scholarly journals Efficacy of Cognitive Rehabilitation Therapy on Poststroke Depression among Survivors of First Stroke Attack in Ibadan, Nigeria

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Olugbemi Olukolade ◽  
Helen O. Osinowo

Background and Purpose. Poststroke depression (PSD) is a common complication after stroke. There is no adequate treatment for PSD. This study examined efficacy of cognitive rehabilitation therapy (CRT) in the treatment of PSD among stroke survivors. Methods. An experimental design, 30 participants with poststroke depression were randomly assigned into 3 groups of cognitive rehabilitation therapy (CRT), psychoeducation (PE), and the control group (CG). CRT consisted of nine sessions with three-phased sessions focusing on activity stimulation, negative thoughts, and people contacts, PE consisted of nine sessions focusing on knowledge on stroke and poststroke depression, and the CG group was on the waiting list. The BDI scale was used for assessing PSD at posttest. Results. There was a significant difference in the efficacy of CRT, PE, and the CG on PSD, with CRT–CG mean difference of −9.4 ± 3.11 and PE–CG 1.0 ± 3.83. Furthermore, stress was not a confounding variable on the efficacy of CRT. The type of therapy significantly influenced PSD at posttest, with the CRT having greater mean reduction to CG (−11.1 ± 3.1) than PE to the CG (3.0 ± 3.8). Conclusions. Cognitive rehabilitation therapy significantly reduced poststroke depression. Hence, it should be integrated as an adjunct treatment of poststroke depression.

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Mohammad Kianbakht ◽  
Sedighe Naghel ◽  
Freshte Alidadi ◽  
Vahid Nejati ◽  
Hossien Kohandel ◽  
...  

Objectives: Neurofeedback is known as a modern therapy for hyperactive children, nevertheless it is not a complete therapy for these patients. The goal of this therapy is to create a complete therapy for ADHD children, so neurofeedback is used with cognitive rehabilitation therapy to make more integrated therapy. Method: this is an experimental study. 30 subjects were selected through random selection from women who referred to 5 clinics of Tehran city, and they were placed into 2 experimental groups and 1 control group. Groups are matched in age, sexuality and economic situation. One group just received neurofeedback into 10 sessions, another group received neurofeedback plus cognitive rehabilitation therapy at the same during, and control group received no therapy or they leaved the therapy at the first steps. Integrated visual and auditory test (IVA) was used as pretest and posttest, to measure two factors (attention and impulsivity) in ADHD children. Cognitive rehabilitation therapy protocol is based on work of Nejati (1391). Data evaluated by dependent T test and analysis of covariance. Results: according to findings, there is meaningful difference between all groups in attention and impulsivity factors. The group who received neurofeedback plus cognitive rehabilitation therapy showed more improvement in attention and impulsivity factors. Also there was a meaningful difference between neurofeedback group and control group in attention factor. Conclusion: neurofeedback is supposed as a facilitator therapy to improve attention factor in ADHD children, but not as a complete therapy, especially about performance factors. Also, it is better to use a complementary therapy such as cognitive rehabilitation therapy that focuses more on performance factors. It leads to more positive effects on impulsivity or even hyperactivity.


2020 ◽  

Background: Cognitive rehabilitation is a way to restore lost cognitive capacities. This study aimed to investigate the effectiveness of cognitive rehabilitation therapy on cognitive functions (working memory, concentration, and attention) of adolescents living in boarding schools in Tehran. Methods: This study was a quasi-experimental research with pre-test and post-test design. The statistical population includes all adolescents living in welfare boarding schools in the age group was 15 to 18 years old, and they were in Tehran in 2018. Out of 100 people, 60 people who had problems in the mentioned variables were randomly selected, and randomly divided into two groups of 30 people. The first group underwent eight individual sessions of cognitive rehabilitation therapy (by NBK software), and the second group, as a control group, did not receive any treatment. Data were analyzed by multivariate analysis of covariance and Spss.22 software. Results: The results showed that the effectiveness of cognitive rehabilitation therapy was effective on cognitive functions (working memory, concentration, and attention) of adolescents (P<0.001). Conclusion: It can be concluded that cognitive rehabilitation can successfully affect numerous aspects of cognitive functions, while numerous medical therapies may be required to treat each mere aspect. Further evaluations are strongly recommended.


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Hongshen Song ◽  
Huaiyin Ding ◽  
Chuandong Zhu

Sclerosing http://mts.hindawi.com/update/) in our Manuscript Tracking System and after you have logged in click on the ORCID link at the top of the page. This link will take you to the ORCID website where you will be able to create an account for yourself. Once you have done so, your new ORCID will be saved in our Manuscript Tracking System automatically."?>hepatic carcinoma (SHC) is a rare subtype of hepatic carcinoma that can be caused by various pathogeneses. The histological characteristics of SHC demonstrate its high resistance to chemoembolization and thermal ablation; thus, surgical resection represents the primary option for the majority of patients. However, a small proportion of patients who cannot withstand surgery or who have inoperable tumors may not receive adequate treatment, causing the progression of cancer and related high mortality. To overcome the high puncture resistance, high thermal resistance, and poor thermal conductivity of microwave ablation, we developed percutaneous no-touch multiple-site microwave ablation (NTMSWA) to ablate SHC lesions. In this retrospective study, 96 and 41 patients underwent NTMSWA and surgery, respectively. In the NTMSWA group, tumor size and histological classification were determined by medical imaging and tissue biopsy before ablation, and then a personalized ablation regimen was performed. Complete ablation was achieved in a single session in 81 out of 96 (84.4%) patients. The median survival (MS) of the 90 patients who underwent NTMSWA was 51 months, and the overall survival (OS) rate at 5 years was 49.1%. In contrast, the MS in the control group was 57 months, and the OS rate at 5 years was 56.3%. There was no significant difference between the two groups, indicating that SHC <50 mm in size can be effectively ablated with NTMSWA. By adopting no-touch, multiple-site, low-power, intermittent ablation, SHC less than 50 mm in size can be completely ablated.


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