Cognitive rehabilitation for people with mild to moderate dementia

Kudlicka, Aleksandra; Martyr, Anthony; Bahar‐Fuchs, Alex; Sabatés, Julieta; Woods, Bob; Clare, Linda

doi:10.1002/14651858.cd013388.pub2

Cited by 13 publications

(5 citation statements)

References 150 publications

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“…The scoping review by Ravn et al ( 44 ) analyzes 26 trials, of which 10 measured either ADL of QoL, 8 measured both, and 8 measured neither. In the 2023 Cochrane review on cognitive rehabilitation for people with dementia ( 45 ) 5 out of 6 trials measured quality of life. It seems that while ADL and QoL are often-used outcome metrics in studies on this subject, there is still a lack of comprehensive measuring of outcomes from multiple points-of-view.…”

Section: Discussionmentioning

confidence: 99%

Measuring outcomes of rehabilitation among the elderly—a feasibility study

Pitkänen,

Niskanen,

Malmivaara

et al. 2023

Front. Health Serv.

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A feasible system for measuring patient outcomes of rehabilitation is required for assessing the real-world cost-effectiveness of rehabilitation. This study aims to assess the feasibility of measuring outcomes of rehabilitation among elderly individuals with early-stage Alzheimer's. We used the principles of Design Science to construct a set of metrics consisting of standardized PROM (Patient-Reported Outcome Measure) questionnaires, clinician-reported measures, and observational measures of functioning. We used standardized questionnaires whenever possible to ensure the validity and reliability of the questionnaires. The set of metrics was piloted on 16 individuals living at home with regular home care services. After the pilot, we further refined the set of metrics based on relevance, sensitivity to change, and applicability. We found that measurement was feasible and we propose the final set of metrics as a minimum set, which could be further improved upon by addition of metrics relevant to each subgroup of elderly individuals. We also found that using self-reported questionnaires in this population is not without difficulties. We therefore suggest that the role of informal caregivers be considered, and that accessibility of outcome questionnaires be improved.

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Section: Discussionmentioning

confidence: 99%

Measuring outcomes of rehabilitation among the elderly—a feasibility study

Pitkänen,

Niskanen,

Malmivaara

et al. 2023

Front. Health Serv.

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“…Results of the post-test showed that the treatment group had better scores in cognitive variables and experienced a reduction in affective symptomatology concluding that cognitive telerehabilitation is an effective intervention for mild cognitive impairment. The study of 113 reviews cognitive rehabilitation for mild-to-moderate dementia and it found that cognitive rehabilitation improved self-efficacy, quality of life, and cognition in people with dementia and their care partners. However, there was insufficient evidence to determine whether it had any significant benefits for caregivers in reducing anxiety.…”

Section: Rehabilitation Of Neurodegenerative Diseasesmentioning

confidence: 99%

Impact of AI-Powered Solutions in Rehabilitation Process: Recent Improvements and Future Trends

Khalid,

Naeem,

Stasolla

et al. 2024

IJGM

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Rehabilitation is an important and necessary part of local and global healthcare services along with treatment and palliative care, prevention of disease, and promotion of good health. The rehabilitation process helps older and young adults even children to become as independent as possible in activities of daily life and enables participation in useful living activities, recreation, work, and education. The technology of Artificial Intelligence (AI) has evolved significantly in recent years. Many activities related to rehabilitation have been getting benefits from using AI techniques. The objective of this review study is to explore the advantages of AI for rehabilitation and how AI is impacting the rehabilitation process. This study aims at the most critical aspects of the rehabilitation process that could potentially take advantage of AI techniques including personalized rehabilitation apps, rehabilitation through assistance, rehabilitation for neurological disorders, rehabilitation for developmental disorders, virtual reality rehabilitation, rehabilitation of neurodegenerative diseases and Telerehabilitation of Cardiovascular. We presented a survey on the newest empirical studies available in the literature including the AI-based technology helpful in the Rehabilitation process. The novelty feature included but was not limited to an overview of the technological solutions useful in rehabilitation. Seven different categories were identified. Illustrative examples of practical applications were detailed. Implications of the findings for both research and practice were critically discussed. Most of the AI applications in these rehabilitation types are in their infancy and continue to grow while exploring new opportunities. Therefore, we investigate the role of AI technology in rehabilitation processes. In addition, we do statistical analysis of the selected studies to highlight the significance of this review work. In the end, we also present a discussion on some challenges, and future research directions.

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“…Although rehabilitation cannot stop the progression of dementia, its importance in improving functional abilities and promoting health and quality of life has gained international recognition in recent years. This recognition is supported by high-quality randomised clinical trials proving its effectiveness [ 3 , 4 , 5 , 6 ]. Indeed, a package of interventions for rehabilitation in dementia has recently been released by the WHO [ 7 ] outlining the required resources to deliver them.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation Services for Young-Onset Dementia: Examples from High- and Low–Middle-Income Countries

Suárez-González,

Savage,

Alladi

et al. 2024

IJERPH

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The WHO Dementia Global Action Plan states that rehabilitation services for dementia are required to promote health, reduce disability, and maintain quality of life for those living with dementia. Current services, however, are scarce, particularly for people with young-onset dementia (YOD). This article, written by an international group of multidisciplinary dementia specialists, offers a three-part overview to promote the development of rehabilitation services for YOD. Firstly, we provide a synthesis of knowledge on current evidence-based rehabilitative therapies for early-onset Alzheimer’s disease (EOAD), behavioural variant frontotemporal dementia (bvFTD), primary progressive aphasia (PPA), and posterior cortical atrophy (PCA). Secondly, we discuss the characteristics of rehabilitation services for YOD, providing examples across three continents for how these services can be embedded in existing settings and the different roles of the rehabilitation multidisciplinary team. Lastly, we conclude by highlighting the potential of telehealth in making rehabilitation services more accessible for people with YOD. Overall, with this paper, we aim to encourage clinical leads to begin introducing at least some rehabilitation into their services, leveraging existing resources and finding support in the collective expertise of the broader multidisciplinary dementia professional community.

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Cognitive rehabilitation for people with mild to moderate dementia

Cited by 13 publications

References 150 publications

Measuring outcomes of rehabilitation among the elderly—a feasibility study

Measuring outcomes of rehabilitation among the elderly—a feasibility study

Impact of AI-Powered Solutions in Rehabilitation Process: Recent Improvements and Future Trends

Rehabilitation Services for Young-Onset Dementia: Examples from High- and Low–Middle-Income Countries

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