A Pilot Study of Applicability of a New Program for Cognitive Rehabilitation in Persons with Multiple Sclerosis
Authors:
K. Novotná 1,2; M. Janatová 3; L. Kadrnožková 1; M. Holeňová 1; J. Motýl 1; D. Horáková 1; E. Kubala Havrdová 1
Authors‘ workplace:
Neurologická klinika a Centrum klinických neurověd 1. LF UK a VFN, Praha
1; MS rehab z. s.
2; Společné pracoviště biomedicínského inženýrství FBMI ČVUT a 1. LF UK, Praha
3
Published in:
Rehabil. fyz. Lék., 25, 2018, No. 3, pp. 131-136.
Category:
Original Papers
Overview
Background:
Cognitive deficit is common symptom of multiple sclerosis (MS) and can be present up to 70% of people with MS. Therefore cognitive rehabilitation is very important. Aim of our pilot study was to assess feasibility of cognitive rehabilitation using new rehabilitation tool developed Joint Department of Biomedical Engineering, Faculty of Biomedical Engineering of Czech Technical University and First Faculty of Medicine Charles University, Prague, Czech Republic.
Methods:
Participants with MS and subjective perceived cognitive deficit performed 6 weeks of cognitive rehabilitation training, each training sessions lasting 30 minutes supervised by occupational therapist.
Results:
Four people with MS (3 females, age 28-52 years, EDSS 5-6,5, duration of education 12-15 years). They underwent cognitive assessment from neuropsychologist before and after 6 weeks of cognitive training. All participants perceived cognitive training with this new application easy to perform and were interested in further rehabilitation training.
Conclusion:
Cognitive rehabilitation with our new tool is feasible and good accepted among people with MS. Next step will be adaptation of this cognitive rehabilitation tool according to participant´s feedback. Then is planned study with larger sample.
Keywords:
multiple sclerosis, cognitive rehabilitation, cognitive function
Sources
1. AMATO, M. P. et al. Computer-assisted rehabilitation of attention in patients with multiple sclerosis: results of a randomized, double-blind trial. Multiple Sclerosis Journal, 20, 2014, 1, s. 91-98.
2. AMATO, M. P. et al. Quality of life in multiple sclerosis: the impact of depression, fatigue and disability. Multiple Sclerosis Journal, 7, 2001, 5, s. 340-344.
3. AMATO, M. P., ZIPOLI, V., PORTACCIO, E.: Multiple sclerosis-related cognitive changes: a review of cross-sectional and longitudinal studies. Journal of the Neurological Sciences, 245, 2006, 1, s. 41-46.
4. BENEDICT, R. H. B. et al.: Validity of the minimal assessment of cognitive function 12, 2006, 4, s. 549-558.
5. DAS NAIR, R., MARTIN, M. J., LINCOLN, N. B.: Memory rehabilitation for people with multiple sclerosis. Cochrane Database Syst. Rew., 3: Cd008754.
6. DUSANKOVA, J. B. et al.: Cross cultural validation of the minimal assessment of cognitive function in multiple sclerosis (MACFIMS) and the brief international cognitive assessment for multiple sclerosis (BICAMS). The Clinical Neuropsychologist, 26, 2012, 7, s. 1186-1200.
7. HANSSEN, K. T. et al.: Cognitive rehabilitation in multiple sclerosis: a randomized controlled trial. Acta Neurologica Scandinavica, 133, 2016, 1, s. 30-40.
8. CHARVET, L. E. et al.: Remotely-delivered cognitive remediation in multiple sclerosis (MS): protocol and results from a pilot study. Multiple Sclerosis Journal–Experimental, Translational and Clinical, 2015, 1, 2055217315609629.
9. CHARVET, L. E. et al.: Correction: Cognitive function in multiple sclerosis improves with telerehabilitation: Results from a randomized controlled trial. PloS one, 13, 2018, 1, e0192317.
10. CHIARAVALLOTI, N. D.; GENOVA, H. M.; DELUCA, J.: Cognitive rehabilitation in multiple sclerosis: the role of plasticity. Frontiers in Neurology, 6, 2015, s. 67.
11. JONGEN, P. J. et al.: Relationship between working hours and power of attention, memory, fatigue, depression and self-efficacy one year after diagnosis of clinically isolated syndrome and relapsing remitting multiple sclerosis. PloS one, 9, 2014, 5, e96444.
12. LANGDON, D. W. et al.: Recommendations for a brief international cognitive assessment for multiple sclerosis (BICAMS). Multiple Sclerosis Journal, 18, 2012, 6, s. 891-898.
13. LINCOLN, N. B. et al.: Cognitive rehabilitation for attention and memory in people with multiple sclerosis: study protocol for a randomised controlled trial (CRAMMS). Trials, 16, 2015, 1, s. 556.
14. MATTIOLI, F. et al. Two years follow up of domain specific cognitive training in relapsing remitting multiple sclerosis: a randomized clinical trial. Frontiers in Behavioral Neuroscience, 10, 2016, s. 28.
15. MILLS, R. J., YAP, L., YOUNG, C. A.: Treatment for ataxia in multiple sclerosis. The Cochrane Library, 2007.
16. MITOLO, M. et al.: Cognitive rehabilitation in multiple sclerosis: A systematic review. Journal of the Neurological Sciences, 354, 2015, 1, s. 1-9.
17. PEDULLÀ, L. et al.: Adaptive vs. non-adaptive cognitive training by means of a personalized App: a randomized trial in people with multiple sclerosis. Journal of Neuroengineering and Rehabilitation, 13, 2016, 1, s. 88.
18. PROSPERINI, L. et al.: Functional and structural brain plasticity enhanced by motor and cognitive rehabilitation in multiple sclerosis. Neural plasticity, 2015, 2015.
19. RAO, S. M. et al.: Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology, 41, 1991, 5, s. 685-691.
20. ROSTI-OTAJÄRVI, E. M.; HÄMÄLÄINEN, P. I.: Neuropsychological rehabilitation for multiple sclerosis. The Cochrane Library, 2014.
21. SIMMONS, R. D., TRIBE, K. L., MCDONALD, E. A.: Living with multiple sclerosis: longitudinal changes in employment and the importance of symptom management. Journal of Neurology, 257, 2010, 6, s. 926-936.
22. SOLARI, A. et al.: Computer-aided retraining of memory and attention in people with multiple sclerosis: a randomized, double-blind controlled trial. Journal of the Neurological Sciences, 222, 2004, 1, s. 99-104.
23. STUIFBERGEN, A. et al.: Home-based computer-assisted cognitive training: Feasibility and perceptions of people with multiple sclerosis. International Journal of MS Care, 13, 2011, 4, s. 189-198.
24. SUMOWSKI, J. F., CHIARAVALLOTI, N., DELUCA, J.: Cognitive reserve protects against cognitive dysfunction in multiple sclerosis. Journal of Clinical and Experimental Neuropsychology, 31, 2009, 8, s. 913-926.
25. SUMOWSKI, J. F. et al.: Brain reserve and cognitive reserve protect against cognitive decline over 4.5 years in MS. Neurology, 82, 2014, 20, s. 1776-1783.
26. SUMOWSKI, J. F. et al.: Premorbid cognitive leisure independently contributes to cognitive reserve in multiple sclerosis. Neurology, 75, 2010, 16, s. 1428-1431.
27. VAN DER HIELE, K. et al.: A pilot study on factors involved with work participation in the early stages of multiple sclerosis. PloS one, 9, 2014, 8, e105673.
28. VOGT, A. et al.: Working memory training in patients with multiple sclerosis–comparison of two different training schedules. Restorative Neurology and Neuroscience, 27, 2009, 3, s. 225-235
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Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2018 Issue 3
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