scholarly journals P4-011: COGNITIVE STIMULATION VERSUS COGNITIVE REHABILITATION IN PATIENTS WITH MILD COGNITIVE IMPAIRMENT

2019 ◽  
Vol 15 ◽  
pp. P1277-P1277
Author(s):  
Koni Mejía ◽  
Henry Marigorda ◽  
Roberto Romero
2020 ◽  
Vol 11 ◽  
Author(s):  
Valentina Mancuso ◽  
Chiara Stramba-Badiale ◽  
Silvia Cavedoni ◽  
Elisa Pedroli ◽  
Pietro Cipresso ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S224-S225
Author(s):  
Meysam Asgari ◽  
Jeffrey Kaye ◽  
Hiroko Dodge

Abstract Studies have shown that speech characteristics can aid in early-identification of those with mild cognitive impairment (MCI). We performed a linguistic analysis on spoken utterances of 41 participants (15 MCI, 26 healthy controls) from conversations with a trained interviewer using the Term Frequency-Inverse Document Frequency (TF-IDF) method. Data came from a randomized controlled behavioral clinical trial (ClinicalTrials.gov: NCT01571427) to examine effects of conversation-based cognitive stimulation on cognitive functions among older adults with normal cognition or MCI, which served as a pilot study for I-CONECT. From the collected spoken utterances we first constructed a fixed-dimensional feature vector using TF-IDF. Next, to distinguish between MCI and healthy controls, we trained a support vector machine (SVM) classifier on per-subject feature vectors according to 5-fold cross-validation procedure. Our results verify the effectiveness of TF-IDF features in this classification task with Receiver Operating Characteristic Area Under Curve of 81%, well above chance at 65%.


2010 ◽  
Vol 17 (4) ◽  
pp. 457-467 ◽  
Author(s):  
J Sastre-Garriga ◽  
J Alonso ◽  
M Renom ◽  
MJ Arévalo ◽  
I González ◽  
...  

Background: Cognitive impairment is frequent in multiple sclerosis (MS) and lacks effective treatment. Cognitive rehabilitation is widely applied in neurorehabilitation settings. Functional magnetic resonance imaging (fMRI) may help in investigating changes in brain activity and provide a tool to assess the efficacy of rehabilitation. Aim: To investigate the effect on brain activity as measured by fMRI of a cognitive rehabilitation programme in patients with MS and cognitive impairment. Method: Fifteen patients with MS and cognitive impairment and five healthy subjects were recruited. Neuropsychological assessments were performed in patients with MS at study entry and after rehabilitation to assess cognitive changes. fMRI scans were performed at week −5 (baseline), week 0 (immediately before rehabilitation) and week 5 (immediately after rehabilitation). The fMRI paradigm was the Paced Auditory Serial Addition Test (PASAT). The cognitive rehabilitation programme was composed of 15 computer-aided drill and practice sessions and five non-computer-aided cognitive stimulation group sessions (over 5 weeks). Strict guidelines ensured comparability of all rehabilitation interventions. Results: Patients had increased brain fMRI activity after rehabilitation in several cerebellar areas when compared with healthy subjects. After rehabilitation, patients had significantly improved their performance on the backward version of the Digit Span Test ( p = 0.007) and on a composite score of neuropsychological outcomes ( p = 0.009). Conclusion: The results of the present study indicate that this cognitive rehabilitation programme increases brain activity in the cerebellum of cognitively impaired patients with MS. The role of fMRI in the assessment of neurorehabilitation schemes warrants further investigation.


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