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Cognitive rehabilitation in dementia

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https://www.readbyqxmd.com/read/29754119/a-pilot-study-and-brief-overview-of-rehabilitation-via-virtual-environment-in-patients-suffering-from-dementia
#1
Th Fasilis, P Patrikelis, A Siatouni, A Alexoudi, A Veretzioti, L Zachou, S-St Gatzonis
Dementia is one of the increasing problems of modern societies. The immediate cure is not a possible solution, at least at the moment, but science has found a number of new ways to retard and under specific conditions to halt its development. A potential, and constantly evolving scientific field is the use of Computerized Cognitive Rehabilitation (CCR) and Virtual Environments (Vr.E). According to the existing literature, subjecting patients to various neuro-rehabilitative conditions within 3D virtual environments, allows them to obtain significant therapeutic benefits in which both transferability and durations over time are observed, in relation to the training period of the intervention...
January 2018: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29740553/development-and-validation-of-exercise-rehabilitation-program-for-cognitive-function-and-activity-of-daily-living-improvement-in-mild-dementia-elderly
#2
Mi-Ri Choi, Ji-Youn Kim, Eun-Surk Yi
We investigated the effect of exercise rehabilitation based on fine motor movement for the elderly with mild dementia. Using electroencephalogram (EEG), the change of brain wave of them based on fine motor movement and comparing the improvement level of cognitive ability and performance capability in daily living activity was recorded. The subjects were the elderly with mild dementia living in a sanatorium in Incheon city. Mini-Mental Status Examination, activity of daily living (ADL), and the influence on depression were examined...
April 2018: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29706921/patients-with-very-mild-dementia-may-confuse-objective-cognitive-impairments-with-subjective-physical-health-of-quality-of-life-the-tome-city-project-in-japan
#3
Mari Kasai, Kenichi Meguro
Many elderly people with cognitive dysfunction may observe a decrease in their health levels and quality of life (QOL). The basic concept of QOL consists of several categories including physical functions and mental health. The QOL domain that is most important for elderly people is physical health and, to a lesser extent, psychological health, social relationships, and/ or the environment. Our aim was to explore the relationships between the subjective measure of QOL, an abbreviated version of the World Health Organization Quality of Life (WHOQOL-BREF) scale, and the objective measure of impairment, Clinical Dementia Rating (CDR), among elderly people in a community...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29600743/what-types-of-recommendations-are-we-giving-patients-a-survey-of-clinical-neuropsychologists
#4
Molly Z Meth, John P K Bernstein, Matthew Calamia, Daniel Tranel
OBJECTIVE: To identify types of recommendations that neuropsychologists most frequently give to patients, and determine which specific recommendations are most and least consistently given to patients across and within different diagnostic populations. METHOD: A total of 309 clinical neuropsychologists completed a survey evaluating the frequency with which they made particular types of recommendations (e.g. driving, employment and education, health and rehabilitation referrals) to patients with various disorders (e...
March 30, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29589474/what-influences-decisions-about-ongoing-stroke-rehabilitation-for-patients-with-pre-existing-dementia-or-cognitive-impairment-a-qualitative-study
#5
Verity Longley, Sarah Peters, Caroline Swarbrick, Audrey Bowen
OBJECTIVE: To identify factors influencing clinicians decision-making about ongoing stroke rehabilitation for people with pre-existing dementia/cognitive impairment and the impact on clinical practice. DESIGN: Qualitative semi-structured interviews with stroke specialist healthcare professionals analysed using thematic analysis. SETTING: Acute stroke unit, inpatient stroke rehabilitation units, and community stroke services. PARTICIPANTS: Twenty three professionals from six multidisciplinary stroke teams involved in decision-making about stroke patients' rehabilitation potential and clinical pathways...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29554196/speech-language-pathologist-interventions-for-communication-in-moderate-severe-dementia-a-systematic-review
#6
Katina Swan, Marie Hopper, Rachel Wenke, Claire Jackson, Tracy Till, Erin Conway
Purpose: The purpose of this study is to evaluate the evidence for direct and indirect interventions for communication in people with moderate-severe dementia. Method: A systematic search of the literature was conducted, as per the Preferred Reporting Items for Systematic Reviews and Meta-Analysed guidelines, across 8 electronic databases. Studies were included if they included direct or indirect interventions, which could be administered by a speech-language pathologist to people with moderate-severe dementia (defined as having Mini-Mental State Examination of ≤ 15; Folstein, Folstein, & McHugh, 1975)...
March 19, 2018: American Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29552996/clinical-predictors-of-engagement-in-inpatient-rehabilitation-among-stroke-survivors-with-cognitive-deficits-an-exploratory-study
#7
Emily A Kringle, Lauren Terhorst, Meryl A Butters, Elizabeth R Skidmore
OBJECTIVES: The purpose of this exploratory study was to identify clinical predictors that could distinguish clients' level of engagement in inpatient rehabilitation following stroke. METHODS: This is a secondary analysis of pooled data from three randomized controlled trials that examined the effects of a behavioral intervention. The sample (n=208) consisted of clients with stroke who had cognitive deficits (Quick-EXIT≥3) and were admitted to inpatient rehabilitation facilities associated with a university medical center...
March 19, 2018: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/29550783/study-protocol-for-vitality-a-proof-of-concept-randomised-controlled-trial-of-exercise-training-or-complex-mental-and-social-activities-to-promote-cognition-in-adults-with-chronic-stroke
#8
John R Best, Janice J Eng, Jennifer C Davis, Robin Hsiung, Peter A Hall, Laura E Middleton, Peter Graf, Charles H Goldsmith, Teresa Liu-Ambrose
INTRODUCTION: Cerebrovascular disease-such as stroke-is the second most common cause of dementia (ie, vascular dementia). Specifically, a stroke increases one's risk for dementia by a factor of two. Thus, stroke survivors represent a target population in need of intervention strategies to promote cognitive function and prevent dementia. The current standard of care in stroke rehabilitation does not adequately address the significant cognitive consequences of stroke, especially for those who are in the chronic phase (ie, >12 months since an index stroke)...
March 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29468984/vad-an-integrated-framework-for-cognitive-rehabilitation
#9
Maria Balea, Dafin Muresanu, Anton Alvarez, Volker Homberg, Ovidiu Bajenaru, Alla Guekht, Wolf-Dieter Heiss, Livia Popa, Johannes Vester, Ioana Muresanu, Codruta Birle, Dana Slavoaca
BACKGROUND & OBJECTIVE: Vascular dementia is the second most common cause of dementia, with clinical features that depend on neural substrates affected by the vascular lesions. Like most neurological disorders, it involves alterations that range from the molecular level to neuronal networks. Such alterations begin as compensatory mechanisms that reshape every subsystem involved in the brain's homeostasis. Although there have been recent huge advances in understanding the pathophysiology of cognitive dysfunction, a suitable therapeutic approach to vascular dementia remains elusive...
April 26, 2018: CNS & Neurological Disorders Drug Targets
https://www.readbyqxmd.com/read/29439353/evaluating-peripersonal-space-through-the-functional-transcranial-doppler-are-we-paving-the-way-for-early-detecting-mild-cognitive-impairment-to-dementia-conversion
#10
Angela Marra, Antonino Naro, Antonino Chillura, Alessia Bramanti, Giuseppa Maresca, Rosaria De Luca, Alfredo Manuli, Placido Bramanti, Rocco Salvatore Calabrò
BACKGROUND: Identifying the patients with mild cognitive impairment (MCI) who may develop dementia (MDC) is challenging. The study of peripersonal space (PPS) by using functional transcranial Doppler (fTCD) could be used for this purpose. OBJECTIVE: To identify changes in cerebral blood flow (CBF) during motor tasks targeting PPS, which can predict MDC. METHODS: We evaluated the changes in CBF in 22 patients with MCI and 23 with dementia [Alzheimer's disease (AD) and vascular dementia (VaD)] during a motor task (passive mobilization, motor imagery, and movement observation) in which the hand of the subject moved forward and backward the face...
2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29436253/promoting-activity-independence-and-stability-in-early-dementia-and-mild-cognitive-impairment-praised-development-of-an-intervention-for-people-with-mild-cognitive-impairment-and-dementia
#11
Vicky Booth, Rowan H Harwood, Victoria Hood-Moore, Trevor Bramley, Jennie E Hancox, Kate Robertson, Judith Hall, Veronika Van Der Wardt, Pip A Logan
This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless, they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is an understanding of how to develop an intervention for people with mild cognitive impairment and dementia to promote their independence, stability, and physical activity. INTRODUCTION: Older adults with dementia are at a high risk of falls...
February 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29433545/the-effectiveness-of-ict-based-neurocognitive-and-psychosocial-rehabilitation-programmes-in-people-with-mild-dementia-and-mild-cognitive-impairment-using-gradior-and-ehcobutler-study-protocol-for-a-randomised-controlled-trial
#12
Martina Vanova, Eider Irazoki, J Antonio García-Casal, Fernando Martínez-Abad, Cristina Botella, Kate R Shiells, Manuel A Franco-Martín
BACKGROUND: Cognitive rehabilitation is a highly individualised, non-pharmacological intervention for people with mild cognitive impairment (MCI) and dementia, which in recent years has also been developed for various IT platforms. METHODS: In this study, we aim to evaluate the effectiveness of the cognitive rehabilitation software GRADIOR in a multi-centre, single-blinded randomised controlled trial with people with MCI and mild dementia. A total of 400 people with MCI and mild dementia will be randomly allocated to one of four groups...
February 12, 2018: Trials
https://www.readbyqxmd.com/read/29422453/telehealth-rehabilitation-for-cognitive-impairment-randomized-controlled-feasibility-trial
#13
Rachel L Burton, Megan E O'Connell
BACKGROUND: Nonpharmacological interventions are needed to support the function of older adults struggling with subjective cognitive impairment (SCI), mild cognitive impairment (MCI), and dementia due to Alzheimer disease (AD). Telerehabilitation aims to provide rehabilitation at a distance, but cognitive rehabilitation by videoconferencing has not been explored. OBJECTIVE: The objective of this study was to compare goal-oriented cognitive rehabilitation delivered in-person with videoconferencing to determine whether telehealth cognitive rehabilitation appears feasible...
February 8, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29394332/beyond-the-face-how-context-modulates-emotion-processing-in-frontotemporal-dementia-subtypes
#14
Fiona Kumfor, Agustin Ibañez, Rosalind Hutchings, Jessica L Hazelton, John R Hodges, Olivier Piguet
The importance of assessing social cognition to characterize dementia syndromes is increasingly recognized, with lower social cognition capacity associated with reduced functional independence and greater carer burden. Emotion recognition is impaired in both behavioural-variant frontotemporal dementia and semantic dementia, yet the social and behavioural changes observed in these syndromes in everyday situations varies. To date, most studies have investigated isolated, context-free stimuli indexing recognition of facial emotions only...
April 1, 2018: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29314218/goal-orientated-cognitive-rehabilitation-for-dementias-associated-with-parkinson-s-disease-a-pilot-randomised-controlled-trial
#15
John V Hindle, Tamlyn J Watermeyer, Julie Roberts, Andrew Brand, Zoe Hoare, Anthony Martyr, Linda Clare
OBJECTIVE: To examine the appropriateness and feasibility of cognitive rehabilitation for people with dementias associated with Parkinson's in a pilot randomised controlled study. METHODS: This was a single-blind pilot randomised controlled trial of goal-oriented cognitive rehabilitation for dementias associated with Parkinson's. After goal setting, participants were randomised to cognitive rehabilitation (n = 10), relaxation therapy (n = 10), or treatment-as-usual (n = 9)...
May 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29279726/hearing-aids-indications-technology-adaptation-and-quality-control
#16
REVIEW
Ulrich Hoppe, Gerhard Hesse
Hearing loss can be caused by a number of different pathological conditions. Some of them can be successfully treated, mainly by surgery, depending on the individual's disease process. However, the treatment of chronic sensorineural hearing loss with damaged cochlear structures usually needs hearing rehabilitation by means of technical amplification. During the last two decades tremendous improvements in hearing aid technology led to a higher quality of the hearing rehabilitation process. For example, due to sophisticated signal processing acoustic feedback could be reduced and hence open fitting options are available even for more subjects with higher degrees of hearing loss...
2017: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
https://www.readbyqxmd.com/read/29232279/association-of-chronic-obstructive-pulmonary-disease-with-mild-cognitive-impairment-and-dementia
#17
Krishna Kakkera, Kalpana P Padala, Maneetha Kodali, Prasad R Padala
PURPOSE OF REVIEW: As age expectancy increases, both dementia and chronic obstructive pulmonary disease (COPD) have become more prevalent. Dementia and COPD together, however, occur more commonly than would be predicted from the incidence of either alone, suggesting a link between these two common senescent diseases. The purpose of this article is to review the extant literature and report findings in a clinically meaningful manner. We will look at the level of evidence, the risk factors for co-occurrence of the two diseases and the differential effects upon cognitive domains in the population with dementia and COPD...
March 2018: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/29213519/language-and-communication-non-pharmacological-interventions-in-patients-with-alzheimer-s-disease-a-systematic-review-communication-intervention-in-alzheimer
#18
Aline Nunes da Cruz Morello, Tatiane Machado Lima, Lenisa Brandão
Alzheimer's disease considerably compromises communication skills. Language changes become more prominent as the disease progresses. Deterioration of language and cognition reduces the ability of holding conversations, which has a negative impact on social interaction. OBJECTIVE: To conduct a systematic review of the literature for articles reporting interventions focused on the language and communication of people with Alzheimer's disease (AD) without use of medication. METHODS: We performed a search using the keywords Alzheimer's disease, language, communication, cognition, cognitive intervention, rehabilitation and therapy, and their corresponding Portuguese and Spanish terms, on the SciELO, LILACS, PubMed and PsychINFO databases...
July 2017: Dementia & Neuropsychologia
https://www.readbyqxmd.com/read/29190312/cognitive-and-neuropsychiatric-correlates-of-functional-impairment-across-the-continuum-of-no-cognitive-impairment-to-dementia
#19
Rachel L Burton, Megan E O'Connell, Debra G Morgan
Objective: The ability to carry out instrumental activities (IADL) of daily living allows older adults to continue to live independently. Previous research suggested IADL were supported by multiple cognitive and neuropsychiatric factors. The primary goal of this study was to investigate whether immediate memory, executive functions, depression, and apathy, predicted unique variance in IADL over and above demographic variables (age and education) and general cognitive screening (Mini-Mental State Exam)...
November 28, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/29189083/effectiveness-of-physiotherapy-in-elderly-patients-with-dementia-a-prospective-comparative-analysis
#20
Joanna Kowalska, Justyna Mazurek, Natalia Kubasik, Joanna Rymaszewska
BACKGROUND: The aim of this study was to assess the efficacy of physiotherapy in nursing home patients with comorbid dementia. MATERIALS AND METHODS: The study group consisted of 88 patients, including 48 people with dementia and 40 people without dementia. Before and after physiotherapy, the Mini Mental State Examination and Barthel Index were used. RESULTS: Elderly patients without dementia achieved a greater improvement in functional status...
November 30, 2017: Disability and Rehabilitation
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