scholarly journals Evidence of cognitive training in mild to moderate dementia

2020 ◽  
Vol 26 (2) ◽  
pp. 67-71
Author(s):  
Nurul Ain Mohd Nizam
Keyword(s):  
Cognitive Training ◽  
Cochrane Review ◽  
Brain Training ◽  
Clinical Perspective ◽  
Alternative Interventions ◽  
Societal Burden ◽  
Moderate Dementia ◽  
Dementia Treatment

SUMMARYThere is urgent need to search for a dementia treatment that can delay its progression and reduce its financial and societal burden. Despite lacking evidence, there is a large number of commercial brain-training products on the market that claim they improve cognition. The Cochrane review under consideration looks at whether cognitive training maintains or improves cognition in those with mild to moderate dementia compared with control and alternative interventions. This commentary puts its findings into clinical perspective.

scholarly journals Cognitive training for people with mild to moderate dementia: a Cochrane Review

2020 ◽  
Vol 26 (2) ◽  
pp. 66-66
Author(s):  
Alex Bahar-Fuchs ◽  
Anthony Martyr ◽  
Anita M.Y. Goh ◽  
Julieta Sabates ◽  
Linda Clare
Keyword(s):  
Cognitive Training ◽  
Cochrane Review ◽  
Moderate Dementia

scholarly journals Cognitive training interventions for dementia and mild cognitive impairment in Parkinson’s disease - A cochrane review summary with commentary

2021 ◽  
pp. 1-3
Author(s):  
Tobias Loetscher
Keyword(s):  
Quality Of Life ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Training ◽  
Verbal Memory ◽  
Cognitive Impairments ◽  
Cochrane Review ◽  
Cognitive Domains ◽  
Training Interventions

BACKGROUND: The majority of people living with Parkinson’s disease will develop impairments in cognition. These impairments are associated with a reduced quality of life. OBJECTIVE: The Cochrane Review aimed to investigate whether cognitive training improves cognition in people with Parkinson’s disease and mild cognitive impairments or dementia. METHODS: A Cochrane Review by Orgeta et al. was summarized with comments. RESULTS: The review included seven studies with a total of 225 participants. There was no evidence for improvements in global cognition when cognitive training was compared to control conditions. Observed improvements in attention and verbal memory measures after cognitive training could not be confirmed in a subsequent sensitivity analysis. There was no evidence for benefits in other cognitive domains or quality of life measures. The certainty of the evidence was low for all comparisons. CONCLUSIONS: The effectiveness of cognitive training for people with Parkinson’s disease and cognitive impairments remains inconclusive. There is a pressing need for adequately powered trials with higher methodological quality.

Complementary and alternative interventions for stroke recovery – a narrative overview of the published evidence

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Narayanaswamy Venketasubramanian
Keyword(s):  
Motor Function ◽  
Meta Analysis ◽  
Cochrane Review ◽  
Sham Acupuncture ◽  
Stroke Recovery ◽  
Cochrane Library ◽  
Walking Ability ◽  
Alternative Interventions ◽  
Published Evidence ◽  
Complementary And Alternative

Abstract Objectives Stroke survivors dissatisfied with their progress often seek complementary and alternative interventions (CAI). This paper reviews the evidence for CAIs in stroke recovery. Methods A literature search was performed for publications until December 2019 of CAI for stroke in Pubmed, Cochrane Library, EMBASE, CINAHL, AMED. Evidence was assessed according to Oxford Centre for Evidence-based Medicine criteria. Results In a meta-analysis, acupuncture reduced death or dependency compared to control at the end of follow-up and over the long term (≥3 months), OR 0.61(95%CI 0.46–0.79) and OR 0.67(95%CI 0.53–0.85) respectively, but was neutral against sham acupuncture. A Cochrane review of acupuncture vs. sham acupuncture in subacute or chronic stroke vs. showed no differences in motor function and quality of life. Three trials found favourable effects of moxibustion on motor function (SMD=0.72, 95%CI 0.37–1.08, p<0.0001). Two trials showed cupping compared to acupuncture reduced hemiplegic shoulder pain and upper-limb ‘myodynamia’. A meta-analysis of traditional Chinese medicines for ischaemic stroke showed marked improvement in neurological deficit on stroke scales. There was no evidence for Ayurveda, homoeopathy or reiki. Tui-na reduced the Modified Ashworth Scale in some muscle groups. Marma massage improved Motricity Index and trunk control. Thai massage and herbal treatments improved the Barthel Index. On meta-analysis, Yoga improved memory and anxiety, while tai-chi improved activities of daily living, balance and walking ability. Studies were generally of poor quality. Conclusions The evidence for benefit of CAIs for stroke recovery is weak. More research is needed to justify these treatments for stroke, by well-conducted, adequately-sized, double-blinded, randomized controlled trials.

F5-02-03: COGNITIVE TRAINING FOR OLDER ADULTS WITH DEMENTIA: AN UPDATED COCHRANE REVIEW

2006 ◽  
Vol 14 (7S_Part_31) ◽  
pp. P1627-P1627
Author(s):  
Alex Bahar-Fuchs ◽  
Anthony Martyr ◽  
Anita Goh ◽  
Linda Clare
Keyword(s):  
Older Adults ◽  
Cognitive Training ◽  
Cochrane Review

scholarly journals Cognitive training for people with dementia: A Cochrane review

2020 ◽  
Vol 16 (S7) ◽  
Author(s):  
Alex Bahar‐Fuchs ◽  
Anthony Martyr ◽  
Anita M Y Goh ◽  
Julieta M Sabates ◽  
Linda Clare
Keyword(s):  
Cognitive Training ◽  
Cochrane Review ◽  
People With Dementia

Do you believe in brain training? A questionnaire about expectations of computerised cognitive training

2015 ◽  
Vol 295 ◽  
pp. 64-70 ◽  
Author(s):  
Sheida Rabipour ◽  
Patrick S.R. Davidson
Keyword(s):  
Cognitive Training ◽  
Brain Training

scholarly journals Placebo effects in cognitive training

2016 ◽  
Vol 113 (27) ◽  
pp. 7470-7474 ◽  
Author(s):  
Cyrus K. Foroughi ◽  
Samuel S. Monfort ◽  
Martin Paczynski ◽  
Patrick E. McKnight ◽  
P. M. Greenwood
Keyword(s):  
Cognitive Training ◽  
Fluid Intelligence ◽  
Large Body ◽  
Future Research ◽  
Brain Training ◽  
Placebo Effects ◽  
Iq Test ◽  
Point Increase ◽  
The Brain

Although a large body of research shows that general cognitive ability is heritable and stable in young adults, there is recent evidence that fluid intelligence can be heightened with cognitive training. Many researchers, however, have questioned the methodology of the cognitive-training studies reporting improvements in fluid intelligence: specifically, the role of placebo effects. We designed a procedure to intentionally induce a placebo effect via overt recruitment in an effort to evaluate the role of placebo effects in fluid intelligence gains from cognitive training. Individuals who self-selected into the placebo group by responding to a suggestive flyer showed improvements after a single, 1-h session of cognitive training that equates to a 5- to 10-point increase on a standard IQ test. Controls responding to a nonsuggestive flyer showed no improvement. These findings provide an alternative explanation for effects observed in the cognitive-training literature and the brain-training industry, revealing the need to account for confounds in future research.

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