Abstract
Cognition is one of our most important attributes. Arresting its decline, whether
in association with normal aging or a diagnosis of mild cognitive impairment, acquired
brain injury, or dementia, concerns everyone, regardless of whether their role is
that of spouse, child, or clinician. This article provides a brief, and by necessity,
somewhat superficial appraisal of the status of our knowledge of the benefits of cognitive
rehabilitation in these conditions and the authors' assessment of its strengths and
weaknesses. In summary, there is support for the belief that participation in exercise
as well as socially and cognitively stimulating activities (whether or not rehabilitative
in nature) is beneficial for all but perhaps those with the most severe dementia.
Focused efforts at cognitive training/rehabilitation also appear potentially helpful
but are best established for those with acquired brain injury. There are, however,
caveats to this assessment. For example, cognitive retraining is resource and time
intensive while, even for those most likely to benefit, its impact on their daily
activities and quality of life remains unclear. In addition, responses to training
may vary from person to person and are likely to be influenced by factors such as
an individual's acceptance of the need for assistance. Future research may benefit
from continued efforts to treat the patient holistically, fit the treatment to those
most likely to benefit, and encouraging the translation of training effects to functioning
in the real world.
Keywords
List of abbreviations:
ABI (acquired brain injury), MCI (mild cognitive impairment)To read this article in full you will need to make a payment
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References
- The ACTIVE study: study overview and major findings.J Aging Health. 2013; 25: 3S-20S
- Cognitive interventions in healthy older adults and people with mild cognitive impairment: a systematic review.Ageing Res Rev. 2013; 12: 263-275
- The ACTIVE cognitive training interventions and trajectories of performance among older adults.J Aging Health. 2013; 25: 186S-208S
Smith G, Chandler GM, Locke D, Fields J. Behavioral interventions to prevent or delay dementia. Forty Second Annual Meeting International Neuropsychological Society; February 12-15, 2014; Seattle, WA.
- Practice guidelines for direct attention training.J Med Speech Lang Pathol. 2003; 11 (xix-xxxix)
- Clinical applications of problem-solving research in neuropsychological rehabilitation: addressing the subjective experience of cognitive deficits in outpatients with acquired brain injury.Rehabil Psychol. 2011; 56: 320-328
- Evidence-based practice for the use of external aids as a memory compensation technique.J Med Speech Lang Pathol. 2007; 15 (xv-li)
- Evidence-based cognitive rehabilitation: recommendations for clinical practice.Arch Phys Med Rehabil. 2000; 81: 1596-1615
- Evidence-based cognitive rehabilitation: updated review of the literature from 1998 through 2002.Arch Phys Med Rehabil. 2005; 86: 1681-1692
- Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008.Arch Phys Med Rehabil. 2011; 92: 519-530
- An evidence-based review of cognitive rehabilitation in medical conditions affecting cognitive function.Arch Phys Med Rehabil. 2013; 94: 271-286
- Cognitive rehabilitation manual: translating evidence-based recommendations into practice.American Congress of Rehabilitation Medicine, Reston2012
- Reality orientation for geriatric patients.Hosp Community Psychiatry. 1966; 17: 133-135
- Cognitive rehabilitation and cognitive training for early-stage Alzheimer's disease and vascular dementia.Cochrane Database Syst Rev. 2003; : CD003260
- CORDIAL: cognitive rehabilitation and cognitive-behavioral treatment for early dementia in Alzheimer disease: a multicenter, randomized, controlled trial.Alzheimer Dis Assoc Disord. 2012; 26: 246-253
- Guidelines across the health and social care divides: the example of the NICE-SCIE dementia guideline.Int Rev Psychiatry. 2011; 23: 365-370
- Memory rehabilitation for people with multiple sclerosis.Cochrane Database Syst Rev. 2012; 3: CD008754
- An RCT to treat learning impairment in multiple sclerosis: The MEMREHAB trial.Neurology. 2013; 81: 2066-2072
- Dementia in Parkinson's disease: a 20-year neuropsychological study (Sydney Multicentre Study).J Neurol Neurosurg Psychiatry. 2011; 82: 1033-1037
- Nonpharmacological enhancement of cognitive function in Parkinson's disease: a systematic review.Mov Disord. 2013; 28: 1034-1049
- Fractional anisotropy helps predicts memory rehabilitation outcome after traumatic brain injury.NeuroRehabilitation. 2012; 31: 295-310
Article info
Publication history
Published online: March 07, 2015
Footnotes
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.