cognitive rehabilitation
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Indications
- mild cognitive impairment[1][2]
- cognitive rehabilitation has not been shown to delay progression of MCI to dementia (GRS12)[4]
- 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
- ↑ 1.0 1.1 1.2 Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
- ↑ 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://pubmed.ncbi.nlm.nih.gov/19332424
- ↑ 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://pubmed.ncbi.nlm.nih.gov/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://pubmed.ncbi.nlm.nih.gov/23740535 - ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
Geriatric Review Syllabus (GRS12) Colburn JL, Westcott AM, Potter JF (eds) American Geriatrics Society. 2025 - ↑ 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://pubmed.ncbi.nlm.nih.gov/37389428 PMCID: PMC10310315 (available on 2024-06-29)