Computer-Assisted Cognitive Rehabilitation in Stroke and Alz | 46111

Journal of Neurology & Neurophysiology

ISSN - 2155-9562


Computer-Assisted Cognitive Rehabilitation in Stroke and Alzheimer's disease

Pavel Ressner, Petr Niliu, Dagmar Berankova, Hana Srovnalova-Zakopcanova, Petra Bartova, Petra Krulova, Jana Zapletalova and Michal Bar

Background: The aim of study was to compare the effects of computer-assisted cognitive rehabilitation (CR) in mild cognitive impairment after stroke and in patients with Alzheimer disease. Methods: The study included 21 patients after ischemic stroke (12 males, 9 females, age median 60.5 age range 38–81 years) and 15 patients with AD (8 males and 7 females 71.5,50–86 years). We administered WAIS-III, MMSE, and ACE-R to evaluate MCI. NEUROP-4 software was employed for CR. Rehabilitation was carried out for two periods of 1.5 h each week for 3 months. Results: In the stroke group we recorded significantly higher scores for the following parameters after CR: IQc (median 84 before vs 88 after p = 0,001), IQv (83 vs 92, p = 0.029), IQp ( 78 vs 86, p = 0.001), VC (91 vs 97, p = 0,017), PO (82 vs 94, p = 0.001), SOP (71 vs 8, p = 0.0003), ACE-R (79 vs 84, p = 0.01) In the AD group only the ACE-R was increased (75 vs 83, p = 0.008). Conclusions: Our study demonstrates that the beneficial effects of computer-assisted CR in patients with MCI are more significant in stroke patients than in AD patients.