Cognitive Rehabilitation in Patients With Gliomas: A Randomized, Controlled Trial

Abstract

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Interventions for cognitive deficits in patients with a brain tumor: an update

“…Cognitive rehabilitation programs in patients with brain tumors have only recently been the subject of study [48,56,57]. Results show that they are feasible and that they yield positive effects, even in the long term.…”

“…In the current paper, we will review these studies and other recent pharmacological and cognitive rehabilitation approaches in patients with brain cancer. We will also summarize the results of a large randomized controlled trial (RCT) that we recently completed on the effectiveness of a cognitive rehabilitation program for patients with brain tumors [48], focusing in particular on some of the methodological issues arising from that study. Hopefully, the reflections on our experience in conducting such research will assist others in planning and conducting future studies in this area.…”

“…We recently reported on the first RCT that evaluated the effects of a multifaceted cognitive rehabilitation program on cognitive functioning and selected QoL domains in 140 adult patients with low-grade and anaplastic gliomas, favorable prognostic factors, and both subjective cognitive symptoms and objective cognitive deficits [48,214]. Patients were randomized to an intervention group or a waiting list control group.…”

Rehabilitación neuropsicológica en pacientes con tumores cerebrales

“…-Mantenimiento de los resultados en el seguimiento de tres meses Gehring et al (38) Sujetos con gliomas de bajo grado o anaplásicos con déficits cognitivos en al menos 4 de los 20 cuestionarios. Todos los pacientes habían recibido tratamiento y tenían una situación estable de la enfermedad, con un tiempo mínimo de 6 meses desde diagnóstico.…”

“…Como puede observarse en la Tabla 2, en la mayor parte de estudios hallados (31,33,34,(37)(38)(39)(40) se utilizaron estrategias para la recuperación y compensación de los déficits en los diferentes procesos atencionales, al ser una de las funciones cognitivas más afectada desde los primeros momentos de la enfermedad e independientemente de la localización de la lesión (22) . La intervención de los déficits en la atención constituye un objetivo prioritario en las fases iniciales de los programas de rehabilitación, puesto que sólo en la medida en que se mejoren estas habilidades se podrán ir incorporando de manera progresiva componentes más complejos.…”