PT Journal
AU Nilius, P
   Sebkova, L
   Krulova, P
   Fiedorova, D
   Ressner, P
   Zapletalova, O
TI Monitoring the effect of cognitive rehabilitation in patients with a residual type of aphasia
SO Journal of Exceptional People
PY 2016
BP 67
EP 81
VL 5
IS 2
DE cognitive rehabilitation; aphasia; MCI; ACE-R; CGI; WAIS III.
AB 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.
ER