scholarly journals Self‐reported cognitive impairment and daily life functioning 7–12 years after seeking care for stress‐related exhaustion

2021 ◽  
Author(s):  
Susanne Ellbin ◽  
Ingibjörg H. Jonsdottir ◽  
Carl Eckerström ◽  
Marie Eckerström
Keyword(s):  
Cognitive Impairment ◽  
Daily Life ◽  
Life Functioning

scholarly journals The Effect of Attention Process Training (APT-II) On Cognitive and Daily Life Functioning in Patients With a Mild Cognitive Impairment: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Marine Saba ◽  
Jean-Paul Rwabihama ◽  
Éric Bouvard ◽  
Pascale Mettling ◽  
Élise Sztulman ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Randomized Controlled Trial ◽  
Cognitive Impairment ◽  
Daily Life ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Life Functioning ◽  
Attention Process ◽  
Attention Process Training

Abstract Introduction. Older adults with mild cognitive impairment (MCI) are at increased risk of developing dementia even if they do not meet the criteria for dementia. Executive control of working memory, which is implicated in divided attention, is often impaired in this population, and such impairment is a strong predictor of dementia. Slowing the development of dementia by enhancing cognitive and brain plasticity represents a current and future challenge for clinicians and researchers. Cognitive rehabilitation allows patients to compensate for cognitive deficits with the ultimate goal of reducing the impact of such deficits on everyday life. We aim to examine the effectiveness and generalization of an attention and working memory training program (Attention Process Training or APT-II) in improving cognitive and everyday functioning in patients with MCI by means of a single-blind, randomized controlled trial.Methods. Twenty-two MCI patients will be randomly assigned to either a "Cognitive Training with APT-II" group or a "Standard Care" group. Initially, patients will be administered a battery of standardized neuropsychological tests to ensure that they meet MCI criteria. The intervention will consist of a cognitive training program (APT-II) and will last 8 weeks (two sessions per week). One of the strengths of APT-II training is that it emphasizes the transfer of cognitive gains from training sessions to everyday life. To evaluate the treatment's effectiveness in improving cognitive and daily life functioning, cognitive and functional outcomes will be assessed just before, immediately after, 3 months after, and 6 months after the intervention program. A divided attention memory task performed in virtual reality will also be administered to evaluate the effects of APT-II training on the management of attentional resources in a relatively ecological situation. Perspective. If our results indicate an improvement in the cognitive and daily life performance of older adults with MCI, this non-invasive, low-cost technique may deserve increased consideration as a therapeutic intervention to delay or reverse cognitive decline an diminish the risk of developing dementia in this population.Trial registration. ClinicalTrials.gov, ID: NCT04606953, Registered on 28 October 2020.

scholarly journals The Effectiveness and Safety of Manual Acupuncture Therapy in Patients with Poststroke Cognitive Impairment: A Meta-analysis

2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Wei Liu ◽  
Chang Rao ◽  
Yuzheng Du ◽  
Lili Zhang ◽  
Jipeng Yang
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Barthel Index ◽  
Daily Life ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Activities Of Daily Life ◽  
Rigorous Study ◽  
Meta Analyses ◽  
The Cochrane Library

Background. Poststroke cognitive impairment (PSCI) is a common cause of disability among patients with stroke. Meanwhile, acupuncture has increasingly been used to improve motor and cognitive function for stroke patients. The aim of the present study was to summarize and evaluate the evidence on the effectiveness of acupuncture in treating PSCI. Methods. Eight databases (PubMed, The Cochrane Library, CNKI, WanFang Data, VIP, CBM, Medline, Embase databases) were searched from January 2010 to January 2020. Meta-analyses were conducted for the eligible randomized controlled trials (RCTs). Assessments were performed using Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Barthel Index (BI), or modified Barthel Index (MBI). Results. A total of 657 relevant RCTs were identified, and 22 RCTs with 1856 patients were eventually included. Meta-analysis showed that acupuncture appeared to be effective for improving cognitive function as assessed by MMSE ( mean   difference   MD = 1.73 , 95% confidence interval (CI) (1.39, 2.06), P < 0.00001 ) and MoCA ( MD = 2.32 , 95% CI (1.92, 2.73), P < 0.00001 ). Furthermore, it also suggested that acupuncture could improve the activities of daily life (ADL) for PSCI patients as assessed by BI or MBI ( SMD = 0.97 , 95% CI (0.57, 1.38), P < 0.00001 ). Conclusions. Compared with nonacupuncture group, acupuncture group showed better effects in improving the scores of MMSE, MoCA, BI, and MBI. This meta-analysis provided positive evidence that acupuncture may be effective in improving cognitive function and activities of daily life for PSCI patients. Meanwhile, long retention time of acupuncture may improve cognitive function and activities of daily life, and twist technique may be an important factor that could influence cognitive function. However, further studies using large samples and a rigorous study design are needed to confirm the role of acupuncture in the treatment of PSCI.

BEING PROUD OF ONESELF AS A PERSON OR BEING PROUD OF ONE’S PHYSICAL APEARANCE: WHAT MATTERS FOR FEELING WELL IN ADOLESCENCE?

2007 ◽  
Vol 35 (2) ◽  
pp. 255-268 ◽  
Author(s):  
Amélie Seidah ◽  
Thérèse Bouffard
Keyword(s):  
Grade Level ◽  
Daily Life ◽  
Sense Of Self ◽  
Physical Appearance ◽  
Self Esteem ◽  
Perceived Competence ◽  
Appearance Satisfaction ◽  
Life Functioning ◽  
Social Domains ◽  
What Matters

Among the numerous studies aimed at examining the link between appearance satisfaction and self-esteem at adolescence very few, except Zumpf and Harter (1989), have specifically examined the directionality of the relation. Hence, the first goal of this study was to examine the distribution of adolescents, according to their gender and grade level, within each of the following two groups: those who acknowledge that the evaluation of their physical appearance precedes and determines their global self-esteem, and those who conversely believe that they must first be satisfied with their global sense of self in order to be satisfied with their physical appearance. The second goal was to examine whether adolescents' perceived competence in various domains of daily life functioning differs according to how they value physical appearance. Participants were 1,362 adolescents (540 boys and 822 girls) from the 7th, 9th and 11th grades. Overall, 35% of adolescents acknowledged that their perceived appearance determined their self-esteem, with boys and girls being proportionally distributed between the groups. Adolescents in the group more concerned with appearance reported lower satisfaction with their physical appearance, lower self-esteem than others, and lower perceived competence in the scholastic and social domains.

Neuromotor Changes in Alzheimer's Disease: Implications for Patient Care

1997 ◽  
Vol 10 (3) ◽  
pp. 93-98 ◽  
Author(s):  
Liduïn E.M. Souren ◽  
Emile H. Franssen ◽  
Barry Reisberg
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Patient Care ◽  
Care Management ◽  
Daily Life ◽  
Management Strategies ◽  
Behavioral Disturbances ◽  
Severe Stage ◽  
Neuromotor Function

As a result of the neuropathologic process of Alzheimer's disease (AD), significant changes occur in neuromotor function (e.g., paratonia and compulsive grasping). These changes become manifest in the moderately severe stage of AD, when patients begin to require ongoing assistance with activities of daily life (ADL), and they are prominent in the severe stage of AD, when patients are continuously dependent on a caregiver. Patients in these stages often display behavioral disturbances during care activities. These disturbing behaviors result not only from cognitive impairment, but also from a patient's physical inability to cooperate with the caregiver. When care management strategies take into account the characteristic physical restrictions resulting from the neuromotor changes that accompany advanced AD, the caregiving process may be significantly facilitated.

P2-265: Daily-life functional instruments to identify mild cognitive impairment

2012 ◽  
Vol 8 (4S_Part_10) ◽  
pp. P355-P355
Author(s):  
Claudia Memoria ◽  
Ivan Aprahamian ◽  
Orestes Forlenza
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Daily Life

Clinical impact of 20% worsening on Timed 25-foot Walk and 9-hole Peg Test in multiple sclerosis

2006 ◽  
Vol 12 (5) ◽  
pp. 594-598 ◽  
Author(s):  
J J Kragt ◽  
F AH van der Linden ◽  
J M Nielsen ◽  
B MJ Uitdehaag ◽  
C H Polman
Keyword(s):  
Multiple Sclerosis ◽  
Daily Life ◽  
Clinical Impact ◽  
Time Interval ◽  
Lower Extremity Function ◽  
Perceived Disability ◽  
Quantitative Measurements ◽  
Disability Scale ◽  
Life Functioning ◽  
Clinical Meaning

Introduction: Quantitative tests of motor function, like the Timed 25-foot Walk (T25FW) and 9-hole Peg Test (9HPT), are increasingly being applied as outcome measures in multiple sclerosis (MS) clinical trials. The quantitative nature of the data has a favorable impact on responsiveness, but the clinical impact of the changes is uncertain. The goal of this study was to assess whether a change on T25FW and 9HPT does indeed have a clinical meaning. This was accomplished by comparing 20% changes on these quantitative measurements to concomitant changes on the Guy’s Neurological Disability Scale (GNDS), a scale which measures patient-perceived daily life disability. Methods: From a longitudinal database, we selected patients with at least two measurements of T25FW, 9HPT and GNDS with a minimal time interval of 350 days. In those patients who experienced at least a 20% change on T25FW or 9HPT, GNDS score changes were examined more closely. Results: Of 527 patients, 143 experienced a >20% worsening on their T25FW and 71 on their 9HPT, respectively. Patients with a 20% increase in T25FW or 9HPT had more GNDS worsening than patients without such an increase. GNDS worsening associated with an increase in T25FW was mainly due to an increase in perceived disability related to lower extremity function and fatigue; GNDS worsening associated with an increase in 9HPT was more diffuse with respect to domains involved. Conclusion: Worsening on T25FW or 9HPT has a clinical impact on disability, as perceived by MS patients during daily life functioning.

Rasch Validation of a Combined Measure of Basic and Extended Daily Life Functioning After Stroke

2012 ◽  
Vol 27 (2) ◽  
pp. 125-132 ◽  
Author(s):  
Hui-fang Chen ◽  
Ching-yi Wu ◽  
Keh-chung Lin ◽  
Chia-ling Chen ◽  
Pai-chuan Huang ◽  
...  
Keyword(s):  
Daily Life ◽  
Life Functioning

scholarly journals THE IMPACT OF COGNITIVE IMPAIRMENT AFTER STROKE ON QUALITY OF LIFE AND DAILY LIFE ACTIVITIES

2020 ◽  
Vol 7 (8) ◽  
pp. 6-11
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Daily Living ◽  
Daily Life ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Post Stroke ◽  
Daily Life Activities ◽  
The Impact

Stroke is a major cause of death and disability worldwide. Cognitive impairment is commonly seen after stroke and might significantly affect the functional outcome. The study aimed to investigate the impact of cognitive impairment after stroke on quality of life and daily life activities. This was a cross-sectional study involving 38 post stroke patients, consisted of 23 males (60.5%) and 15 females (39.5%). All patients underwent neuropsychology examination and assessment of quality of life and activity daily living. The proportion of post-stroke cognitive impairment was 44.7%. Cognitive impairment after stroke affects several domains, including attention, memory, executive function and visuospatial. Cognitive impairment was significantly associated with worse performance in daily life activities

scholarly journals Progress on the study of fibroblast growth factors as novel therapeutics in post-stroke cognitive impairment

2021 ◽  
Vol 3 (3) ◽  
pp. 48-55
Author(s):  
Mengqi Li ◽  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Cognitive Impairment ◽  
Daily Life ◽  
Cell Metabolism ◽  
Nerve Repair ◽  
Hormone Secretion ◽  
Fibroblast Growth Factors ◽  
Fibroblast Growth ◽  
Post Stroke

Post-stroke cognitive impairment (PSCI) is one of the most common complications after stroke, which severely affects the daily life abilities and social function of patients. Fibroblast growth factor (FGF), as a regulator of homeostasis, participates in the regulation of cell metabolism and hormone secretion, and can increase cerebral blood flow and promote nerve repair which improves PSCI. Here, we will conduct a review on the typing, characteristics, and mechanism of action of FGF to further understand its function and mechanism in PSCI

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