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A neuropsychological rehabilitation program for patients with Multiple Sclerosis based on the model of the ICF

PUSSWALD G; MILDNER C; ZEBENHOLZER K; AUFF E; LEHRNER J
NEUROREHABILITATION , 2014, vol. 35, n° 3, p. 519-527
Doc n°: 172892
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-141145
Descripteurs : AE3 - SEP, AD6 - MANIFESTATIONS NEUROCOMPORTEMENTALES - FONCTIONS COGNITIVES

Forty to sixty percent of MS patients suffer from cognitive
impairments. Cognitive deficits are a great burden for patients affected. In
particular they may lead to a reduced quality of life, loss of work and problems
with the social environment.
The aim of this study was to evaluate a specific neuropsychological rehabilitation program for MS patients according to
the ICF to be able to meet more properly individual requirements on the therapy
level of function as well as of activities and participation. METHODS: Forty
patients with MS were randomised in an intervention (IG) - and a control group
(CG). The outcome measure of the IG, who started an intensive computer based home
training of attention and attended psychological counselling was compared to the
untrained CG. RESULTS: In specific domains of attention (simple and cued
alertness and divided attention) significant group differences between CG and IG
could be found. The IG reported an improvement of mental fatigue and retardation.
CONCLUSION: These findings support the idea that a neuropsychological
rehabilitation program, which based on the model of ICF, could improve cognitive
impairment and could also have a positive influence of activities and
participation.

Langue : ANGLAIS

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