cognitive rehabilitation
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Indications
- mild cognitive impairment[1][2]
- mild-moderate dementia[5] (review of 6 randomised controlled trials)
- a single trial shows promise in patients with mild-moderate Alzheimer's disease[3]
Contraindications
- cognitive rehabilitation after stroke does not delay progression of cognitive impairment[4]
- physical therapy more likely of benefit (history of falls, gait ataxia)
Clinical significance
- associated with domain-specific improvements in cognitive abilities[4]
- evidence of global cognitive improvement has been inconsistent (GRS11)[4]
- a history of falls & fear of falling makes physical therapy more likely of benefit than cognitive rehabilitation (GRS11)[4]
- assuming exercise is a component of physical therapy
Procedure
- a personalised approach to manage activities of daily living & maintain independence as much as possible[5]
- performed by neuropsychologists & occupational therapists
- uses external memory aids
- teaches patients organizational & attention skills[1][2]
More general terms
References
- ↑ Jump up to: 1.0 1.1 1.2 Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
- ↑ Jump up to: 2.0 2.1 2.2 Kinsella GJ, Mullaly E, Rand E et al Early intervention for mild cognitive impairment: a randomised controlled trial. J Neurol Neurosurg Psychiatry. 2009 Jul;80(7):730-6 PMID: https://www.ncbi.nlm.nih.gov/pubmed/19332424
- ↑ Jump up to: 3.0 3.1 Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for persons with mild to moderate dementia of the Alzheimer's or vascular type: a review. Alzheimers Res Ther. 2013 Aug 7;5(4):35. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23924584 Free PMC Article
Bahar-Fuchs A, Clare L, Woods B. Cognitive training and cognitive rehabilitation for mild to moderate Alzheimer's disease and vascular dementia. Cochrane Database Syst Rev. 2013 Jun 5;(6):CD003260. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23740535 - ↑ Jump up to: 4.0 4.1 4.2 4.3 4.4 4.5 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
- ↑ Jump up to: 5.0 5.1 5.2 Kudlicka A, Martyr A, Bahar-Fuchs A, et al. Cognitive rehabilitation for people with mild to moderate dementia. Cochrane Database Syst Rev. 2023 Jun 29;6(6):CD013388. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37389428 PMCID: PMC10310315 (available on 2024-06-29)