RehaCom rehabilitation training improves a wide-range of cognitive functions in multiple sclerosis patients

被引:22
作者
Davarani, Mahsa Naeeni [1 ]
Darestani, Ali Arian [1 ]
Hassani-Abharian, Peyman [2 ,3 ]
Vaseghi, Salar [3 ,4 ]
Zarrindast, Mohammad-Reza [3 ,5 ,6 ]
Nasehi, Mohammad [4 ]
机构
[1] Islamic Azad Univ, Fac Med, Dept Psychol, Tehran Med Sci, Tehran, Iran
[2] Brain & Cognit Clin, Dept Rehabil, Tehran, Iran
[3] ICSS, Tehran, Iran
[4] Islamic Azad Univ, Amir Almomenin Hosp, Tehran Med Sci, CNRC, POB 13145-784, Tehran, Iran
[5] Univ Tehran Med Sci, Dept Pharmacol, Sch Med, Tehran, Iran
[6] Univ Tehran Med Sci, Endocrinol & Metab Res Inst, Dept Neuroendocrinol, Tehran, Iran
关键词
Attention; executive functions; multiple sclerosis (MS); working memory; RehaCom; ADRENAL AXIS ACTIVITY; IMPAIRMENT; DYSFUNCTION; IMPACT; DISABILITY; BURDEN; VOLUME;
D O I
10.1080/23279095.2020.1747070
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Multiple sclerosis (MS) is a chronic neurodegenerative disease that impairs cognitive performance. Attention, response control, working memory, and processing speed are highly impaired in MS. On the other hand, RehaCom is a computerized software that improves cognitive dysfunctions. In this study, we aimed to investigate the effect of RehaCom on attention, response control, processing speed, working memory, visuospatial skills, and verbal/non-verbal executive functions in MS patients. Sixty patients were selected randomly and divided into control (n = 30) and experimental (n = 30) groups. Integrated Auditory Visual-2 (IVA-2), Paced Auditory Serial Addition Test (PASAT), Symbol Digit Modalities Test (SDMT), Judgment of Line Orientation (JLO) and The Delis-Kaplan Executive Function System (DKEFS) were used to assess cognitive functions. Patients in the experimental group were treated by RehaCom for 5 weeks (two 60-min sessions per week). Cognitive performance of all patients in both groups was assessed at weeks 5 and 10 (post-test and follow-up stages, respectively). The results showed that RehaCom treatment improved all studied cognitive functions at the post-test stage. This effect also remained at the follow-up stage for some cognitive functions. In conclusion, treatment with RehaCom may have significant therapeutic effects on cognitive dysfunctions in MS patients.
引用
收藏
页码:262 / 272
页数:11
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[1]   Cognitive dysfunction in early-onset multiple sclerosis - A reappraisal after 10 years [J].
Amato, MP ;
Ponziani, G ;
Siracusa, G ;
Sorbi, S .
ARCHIVES OF NEUROLOGY, 2001, 58 (10) :1602-1606
[2]   Computer-aided cognitive rehabilitation improves cognitive performances and induces brain functional connectivity changes in relapsing remitting multiple sclerosis patients: an exploratory study [J].
Bonavita, S. ;
Sacco, R. ;
Della Corte, M. ;
Esposito, S. ;
Sparaco, M. ;
d'Ambrosio, A. ;
Docimo, R. ;
Bisecco, A. ;
Lavorgna, L. ;
Corbo, D. ;
Cirillo, S. ;
Gallo, A. ;
Esposito, F. ;
Tedeschi, G. .
JOURNAL OF NEUROLOGY, 2015, 262 (01) :91-100
[3]   Prefrontal cortical involvement in verbal encoding strategies [J].
Bor, D ;
Cumming, N ;
Scott, CEL ;
Owen, AM .
EUROPEAN JOURNAL OF NEUROSCIENCE, 2004, 19 (12) :3365-3370
[4]   The Multiple Sclerosis Functional Composite and Symbol Digit Modalities Test as outcome measures in pediatric multiple sclerosis [J].
Brenton, J. Nicholas ;
Koshiya, Hitoshi ;
Woolbright, Emma ;
Goldman, Myla D. .
MULTIPLE SCLEROSIS JOURNAL-EXPERIMENTAL TRANSLATIONAL AND CLINICAL, 2019, 5 (02)
[5]   Cognitive Impairment in Multiple Sclerosis With Regards to Disease Duration and Clinical Phenotypes [J].
Brochet, Bruno ;
Ruet, Aurelie .
FRONTIERS IN NEUROLOGY, 2019, 10
[6]   Cortical lesion load associates with progression of disability in multiple sclerosis [J].
Calabrese, Massimiliano ;
Poretto, Valentina ;
Favaretto, Alice ;
Alessio, Sara ;
Bernardi, Valentina ;
Romualdi, Chiara ;
Rinaldi, Francesca ;
Perini, Paola ;
Gallo, Paolo .
BRAIN, 2012, 135 :2952-2961
[7]   A Randomised Controlled Trial of Efficacy of Cognitive Rehabilitation in Multiple Sclerosis: A Cognitive, Behavioural, and MRI Study [J].
Campbell, J. ;
Langdon, D. ;
Cercignani, M. ;
Rashid, W. .
NEURAL PLASTICITY, 2016, 2016
[8]   Cognitive rehabilitation in multiple sclerosis: the role of plasticity [J].
Chiaravalloti, Nancy D. ;
Genove, Helen M. ;
DeLuca, John .
FRONTIERS IN NEUROLOGY, 2015, 6
[9]   Pathogenesis of multiple sclerosis: insights from molecular and metabolic imaging [J].
Ciccarelli, Olga ;
Barkhof, Frederik ;
Bodini, Benedetta ;
De Stefano, Nicola ;
Golay, Xavier ;
Nicolay, Klaas ;
Pelletier, Daniel ;
Pouwels, Petra J. W. ;
Smith, Seth A. ;
Wheeler-Kingshott, Claudia A. M. ;
Stankoff, Bruno ;
Yousry, Tarek ;
Miller, David H. .
LANCET NEUROLOGY, 2014, 13 (08) :807-822
[10]   Multi-parametric structural magnetic resonance imaging in relation to cognitive dysfunction in long-standing multiple sclerosis [J].
Daams, Marita ;
Steenwijk, Martijn D. ;
Schoonheim, Menno M. ;
Wattjes, Mike P. ;
Balk, Lisanne J. ;
Tewarie, Prejaas K. ;
Killestein, Joep ;
Uitdehaag, Bernard M. J. ;
Geurts, Jeroen J. G. ;
Barkhof, Frederik .
MULTIPLE SCLEROSIS JOURNAL, 2016, 22 (05) :608-619