Canyazo Carlos Martínez, Keller Greta, Helou Belen, Arruabarrena Micaela, Corvalán Nicolas, Carello Agostina, Harris Paula, Feldman Monica, Fernández Rodrigo, Calandri Ismael Luis, Martin María Eugenia, Allegri Ricardo Francisco, Crivelli Lucía
Hospital Fleni, Departamento de Neurología Cognitiva, Buenos Aires, Argentina.
Hospital Fleni, Servicio de Neuroinmunología, Buenos Aires, Argentina.
Dement Neuropsychol. 2023 Jul 24;17:e20220079. doi: 10.1590/1980-5764-DN-2022-0079. eCollection 2023.
The COVID-19 pandemic has affected the continuity of cognitive rehabilitation worldwide. However, the use of teleneuropsychology to provide cognitive rehabilitation has contributed significantly to the continuity of the treatment.
To measure the effects of cognitive telerehabilitation on cognition, neuropsychiatric symptoms, and memory strategies in a cohort of patients with mild cognitive impairment.
A sample of 60 patients with mild cognitive impairment according to Petersen's criteria was randomly divided into two groups: 30 treatment cases and 30 controls (waiting list group). Subjects were matched by age, sex, and Montreal Cognitive Assessment. The treatment group received ten cognitive telerehabilitation sessions of 45 minutes duration once a week. Pre-treatment (week 0) and post-treatment (week 10) measures were assessed for both groups. Different linear mixed models were estimated to test treatment effect (cognitive telerehabilitation vs. controls) on each outcome of interest over time (pre/post-intervention).
A significant group (control/treatment) x time (pre/post) interaction revealed that the treatment group at week 10 had better scores in cognitive variables: memory (RAVLT learning trials p=0.030; RAVLT delayed recall p=0.029), phonological fluency (p=0.001), activities of daily living (FAQ p=0.001), satisfaction with memory performance (MMQ satisfaction p=0.004) and use of memory strategies (MMQ strategy p=0.000), as well as, and a significant reduction of affective symptomatology: depression (GDS p=0.000), neuropsychiatric symptoms (NPI-Q p=0.045), forgetfulness (EDO-10 p=0.000), and stress (DAS stress p=0.000).
Our study suggests that CTR is an effective intervention.
新冠疫情影响了全球认知康复的连续性。然而，使用远程神经心理学提供认知康复对治疗的连续性有显著贡献。
测量认知远程康复对一组轻度认知障碍患者的认知、神经精神症状和记忆策略的影响。
根据彼得森标准，将60例轻度认知障碍患者样本随机分为两组：30例治疗组和30例对照组（等待名单组）。受试者按年龄、性别和蒙特利尔认知评估进行匹配。治疗组每周接受一次，每次45分钟，共十次认知远程康复治疗。对两组进行治疗前（第0周）和治疗后（第10周）测量。估计不同的线性混合模型，以测试随时间（干预前/后）治疗效果（认知远程康复与对照组）对每个感兴趣结果的影响。
显著的组（对照组/治疗组）×时间（治疗前/后）交互作用表明，治疗组在第10周时在认知变量方面得分更高：记忆（雷伊听觉词语学习测验学习试验p = 0.030；雷伊听觉词语学习测验延迟回忆p = 0.029）、语音流畅性（p = 0.001）、日常生活活动（功能活动问卷p = 0.001）、对记忆表现的满意度（记忆自评问卷满意度p = 0.004）和记忆策略的使用（记忆自评问卷策略p = 0.000），以及情感症状有显著减轻：抑郁（老年抑郁量表p = 0.000）、神经精神症状（神经精神症状问卷p = 0.045）、健忘（日常遗忘量表-10 p = 0.000）和压力（抑郁焦虑压力量表压力p = 0.000）。
我们的研究表明，认知远程康复是一种有效的干预措施。
