients who received thrombolytic therapy; 2nd (n = 54) — patients who received conventional CVA therapy. The assessment of speech disorders was carried out on the basis of the conclusion of the speech therapist. The severity of cognitive deficit was assessed using the BNCE scale (Brief Neuropsychological Cognitive Examination) and on the basis of data obtained during the consultation with a psychologist. The level of satisfaction of patients with their own condition was assessed using the Visual Analogue Scale. Results. The described neurosomatic status of patients with CVA, who underwent TLT, indicates the prevalence of men of retirement age with the presence of hemispheric infarction, which is combined with disorders of both impressive and expressive speech and mild cognitive impairments. In the 1st group of patients, more severe motor and sensory speech disorders were revealed compared to the 2nd group. Conclusion. The presence of more severe speech disorders in the 1st group of patients, on the one hand, is associated with a smaller number of the 1st group (TLT target is 5%; referral of patients with the absence of cognitive, motor and speech disorders to the 3rd stage of rehabilitation, bypassing the second stage), and on the other hand, with the presence of possible hemorrhagic complications against the background of TLT, which dictates the need for closer control over the reperfusion therapy protocols in the acute period of ischemic stroke.
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Kudinova, O. "Psychotherapy of somatoform disorders." European Psychiatry 33, S1 (March 2016): S559. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2072.
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In Ukraine there is tendency to increased deseaseness and prevalence's of somatoform disorders.The most significant role belongs to the patient's self-evaluation of the influence of the disease on their social status that is an essential past of the self-picture of the disease and the important point of therapeutic rehabilitation intervention.On the basis of the examined 300 patients on somatoform disorders and 200 patients on psychosomatic diseases, we have elaborated a formal test that allows evaluating quantitatively the influents of the disease on various spheres of patients’ social status.It was absolutely unexpectable the common for psychosomatic and somatoform disorders patients rise of significance of personal individual, every day life factors in cases of aggravation of the main disease course. We created the cognitive-behavioral psychotherapy system with suggestive and autosuggestive implementations.Elucidation of peculiarity of personal perception of the disease served as basis of elaboration of purposeful system of psychotherapy, consulting, psychological support for patients with high-effectiveness 1.5–3 years catamnesis in 85% patients.Our experience showed the necessity of the use the target-oriented integrativе models of psychotherapy, parted on stages. On the first stage-sedative-adapting the receptions of cognitive and suggestive psychotherapy are used. There is group therapy on second stage. On the third stage elements of the autogenic training mastered.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Kim, Soo Yeon, Yong-Il Shin, Sang-Ook Nam, Chang-Hyung Lee, Yong Beom Shin, Hyun-Yoon Ko, and Young-Ju Yun. "Concurrent Complementary and Alternative Medicine CAM and Conventional Rehabilitation Therapy in the Management of Children with Developmental Disorders." Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/812054.
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Background. We investigated the concurrent use of conventional rehabilitations and complementary and alternative medicine (CAM) therapies for the long-term management of children with developmental disorders (DDs).Methods. The parents or caregivers of 533 children with DDs (age range, 1–19 years) who visited the rehabilitation centers were surveyed using in depth face-to-face interviews.Results. Of the 533 patients enrolled, 520 completed the questionnaire (97% response rate). A total of 292 (56%) children were receiving multiple therapies, more than two conventional rehabilitations and CAM, at the time of the interview. A total of 249 (48%) children reported lifetime CAM use, 23% used CAM at the time of the interview, and 62% of the patients planned to use CAM therapy in the future. Conventional rehabilitation therapies used at the time of the interview included physical therapy (30%), speech therapy (28%), and occupational therapy (19%), and the CAM therapies included herbal medicine (5%) and acupuncture or moxibustion (3%). The respondents indicated that in the future they planned to use acupuncture or moxibustion (57%), occupational therapy (18%), cognitive behavioral therapy (16%), speech therapy (10%), and physical therapy (8%).Conclusion. Concurrent management as conventional rehabilitations and CAM therapies is widely used by children with DDs.
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Yastrebtseva, I. P., V. A. Krivonogov, N. N. Panueva, V. V. Belova, E. A. Bochkova, and L. Yu Deryabkina. "Neurometabolic Support for Post-stroke Patients with Movement Disorders during the Second Stage of Rehabilitation." Doctor.Ru 19, no. 9 (2020): 27–32. http://dx.doi.org/10.31550/1727-2378-2020-19-9-27-32.
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Study Objective: To evaluate dose-dependent effects of adjunctive treatment with ethylmethylhydroxypyridine succinate within a comprehensive course of rehabilitation, in cerebral stroke patients with movement disorders in the second stage of rehabilitation. Study Design: This was a randomized study. Materials and Methods: Forty ischemic stroke patients were examined, and divided into three groups. Ethylmethylhydroxypyridine succinate was given intramuscularly to 18 patients: 250 mg/day (5 mL) in Group 1 (n = 9) and 100 mg/day (2 mL) in Group 2 (n = 9). In Group 3 (n = 22) patients did not receive this drug. All patients underwent a complete examination, including assessment of the following parameters: static and dynamic balance, as assessed by the Standing Balance Test and the Berg Balance Test; walking (Hauser Ambulation Index); and emotional (Hospital Anxiety and Depression Scale), cognitive (Montreal Cognitive Assessment), and sensory (Fugl-Meyer Assessment Scale) functions. Patients’ balance status was objectively assessed using stabilometric parameters. Study Results: Group 1 patients showed a significant increase in Berg Balance Test scores (from 44.00 [42.00; 47.00] to 46.00 [42.00; 49.00]) and a decrease in statokinesigram area (with eyes closed) (from 910.92 [36.20; 2,633.50] mm2 to 620.98 [213.40; 1,676.30] mm2 (p < 0.05). All groups exhibited trends toward improvement of static balance, quality of walking, and cognitive and sensory functions, but only the changes in the Montreal Cognitive Assessment in Group 1 were statistically significant (from 24.67 [19; 27] to 26.67 [22; 29]). Conclusion: Adjunctive ethylmethylhydroxypyridine succinate, 5 mL (250 mg/day), within a course of rehabilitation improved patients’ balance status and cognitive functions. Patients who received this medication at a dose of 2 mL (100 mg/day) and those who did not receive it showed no significant improvement during rehabilitation. Keywords: stroke, balance, neurometabolic therapy, ethylmethylhydroxypyridine succinate.
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Young, Susanne Yvette, Martin Kidd, and Soraya Seedat. "Motor Timing Outcome Differences between Patients with Alcohol- and/or Cocaine Use Disorder in a Rehabilitation Program." Timing & Time Perception 7, no. 1 (January 11, 2019): 48–70. http://dx.doi.org/10.1163/22134468-20181137.
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Substance Use Disorders (SUD) lead to brain structural and functional deficits associated with cognitive and social functioning in affected individuals and can impact on treatment outcomes. The lack of behavioural autonomy is underpinned by direct reward, high impulsivity and difficulties in planning behaviour. The motor cortex — as part of a neural mechanism accounting for action and intention — plays a fundamental role in complex cognition, motor performance and coordination. The study sample consisted of 74 abstinent patients, aged 18–60 years, diagnosed with alcohol and/or cocaine dependence who were all inpatients at a private treatment programme for drug/alcohol dependence in South Africa. The main questions addressed were whether motor timing abilities would improve over time (as a function of recovery) in patients admitted to a rehabilitation programme for SUD, and if there were between-group differences. Timing abilities in SUD improved with prolonged abstinence. Timing in decision making (cognitive control) did not improve over time, nor did movement coordination. Rhythmic abilities and synchronisation with external events, as well as spatial abilities, improved with prolonged abstinence. The recovery of rhythmic and synchronisation abilities differed between the groups. This study shows for the first time that motor timing abilities can recover significantly with prolonged abstinence with differences in recovery between SUD populations. Improvements in interval timing only (both in time and in space) were observed. Not all motor timing abilities, and not every type of SUD, recovered equally, thereby suggesting that different substances may affect the brain differently with regard to timing abilities. These findings suggest that motor timing should further be investigated in different clinical settings.
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Firileva, Janna E., Pavel V. Rodichkin, and Galina V. Buznik. "Physical rehabilitation and pharmacotherapy of cognitive functions and asthenic disorders in stroke patients." Reviews on Clinical Pharmacology and Drug Therapy 17, no. 1 (May 30, 2019): 87–92. http://dx.doi.org/10.17816/rcf17187-92.
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The article deals with the state of cognitive functions (memory, attention and thought process) and asthenic disorders in stroke patients in the process of physical rehabilitation and pharmacotherapy. The study used conventional methods for determining the state of cognitive functions. To improve cognitive abilities in the process of physical rehabilitation in the experimental group of patients, traditional methods and special physical exercises in the form of training tasks for memory, attention and thought processes were used. In the control group of patients only traditional methods of restoration of cognitive functions were used. Both groups of patients took the same drugs to improve cognitive function and relieve symptoms of cerebrogenic asthenia, using classic nootropic drugs (Pyracetam, Phenotropil, Vinpotropil), peptide drugs (Cortexin, Cerebrolysin, Noopept, Semax), antidepressants and tranquilizers (benzodiazepines and non-benzodiazepine). It is determined that the most important indicator of memory quality is short-term memory. In the experimental group in the process of physical rehabilitation revealed an improvement in this memory in 50% of patients, the deterioration of this indicator in 34% of persons, and 16% memory remained at the same level. Short-term memory indices in post-stroke patients of the control group are lower and correspond to: improvement – in 35%, deterioration – in 40%, remained at the same level in 25% of patients. Since the rate of short-term memory is 7 ± 2 units of information, the study showed that in all patients after a stroke, the indicators of storing information in short-term memory have become normal. The study of attention stability revealed that in the control group of patients it is worse than in the experimental group, and that the stability of attention does not depend on the experience of the post-stroke state. Patients with 3 years of post-stroke experience show the same results as patients with 6-month stroke. The study of inductive thinking showed that in both groups of patients it is in good condition. As for the indicators of practical mathematical thinking, 83% of the participants coped with the task in the experimental group, and 17% failed. In the control group, 57% of patients coped with this task, and 43% failed. Only 50% of the patients in the experimental group and 42% of the control group coped with a more difficult task in this type of thinking. The same results were obtained in persons without stroke. This shows that the more difficult tasks of identifying this type of thinking are difficult for people after a stroke. It can be concluded that the mental processes of a person after a stroke are in optimal condition.
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Polanowska, Katarzyna Ewa. "Neuropsychological rehabilitation of acquired, non-progressive cognitive-behavioral disorders in evidence-based clinical recommendations." Rehabilitacja Medyczna 24, no. 2 (September 24, 2020): 31–39. http://dx.doi.org/10.5604/01.3001.0014.4134.
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Introduction: Neuropsychological rehabilitation is an important area of neurological rehabilitation. Its techniques are studied in terms of effectiveness and subjected to collective analyses in order to identify the best interventions. Objective: The purpose of the article is to present current clinical recommendations for neuropsychological rehabilitation among adult patients with acquired, non-progressive brain damage usually caused by a stroke or head injury. Data sources: The recommendations are based on the latest scientific papers containing systematic reviews and meta-analysis of studies on the rehabilitation of patients with cognitive dysfunctions and/or behavioral abnormalities. Conclusions: To date, the highest recommendation and the status of practice standards in neuropsychological rehabilitation have been achieved by therapeutic techniques of 5 post-stroke disorders (attention deficits, mild memory deficits, left-sided visual neglect, aphasia, global decline in cognitive-behavioral functioning) and 5 post-traumatic disorders (attention deficits, mild memory deficits, mild and moderate executive dysfunctions, abnormalities in social functioning and interpersonal communication, global decline in cognitive-behavioral functioning). These techniques may be used independently or introduced in combination with interventions of a lower recommendation level, classified as practice guidelines or practice options. The use of lower grade recommendations should also be considered in situations where there are no standard techniques for specific forms of disorders. In the case of deficits for which no recommendations have yet been made, further research is necessary. This applies to agnosia, profound memory disorders and amnesia, as well as profound executive dysfunctions.
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Efremova, D. N. "DINAMICS OF COPING STRATEGS IN PATIENTS WITH MENTAL DISORDERS OF PERSONALITY." EurasianUnionScientists 3, no. 6(75) (July 21, 2020): 53–58. http://dx.doi.org/10.31618/esu.2413-9335.2020.3.75.842.
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The article presents data on the relationship between feelings of loneliness and non-adaptive coping confrontation and distancing. After completing the rehabilitation cycle, patients showed a decrease in cognitive impairment, a decrease in the rate of loneliness and the manifestation of adaptive coping by type of acceptance of responsibility and positive reassessment, a decrease in the level of exhaustion.
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Grigorieva, V. N., and T. A. Sorokina. "Anosognosia for Motor and Cognitive Deficit as a Clinical Manifestation of Ischemic Stroke: Review of Literature." Doctor.Ru 19, no. 9 (2020): 33–38. http://dx.doi.org/10.31550/1727-2378-2020-19-9-33-38.
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Objective of the Review: To present data from the latest research studies focusing on anosognosia for neurological deficit in patients with acute ischemic stroke. Key Points: Anosognosia for motor and cognitive deficit is a quite common disorder in acute ischemic stroke patients. This condition is of interest for neurologists because it manifests itself in an unusual way and has a negative impact on patients’ medical rehabilitation. The understanding of the pathophysiology of anosognosia and its neuroanatomical underpinnings is changing and improving. New information about approaches to the diagnosis and treatment of this condition is becoming available, making this review timely. Conclusion: Patients with acute ischemic stroke may have reduced perception of their neurological deficit and cognitive, emotional, and behavioral disorders. Hemispatial neglect is the most common cognitive disorder associated with anosognosia for paralysis. Medical rehabilitation of post-stroke patients with anosognosia is challenging and requires the participation of a multidisciplinary team and a differentiated approach, tailored to the type of anosognosia. At present, rehabilitation specialists have started discussing the possibility of therapeutic application of instrumental investigation techniques, such as caloric vestibular stimulation and transcranial brain stimulation, in addition to cognitive behavioral therapy. Keywords: reduced perception of disease, anosognosia, regulatory dysfunction, neglect, ischemic stroke.
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Fukunishi, Isao, and Takayuki Aoki. "Relationship between Narcissistic Tendencies and Psychiatric Conditions in Patients Undergoing Physical Rehabilitation." Perceptual and Motor Skills 83, no. 2 (October 1996): 403–8. http://dx.doi.org/10.2466/pms.1996.83.2.403.
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This study examined the relationship between psychiatric conditions and narcissism in 78 patients with physical rehabilitation for illnesses such as cerebrovascular disease. The frequency of psychiatric disorders (Major Depression and Adjustment Disorder) was significantly higher for the patient group than for the healthy control group. The patients had significantly higher scores on measures of psychiatric symptoms including depression and lower scores on a narcissistic factor (Self-sufficiency) than the controls. In the patient group, the Self-sufficiency scores were significantly and positively correlated with Vigor scores In the patient and control groups, although the correlation coefficient was not high and no significant difference was noted, the Self-sufficiency scores were negatively correlated with the Depression scores. These findings suggest that, in patients undergoing physical rehabilitation, poor Self-sufficiency is related to a decrease in vigor as a depressive symptom, perhaps due to the loss of physical functioning.
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Efimova, M. Yu, N. E. Ivanova, V. E. Olyushin, A. E. Tereshin, A. O. Makarov, and M. V. Karyagina. "STRUCTURE OF COGNITIVE DISORDERS IN NEUROONCOLOGICAL PATIENTS IN THE II STAGE OF REHABILITATION." International Journal of Applied and Fundamental Research (Международный журнал прикладных и фундаментальных исследований) 1, no. 10 2017 (2017): 36–40. http://dx.doi.org/10.17513/mjpfi.11854.
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