Department of Psychology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Department of Rehabilitation, Brain and Cognition Clinic, Tehran, Iran.
Appl Neuropsychol Adult. 2022 Mar-Apr;29(2):262-272. doi: 10.1080/23279095.2020.1747070. Epub 2020 May 5.
Multiple sclerosis (MS) is a chronic neurodegenerative disease that impairs cognitive performance. Attention, response control, working memory, and processing speed are highly impaired in MS. On the other hand, RehaCom is a computerized software that improves cognitive dysfunctions. In this study, we aimed to investigate the effect of RehaCom on attention, response control, processing speed, working memory, visuospatial skills, and verbal/non-verbal executive functions in MS patients. Sixty patients were selected randomly and divided into control ( = 30) and experimental ( = 30) groups. Integrated Auditory Visual-2 (IVA-2), Paced Auditory Serial Addition Test (PASAT), Symbol Digit Modalities Test (SDMT), Judgment of Line Orientation (JLO) and The Delis-Kaplan Executive Function System (DKEFS) were used to assess cognitive functions. Patients in the experimental group were treated by RehaCom for 5 weeks (two 60-min sessions per week). Cognitive performance of all patients in both groups was assessed at weeks 5 and 10 (post-test and follow-up stages, respectively). The results showed that RehaCom treatment improved all studied cognitive functions at the post-test stage. This effect also remained at the follow-up stage for some cognitive functions. In conclusion, treatment with RehaCom may have significant therapeutic effects on cognitive dysfunctions in MS patients.
多发性硬化症(MS)是一种慢性神经退行性疾病,会损害认知表现。注意力、反应控制、工作记忆和处理速度在 MS 中受到严重损害。另一方面,RehaCom 是一种计算机化软件,可以改善认知功能障碍。在这项研究中,我们旨在研究 RehaCom 对 MS 患者注意力、反应控制、处理速度、工作记忆、视空间技能和言语/非言语执行功能的影响。随机选择了 60 名患者,并将他们分为对照组(n=30)和实验组(n=30)。使用综合视听-2(IVA-2)、Paced Auditory Serial Addition Test(PASAT)、Symbol Digit Modalities Test(SDMT)、Line Orientation 判断力测试(JLO)和 Delis-Kaplan 执行功能系统(DKEFS)来评估认知功能。实验组患者接受 RehaCom 治疗 5 周(每周两次,每次 60 分钟)。两组患者在第 5 周和第 10 周(分别为后测和随访阶段)评估认知表现。结果表明,RehaCom 治疗在后测阶段改善了所有研究的认知功能。这种效果在一些认知功能的随访阶段仍然存在。总之,RehaCom 治疗可能对 MS 患者的认知功能障碍有显著的治疗效果。