Neurorehabilitation of poststroke cognitive impairments with the use of computed programs

Abstract

The purpose of the present research was the estimation of efficiency of new methods of neurorehabilitation of impairments of cognitive functions with the use of computer programs of correction. Twenty six post-stroke patients aged 57-69, (male -12, female -14) were examined and treated. In addition to usual restorative treatment all patients received a course of neuropsychological computer programs training within 14 days, 25-35 min of duration. Tasks included training of attention with use of the computed programs on the basis of Schulte's test, the task for training visual storing with a set of pictures and symbols, the switching test, correction optical and spatial gnosis with test of narrative images and the test of «arrangements of hands of the clock» with possibility of a feedback. Initial level cognitive impairments and results of restoration were estimated with the use of Mini Mental State Examination, Frontal Assessment Battery, the Clock Drawing Test, the Montreal Cognitive Assessment, Schulte's test. The first experience of inclusion of the computed programs of correction of cognitive impairments in schemes of neurorehabilitation has shown good effect concerning clinical displays, and concerning Patient Global Impression Scale. Although the results are encouraging, further studies are required with larger samples and longer follow-up to identify characteristics of those patients who are most likely to benefit from computed training of cognitive functions.

Interactive Digital Serious Games for the Assessment, Rehabilitation, and Prediction of Dementia

“…Although the training technique used by Prokopenko et al [23] is somewhat effective it is limited in terms of effectiveness, usability, and appeal. Other studies make better use of gaming technology available such as both the [18] and [17] environments.…”

“…The principal concerns regarding the system described by de la Guia [24] are in essence twofold. Firstly, superior rehabilitative technologies for cognitive impairment have been developed that provide greater function [2,23]. These alternatives simultaneously require significantly less learning and effort, making them easier to use than the aforementioned system.…”

“…Neuroracer is also only capable of exercising the frontal brain region alone whereas alternative systems reviewed such as that of [17,23] are each able to provide a much more comprehensive level of brain training in conjunction with some level of multitasking for the player.…”

“…International Journal of Computer Games Technology itself is a two-dimensional digitised version of the naturalistic action test. This is effectively a standard cognitive assessment that gauges how well patients can undertake a series of normal everyday activities expected of a typical person on a regular basis, for example, preparing toast and coffee for breakfast.Prokopenko et al[23] have designed a system that uses a series of games to test and exercise a variety of cognitive functions, namely,(1) attention training using Schulte's tables, where the user needs to recognise and select a highlighted number from an onscreen matrix of numerical values;…”

Parameters of the Wrist Tapping using a Modification of the Original Method (Method of exogenous rhythmic stimulation influence on an individual human rhythm)

“…The study focuses on three parameters that were studied in detail: movement from the tap point -component "b"; movement to the tap pointcomponent "a"; and the time of the full cycle "b+a." (11) Thus, tempo-rhythm correction methods take a special place in neurology and neurorehabilitation. (12) The aim of the present research was to evaluate the main characteristics of tempo-rhythm in healthy adults.…”