Psychosocial interventions cover areas in the personal . Learning from our Successes and Failures: Reflections and To date, REHACOP has been implemented on different clinical samples such as patients with schizophrenia, multiple sclerosis (MS), and Parkinson's disease (PD). Cognitive training that titrated to child's performance level improved reasoning. Hildebrandt H., Lanz M., Hahn H. K., et al. methodology. By Harold L. Burke, Ph.D. Neuropsychological rehabilitation, cognitive rehabilitation (cognitive retraining) for brain injury Neuropsychological rehabilitation is a treatment modality employed by a neuropsychologist to assist patients who have sustained cognitive, emotional, and behavioral . Migliore S., Ghazaryan A., Simonelli I., et al. This approach highlights the importance of implementing bottom-up approaches in neuropsychological rehabilitation programs in order to have an impact on the basic cognitive processes that have been altered and that could be affecting higher-order functions [19, 20]. Accessibility target theme, the full Systematic Review entitled Cognitive Rehabilitation Corbeil RR, Quayhagen MP, Quayhagen M. Interventions effects on dementia caregiving interaction: a In addition, changes in clinical symptoms after REHACOP [21, 22] were accompanied by small effect sizes at posttreatment as it has been also described in two recent meta-analyses [57, 58] even when both the experimental and the control groups were equivalent in terms of symptomatology. The terms cognitive rehabilitation, and the equivalent, neuropsychological rehabilitation, were first introduced to differentiate this approach from rehabilitation for physical disabilities. Changes in resting-state brain networks were also found when comparing baseline and follow-up (18 months), with increased activation in frontotemporal networks at follow-up (15 patients in the experimental group and no control group) [17]. The first step of this study was to A prtica baseada em evidncias: Interventions include individual- and group cognitive rehabilitation, psychotherapy, and psychoeducation. Roosendaal S., Geurts J., Vrenken H., et al. on the subject (Opie et al., 1999; Clare et al., 2001; Koltai et al., 2001; Farina Rehabilitation, an approach which encompasses a combination of psychotherapy, the Fett A.-K. J., Viechtbauer W., Dominguez M.-d.-G., Penn D. L., van Os J., Krabbendam L. The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Clare L, Wilson BA, Carter G, Hodges JR. Cognitive rehabilitation as a component of early intervention in Rosenthal, M., Griffith, E. R., Kreutzer, J. S., & Pentland, B. Foram encontrados 37 2002). (Galvo C.M., Sawada N.O., Mendes I.A.C., 2003). Meaningful treatment outcomes in Alzheimer's The results All issues Special issues . A neuropsychological evaluation measures how well a person's brain is working. Cognitive rehabilitation can yield greater Literature Review level with 16% (N=6), Randomized clinical trials with 27% (N=10), Studies published during this period included: Furthermore, in a more specific study focused on the mechanisms through which REHACOP improved functional outcomes in patients with schizophrenia, functional improvements were found to be mediated by changes in cognition [35]. Be". Bottino C, Carvalho I, Alvarez, et al. In L. H. Goldstein & J. E. McNeil (Eds. National Library of Medicine This overall structure facilitates adherence to the underlying principles, which is in the best interest of efficacy and scientific replication. Neuropsychological rehabilitation is a theoretical framework of interventions designed to improve cognitive, emotional, and psychosocial functioning due to changes in the brain. national and international scientific articles available in the health area, and for Onder G, Zanetti O, Giacobini E, et al. (2001). The Boolean Logic Operators OR union or addition function, and AND for Neuropsychological Evaluations in Adults | AAFP Alzheimer's disease and vascular dementia (Cochrane Review). Due to the lack of a social cognition module at the time that the two other schizophrenia studies were performed [22, 23], these did not include social cognition training, whereas the rest of the timetable remained the same. The movement disorder society evidence-based medicine review update: treatments for the non-motor symptoms of Parkinsons disease. benefits in rehabilitating patients when associated with other forms of Prakash R. S., Snook E. M., Lewis J. M., Motl R. W., Kramer A. F. Cognitive impairments in relapsing-remitting multiple sclerosis: a meta-analysis. Cognitive alterations in patients with this pathology include deficits in attention, executive functioning, long-term visual and verbal memory, and visuoconstructive abilities, as well as global cognition [3638]. 2Nurse, Associate Professor of the Department of Nursing Heinrichs R. W., Zakzanis K. K. Neurocognitive deficit in schizophrenia: a quantitative review of the evidence. An RCT to treat learning impairment in multiple sclerosis: the MEMREHAB trial. New York: Oxford University Press. The fact that this program combines the training of cognitive tasks and cognitive strategy training maximizes its impact on participants' benefits. Effect sizes of these improvements have ranged from medium to high depending on the assessed domain with verbal memory and overall cognition showing the largest effects (d = .88 and p2 = .14, respectively) [21, 22]. Cicerone, K. D., Dahlberg, C., Maleex, J., Langenbahn, D., Felicetti, T., et al. Ortuo F., Ojeda N., Arbizu J., et al. Imaging resting state brain function in multiple sclerosis. Galvo CM, Sawada NO, Rossi LA. Moreover, to our knowledge, REHACOP was the first neuropsychological rehabilitation program that showed significant improvements in both social cognition and functional outcomes of PD patients [15], highlighting the presence of transfer effects in case of functional outcome changes, since this domain was not directly trained. East, 100 E. Lancaster Ave., Wynnewood, PA, 19096, USA, 2011 Springer Science+Business Media, LLC, Yi, A., Belkonen, S. (2011). The Principles of neuropsychological rehabilitation. Reichenberg A., Caspi A., Harrington H., et al. the contents by NLM or the National Institutes of Health. Dez-Cirarda M., Ojeda N., Pea J., et al. rehabilitation (Prigatano, 1997; vila and Miotto, 2002). Apart from cognitive and functional alterations, PD patients also show brain disturbances at different levels. no incio desta dcada. Regarding social cognition improvements, both meta-analyses described very similar medium to high effect sizes in overall social cognition changes after intervention. reference studies retrieved by the Systematic Review, 18 were articles found on the Virtual Health Library (http://www.bireme.br/php/index.php) at the DeCS link Health Frontiers | A neurobehavioral therapy approach to the rehabilitation Interventions include individual- and group cognitive rehabilitation, psychotherapy, and psychoeducation. Even at that time (1940s), cognitive rehabilitation was described from an integral approach, involving not only the affected cognitive domain per se but also patients' social, functional, and family areas [2]. Wilson B. An official website of the United States government. therapy programme for people with dementia, Effects of cognitive-communication stimulation for Springer, New York, NY. patient and family to be improved since this practice has a direct bearing on studies at the Research in Animals level was found. The results demonstrated an increase in scientific output from 2001 on with Alzheimer's disease and cerebrovascular disease, A rehabilitation program for mild memory Alzheimer's disease patients treated with donepezil, Benefits of cognitive-motor intervention in MCI and More in-depth studies are warranted to build on the contributions made by these Mahendra N, Arkin S. Effects of four years of exercise, language, and social This is a preview of subscription content, access via your institution. impairments. Cutajar R., Ferriani E., Scandellari C., et al. Federal government websites often end in .gov or .mil. The principles of the systematic review of the Cochrane Center of Brazil were used, The largest effect sizes were found for changes in visual memory (d = .81), theory of mind (d = .83), and functional disability (d = 1.02), proving the existence of transfer effects to nontrained domains in this pathology. Neurocognitive improvements obtained by means of the REHACOP program in patients with schizophrenia were similar to those described in two of the most recent meta-analyses of neuropsychological rehabilitation in this pathology [57, 58]. One of the aspects highlighted by reviews of neuropsychological rehabilitation and MS is the need to test the efficacy of the interventions, not only in generating cognitive changes but also on promoting brain changes [60, 61]. dementia: Experimental and clinical evidence. The parent study was a randomized controlled trial (RCT) entitled "Neuropsychological Benefits of Computerized Cognitive Rehabilitation Training in Ugandan Children Surviving Severe Malaria: A Randomized Controlled Trial" (Boivin et al., 2018). published early this decade. pressupostos da reviso sistemtica do Centro Cochrane do Brasil. Uitgeverij Boom. Leroi I., McDonald K., Pantula H., Harbishettar V. Cognitive impairment in Parkinson disease: impact on quality of life, disability, and caregiver burden. Brain abnormalities in MS are present beyond the well-known white matter lesions that characterize the disease. This points to the necessity of implementing modules related to social functioning (social skills, activities of daily living, and psychoeducation), at least in MS patients. Zangwill O. L. Psychological aspects of rehabilitation in cases of brain injury. A pilot study of the neuropsychological benefits of policies on care in demented elderly based on more explicit and qualified scientific The largest effect sizes were found for changes in theory of mind (r = .85) and executive functions (r = .86). which was a Case Study. Most cognitive training benefits dissipated at one-year follow-up post training. elderly and elderly aged 80 years or older. reabilitao. The site is secure. Processing speed is also particularly impaired in patients with MS, affecting performance across all other cognitive domains [36]. literature. Specifically, patients receiving a 3-month REHACOP group intervention (21 patients) showed improvements in processing speed, working memory, verbal memory, and executive functions when compared with a passive control group (21 patients), which received no neuropsychological intervention [14]. Cognitive training and cognitive rehabilitation for persons with mild Third, although the REHACOP has been already translated into Portuguese, and it is currently being translated into English, Polish, and Greek, no studies have been carried out in order to assess its efficacy in other countries or languages. Rehabilitation (neuropsychology) - Wikipedia Creative Commons Attribution License, which permits unrestricted use, intervention in Alzheimer's disease: a single case study, Meaningful treatment outcomes in Alzheimer's When top-down meets bottom-up: auditory training enhances verbal memory in schizophrenia. The inclusion of psychoeducation and clinical symptom intervention would drive beneficial changes for patients to a greater extent than interventions focused merely on cognitive aspects. Careers, Unable to load your collection due to an error. Novas perspectivas no tratamento da doena de Only one study for Specialist Neuropsychological Rehabilitation | SpringerLink and Level 8, Opinion of respected authorities/specialists (Higgins JPT, Green S., A. In a bid to find elements which can contribute to the implementation of public the contents by NLM or the National Institutes of Health. Regarding anatomical alterations, both gray and white matter volume reductions are described in these patients [27], along with abnormalities in white matter integrity [34]. one Randomized Clinical Trial (1999), one Case Control study (1996), three Case The inclusion criteria of articles comprised: publications between January 1985 Filippi M., Riccitelli G., Mattioli F., et al. A., Gracey, F., Evans, J. J., & Bateman, A. These data bases were chosen for their wide scope of Wilson, B. methodology. qualified and scientifically-based care and intervention. Gil P, Ayuso JLD, Marey JM, Antn M, Quilo CG. Neuropsychological rehabilitation. These indices are in line with those obtained after REHACOP's implementation in patients with schizophrenia, except for theory of mind changes, which showed larger effect sizes than the rest of the social cognition domains [21]. Studies have related the abnormalities mentioned to cognitive performance and symptoms in these patients, highlighting their role in any rehabilitation process. Wilson BA. consideraes tericas para sua These studies have reinforced the efficacy of the REHACOP program, not only in the short term but also in the long term at 18-month follow-up, supporting the idea that REHACOP's benefits can be maintained even after the end of the program. Given that processing speed is a cross-cutting domain, its training takes place along with the first four modules, since a lot of the tasks can be optionally timed. Dez-Cirarda M., Ojeda N., Pea J., et al. Prigatano, G. P. (1999). In addition, one of the schizophrenia studies [22] included social skills, activities of daily living, and psychoeducation modules. To our knowledge, only one study besides the REHACOP study has assessed the efficacy of cognitive rehabilitation in a group format in MS patients [63]. Spector A, Thorgrimsen L, Woods B, et al. A rehabilitation program for mild memory Fatouros-Bergman H., Cervenka S., Flyckt L., Edman G., Farde L. Meta-analysis of cognitive performance in drug-nave patients with schizophrenia. Brain injury rehabilitation is focused on increasing independence and facilitating adjustment. years. Are evidence-based practice and best practice the Second, effects of medication on observed improvements should be further assessed, since it has been stated that medications can affect cognition in these pathologies [7276]. The results indicate a trend toward more frequent studies from 2001 All of the discussed findings postulate that REHACOP might be an effective integrative neuropsychological rehabilitation program, useful in both psychiatric and neurological patients. is to empower patients and their family members to live together, and to cope with, publicaes mais recentes. de publicao e rigor metodolgico. Wilson B. The increased prevalence of dementias has driven the need for further research in identify the Systematic Reviews conducted by the Cochrane Center of Brazil. articles was observed in 2002 (19%) followed by 2001 (n=6 or 16%), 2004 and 2008, The data obtained revealed that few studies on cognitive rehabilitation were Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The https:// ensures that you are connecting to the studies with the greatest number of quantitative findings were as follows: the New York: The Guilford Press. In addition, no articles for the Research in Animals level The principles of systematic review by the Brazilian Cochrane Center the articles. The Case study articles represented 11% of the sample found (N=4), as shown in Table 3 and Figure 2. sharing sensitive information, make sure youre on a federal The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested . moderate Alzheimer disease. Patients with schizophrenia receiving REHACOP intervention have shown neurocognitive improvement in processing speed, verbal memory, verbal fluency, working memory, and executive functions [22, 23], as well as in global neurocognition scores [21]. Silverstein S. M., Wilkniss S. M. At issue: the future of cognitive rehabilitation of schizophrenia. Alzheimers consensual statement from British Association for Penads R., Gonzlez-Rodrguez A., Cataln R., Segura B., Bernardo M., Junqu C. Neuroimaging studies of cognitive remediation in schizophrenia: a systematic and critical review. From the late 1990s and in the early 21st century, neuropsychological rehabilitation was also implemented in psychiatric patients in an attempt to address those cognitive impairments that could not be treated by either typical or atypical antipsychotics [810]. Reabilitao cognitiva em pacientes com showed a growing number of publications from 2001 onwards, with majority being The site is secure. Benefits of Neuropsychological Assessment . Moreover, transfer effects generated by the REHACOP in some of the samples merit further discussion. Enciu A. M., Nicolescu M. I., Manole C. G., Mureanu D. F., Popescu L. M., Popescu B. O. Neuroregeneration in neurodegenerative disorders. early-stage Alzheimer's disease and vascular dementia, Behavioural difficulties and cued recall of adaptive Influence of anosognosia on treatment outcome among dementia Fellows are eligible for full benefits, including personal and family health, dental insurance, and vision insurance, as well as life insurance, AD&D insurance, and long-term . A summary of the implementation's characteristics and main results is described in Table 1. Evidencias de eficacia de la rehabilitacin cognitiva en psicosis y esquizofrenia con el programa REHACOP. Specifically, functional outcome changes were mediated by processing speed and verbal memory improvements, but not by improvements in social cognition and negative symptoms [35]. management of mild to moderate dementia, Intervention effects on dementia caregiving Boake C. Stages in the history of neuropsychological rehabilitation. Variability in the diagnosis and management of patients with These alterations are present both at the beginning of the disease [26] and at the chronic period [25]. Annual Review of Clinical Psychology, 4, 141162. execution of each step in assisting to care for AD patients implies evidence-based pharmacologic treatment, interventions involving family members and environmental Sitzer DI, Twamley EW, Jeste DV. 1Student in Nursing of the Federal University of study, Case-controlled study, Case series studies, Case-study, Research in properly cited. publicaes sobre reabilitao cognitiva, sendo uma Before Both the modules and the tasks included in them are arranged based on an increasing level of difficulty, until it becomes possible for participants to use the skills they have been trained in their real daily life. them separate categories. Nevertheless, some of those and other terms are usually indistinctly used in the literature, along with other concepts such as cognitive remediation. Specifically, the presence of cognitive deficits is related not only to lower performance in daily living and functioning activities but also to reduced social and vocational activities in these patients [36, 4042]. Neurocognition and social cognition deficits have been found to be strongly related to functional alterations in patients with schizophrenia, especially in the case of social cognition [33]. del Pozo N. O., Lasa J. P., Norea E. B., et al. The United Nations Convention on the Rights of Persons with Disabilities outlines the right of people with disability to be able to attain and maintain maximum independence, with the assistance of comprehensive rehabilitation services (Article 26(1)) []. (FAPESP). so necessrias. PD patients have primarily shown deficits in working and verbal memory, visuospatial abilities, and executive functioning [28, 4648], as well as in global cognition, in which patients have been found to have lower performance levels when compared to healthy controls [49]. Alzheimer. Some of the conditions that may benefit from neurological rehab may include: Vascular disorders, such as ischemic strokes (caused by blood clots), hemorrhagic strokes (caused by bleeding in the brain), subdural hematoma, and transient ischemic attacks (TIAs) Infections, such as meningitis, encephalitis, polio, and brain abscesses Pea J., Ibarretxe-Bilbao N., Snchez P., et al. dementia patients, Efficacy of an evidence-based cognitive stimulation type: a single case study, Neuropsychological rehabilitaion results in patients special care unit. Imagery mnemonic training in a patient with primary degenerative In addition, cognitive decline has been found to be directly linked to lower quality of life (QoL) indices in MS [36]. Comparison of individual, group and combined intervention formats in a randomized controlled trial for facilitating goal attainment and improving psychosocial function following acquired brain injury. Department of Methods and Experimental Psychology, Faculty of Psychology and Education, University of Deusto, Avenida de las Universidades, 24, 48007 Bilbao, Biscay, Spain. both with four studies (11% each). dementia. onward. Medline data base (19972008) and three were found on the LILACS data base. Different studies have supported REHACOP's efficacy in improving not only patients' neurocognition [2123] but also their social cognition [21], clinical symptoms [21, 22], and functionality [21, 22]. As stated by Wilson [11], neuropsychological rehabilitation has been defined differently over the years, according to the changes and advances in the neuropsychology field. evidence-based practices across all fields of health research, so as to ensure more HHS Vulnerability Disclosure, Help dementia. Functional brain alterations have also been described both during performance of a task and at resting state [27]. Opie J, Rosewarne R, O'Connor DW. (2005). Hogan DB, Bailey P, Black S, et al. levels of evidence, both in the context of data and information acquired from Cognitive impairment has been well described in patients with psychosis and schizophrenia. disease: the Osaki-Tajiri Project. Their performance has been found to be at least 1 or 1.5 standard deviations below the mean when compared to healthy controls across most of the cognitive domains [24]. Overall, the magnitude of improvements obtained by means of REHACOP ranged from medium to high across samples. Sustained attention in a counting task: normal performance and functional neuroanatomy. Cognitive rehabilitation involves identifying and Alzheimer's disease patients: a controlled study, Memory training improves cognitive ability in patients Health and Aging Research Group CNPq. Miller D. H., Thompson A. J., Filippi M. Magnetic resonance studies of abnormalities in the normal appearing white matter and grey matter in multiple sclerosis. As a library, NLM provides access to scientific literature. A. Cognitive rehabilitation in the 21st century. Dez-Cirarda M., Ojeda N., Pea J., et al. FOIA Long-term effects of the neuropsychological rehabilitation have not been widely tested in PD, but the scarce literature available suggests that cognitive changes following intervention are maintained over time [17]. Focusing on specific results, one review highlighted improvements in memory span and working memory, with medium effect sizes after neuropsychological rehabilitation [60]. (1999). 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