Effectiveness of cognitive rehabilitation on mild cognitive impairment using teleneuropsychology

Author:

Canyazo Carlos Martínez1ORCID,Keller Greta2ORCID,Helou Belen2ORCID,Arruabarrena Micaela2ORCID,Corvalán Nicolas2ORCID,Carello Agostina2ORCID,Harris Paula2ORCID,Feldman Monica2ORCID,Fernández Rodrigo3ORCID,Calandri Ismael Luis2ORCID,Martin María Eugenia2ORCID,Allegri Ricardo Francisco4ORCID,Crivelli Lucía5ORCID

Affiliation:

1. Hospital Fleni, Argentina; Hospital Fleni, Argentina

2. Hospital Fleni, Argentina

3. Universidad de Buenos Aires, Argentina

4. Hospital Fleni, Argentina; Universidad de la Costa, Colombia; Instituto de Neurociencias, Argentina

5. Hospital Fleni, Argentina; Instituto de Neurociencias, Argentina

Abstract

ABSTRACT The COVID-19 pandemic has affected the continuity of cognitive rehabilitation worldwide. However, the use of teleneuropsychology to provide cognitive rehabilitation has contributed significantly to the continuity of the treatment. Objectives: To measure the effects of cognitive telerehabilitation on cognition, neuropsychiatric symptoms, and memory strategies in a cohort of patients with mild cognitive impairment. Methods: A sample of 60 patients with mild cognitive impairment according to Petersen’s criteria was randomly divided into two groups: 30 treatment cases and 30 controls (waiting list group). Subjects were matched by age, sex, and Montreal Cognitive Assessment. The treatment group received ten cognitive telerehabilitation sessions of 45 minutes duration once a week. Pre-treatment (week 0) and post-treatment (week 10) measures were assessed for both groups. Different linear mixed models were estimated to test treatment effect (cognitive telerehabilitation vs. controls) on each outcome of interest over time (pre/post-intervention). Results: A significant group (control/treatment) x time (pre/post) interaction revealed that the treatment group at week 10 had better scores in cognitive variables: memory (RAVLT learning trials p=0.030; RAVLT delayed recall p=0.029), phonological fluency (p=0.001), activities of daily living (FAQ p=0.001), satisfaction with memory performance (MMQ satisfaction p=0.004) and use of memory strategies (MMQ strategy p=0.000), as well as, and a significant reduction of affective symptomatology: depression (GDS p=0.000), neuropsychiatric symptoms (NPI-Q p=0.045), forgetfulness (EDO-10 p=0.000), and stress (DAS stress p=0.000). Conclusions: Our study suggests that CTR is an effective intervention.

Publisher

FapUNIFESP (SciELO)

Subject

Cognitive Neuroscience,Geriatrics and Gerontology,Neurology (clinical),Neurology,Sensory Systems

Reference33 articles.

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