Hope you can figure out what adaptive conjunctive cognitive training is so you can ask your doctor for it. I have no clue.
-
346 Accesses
-
10 Altmetric
-
Abstract
Background
Current
evidence for the effectiveness of post-stroke cognitive rehabilitation
is weak, possibly due to two reasons. First, patients typically express
cognitive deficits in several domains. Therapies focusing on specific
cognitive deficits might not address their interrelated neurological
nature. Second, co-occurring psychological problems are often neglected
or not diagnosed, although post-stroke depression is common and related
to cognitive deficits. This pilot trial aims to test a rehabilitation
program in virtual reality that trains various cognitive domains in
conjunction, by adapting to the patient’s disability and while
investigating the influence of comorbidities.
Methods
Thirty
community-dwelling stroke patients at the chronic stage and suffering
from cognitive impairment performed 30 min of daily training for 6
weeks. The experimental group followed, so called, adaptive conjunctive
cognitive training (ACCT) using RGS, whereas the control group solved
standard cognitive tasks at home for an equivalent amount of time. A
comprehensive test battery covering executive function, spatial
awareness, attention, and memory as well as independence, depression,
and motor impairment was applied at baseline, at 6 weeks and 18-weeks
follow-up.
Results
At
baseline, 75% of our sample had an impairment in more than one
cognitive domain. The experimental group showed improvements in
attention (χ2F
(2) = 9.57,
p < .01), spatial awareness (
χ2F (2) = 11.23,
p < .01) and generalized cognitive functioning (
χ2F (2) = 15.5,
p < .001).
No significant change was seen in the executive function and memory
domain. For the control group, no significant change over time was
found. Further, they worsened in their depression level after treatment (
T = 45,
r = .72,
p < .01)
but returned to baseline at follow-up. The experimental group displayed
a lower level of depression than the control group after treatment (
Ws = 81.5, z = − 2.76,
r = − .60,
p < .01) and (
Ws = 92, z = − 2.03,
r = − .44,
p < .05).
Conclusions
ACCT positively influences attention and spatial awareness, as well as depressive mood in chronic stroke patients.
Trial registration
The trial was registered prospectively at ClinicalTrials.gov (
NCT02816008) on June 21, 2016.
No comments:
Post a Comment