J. Except. People 2016, 5(2):67-81

Monitoring the effect of cognitive rehabilitation in patients with a residual type of aphasia

Petr Nilius, Lucie Šebková, Petra Krulová, Dagmar Fiedorová, Pavel Ressner, Olga Zapletalová
Department of Psychology, Faculty of Arts Palacký University Olomouc, Vodární 6, 771 80 Olomouc, Czech Republic, 2nd and corresponding author: Mgr. Lucie Šebková, Instutite of Special Education Studies, Faculty of Education Palacký Universtity Olomouc, Žižkovo náměstí 5, 771 40 Olomouc, Czech Republic, 3rd Mgr. Petra Krulová, PhDr. Dagmar Fiedorová, MUDr. Pavel Ressner, Ph.D., MUDr. Olga Zapletalová, Neurologická klinika, Fakultní nemocnice Ostrava, 17. listopadu 1790, 708 52 Ostrava-Poruba

Introduction: The main objective of this paper is to analyze the development of cognitive functions and the effect of cognitive rehabilitation on the process of brain ageing in the context of the Mild Cognitive Impairment (MCI).

Methodology: Research has a character of a quantitative non- randomized intervention study in which the effect of cognitive rehabilitation in the sample (ALL, N = 67), aged from 18 to 70 years, is observed. The research sample was divided into three groups. The NEURO group (n = 38) included patients meeting criteria for a Mild Cognitive Impairment (MCI). The APHASIA group (n = 15) included people with an expressive type of aphasia and a brain damage. The NORM control group (n = 14) included people without a brain damage, but exhibiting a functional cognitive deficit of a mild neurocognitive impairment. A cognitive rehabilitation effect was evaluated with the Addenbrook cognitive test, a revised version, 2010 (ACE-R), and with the overall IQ score of the WAIS III neuropsychological test. A subjective change was determined with the Clinical Global Impression psychiatric scale (CGI).

Results: A statistically significant effect of cognitive rehabilitation with parameters ACE-R, IQ and a verbal fluency test was confirmed in all monitored groups. In the APHASIA clinical sample, no statistically significant effect was found in any researched verbal subtests, except of significant improvements in cognitive flexibility and verbal fluency. A non-cognitive effect, such as changes in perception in terms of reduction of anxiety and depressive symptoms, was found in the NEURO sample. A small number of valid examinations and the need to use a non-parametric test limited the acquired data.

Conclusion: The effect of cognitive rehabilitation on the development of better cognitive functioning of every person was detected and verified. There was no difference of this effect within the examined groups found.

Keywords: cognitive rehabilitation, aphasia, MCI, ACE-R, CGI, WAIS III.
Grants and funding:

The research results constitute partial results of the specific research "Research of selected parameters of the production and perception of voice, speech and language in relation to specific aetiological determinants in the speech and language therapy insight" (IGA_PdF_2016_019; principal researcher: Kateřina Vitásková).

Published: December 11, 2016  Show citation

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Nilius, P., Šebková, L., Krulová, P., Fiedorová, D., Ressner, P., & Zapletalová, O. (2016). Monitoring the effect of cognitive rehabilitation in patients with a residual type of aphasia. Journal of Exceptional People, 5(9), 67-81
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    • References

    1. Alexander, M. P. (2006). Impairments of procedures for implementing complex language are due to disruption of frontal attention processes. Journal of the International Neuropsychological Society, 12(2), 236-247. Go to original source...
    2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5TM (5th ed.). Washington DC. Go to original source...
    3. Baldo, J., V., & Dronkers, N., F., Wilkins, D., Ludy, C., Raskin, P., & Kim, J. (2005). Is problem solving dependent on language? Brain and Language, 92(3), 240-250. Go to original source...
    4. Brownsett, S. L. E., Warren, J. E., Geranmayeh, F., Woodhead, Z., Leech, R., & Wise, R. J. S. (2014). Cognitive control and its impact on recovery from aphasic stroke. Brain, 137(1), 242-254. Go to original source...
    5. Cahana-Amitay, D., & Albert, M. L. (2015). Redefining Recovary from Aphasia. New York: Oxford University Press. Go to original source...
    6. Cséfalvay, Z., & Košťálová, M. (2012). Neurogénne poruchy komunikacie u dospelých. In Neurologie pro praxi, 13, 2012. č. 6. 304-307.
    7. Flanagan, D. P., Ortiz, S. O., & Alfonso, V. C. (2007). Essentials of cross-battery assessment. (2nd Edition). New Jersey: John Wiley & Sons, Inc.
    8. Gianotti, G. (2014). Old and recent approaches to the problem of non-verbal conceptual disorders in aphasic patients. Cortex, 53, 78-89. Go to original source...
    9. Hallowell, B., & Chapey, R. (2008). Introduction to Language Intervention Strategies in Adult Aphasia. In Chapey, R. et al. Language Intervention Strategies in Aphasia and Related Neurogenic Communication Disorders. (5th ed.). Philadelphia: Lippincott Williams.
    10. Helm-Estabrooks, N. (2002). Cognition and aphasia: a discussion and a study. Journal of Communication Disorders, 35(2), 171-186. Go to original source...
    11. Kalbe, E., Reinhold, N., Brand, M., Markowitsch, J., & Kessler, J. (2005). A new test battery to assess aphasic disturbances and associated cognitive dysfunctions: German normative data on the Aphasia Check List. Journal of Clinical and Experimental Neuropsychology, 27(7), 779-794. Go to original source...
    12. Kopečný, P. (2014). Logopedická intervence u osob se zdravotním postižením ve věku mladé dospělosti. Brno: Masarykova univerzita, 2014. 210 s.
    13. Lechta, V. (2009). Základné poznatky o logopédii. In: Kerekrétiová, A. et al. Základy logopédie. Bratislava: Univerzita Komenského, s. 15-32.
    14. Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological Assessment. (4th ed.), New York: Oxford University Press.
    15. Lendrem, W., & Lincoln, N. B. (1985). Spontaneous recovery of language in patients with aphasia between 4 and 34 weeks after stroke. Journal of Neurology, Neurosurgery, and Psychiatry, 48(8), 743-8. http://doi.org/10.1136/jnnp.48.8.743. Go to original source...
    16. Murray, L. L. (2012). Attention and Other Cognitive Deficits in Aphasia: Presence and Relation to Language and Communication Measures. American Journal of Speech-Language Pathology, 21, 51-64. Go to original source...
    17. Papathanasiou, I., & Coppens, P. (2011). Communication Disorders: Basic Concepts and Operational Definitions. In Papathanasiou, I., P. Coppens, & C. Potagas. Aphasia And Related Neurogenic Communication Disorders. Burlington: Jones.
    18. Pascual-Leone, A., et al. (2011). Characterizing brain cortical plasticity and network dynamics across the age-span in health and disease with TMS-EEG and TMS-fMRI. Brain Topography, 24(3-4), 302-315. Go to original source...
    19. Seniów, J., Litwin, M., & Leśniak, M. (2009). The relationship between non-linguistic cognitive deficits and language recovery in patients with aphasia. Journal of the Neurological Sciences, 283, 91-94. Go to original source...
    20. Šteňová, V., & Ostatníková, D. (2011). Kognitívne funkcie a ich rehabilitácia v klinickej praxi. Bratislava: Mabag.
    21. Vukovic, M., Vuksanovic, J., & Vukovic, I. (2008). Comparison of the recovery patterns of language and cognitive functions in patients with post-traumatic language processing deficits and in patients with aphasia following a stroke. Journal of Communication Disorders, 41(6), 531-552. Go to original source...
    22. Trousseau, A. (1865). Clinique Médicale de l'Hotel Dieu de Paris. Paris: Bailliére.
    23. Vallila-Rohter, S. M., & Kiran, S. (2013). Non-linguistic learning and aphasia: evidence from a paired associate and feedback-based task. Neuropsychologia, 51(1), 79-90. Go to original source...
    24. Walker, G. M., & Hickok, G. (2015). Bridging computational approaches to speech production: The semantic-lexical-auditory-motor model (SLAM). Psychonomic Bulletin & Review. http://doi.org/10.3758/s13423-015-0903-7. Go to original source...

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