Contents

Search

cognitive rehabilitation

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] 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] Clinical significance: - associated with domain-specific improvements in cognitive abilities [4] - evidence of global cognitive improvement has been inconsistent [4]

General

neurorehabilitation

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16 American College of Physicians, Philadelphia 2012
  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: 19332424
  3. 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: 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: 23740535
  4. Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  5. 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: 37389428 PMCID: PMC10310315 (available on 2024-06-29)