Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer&amp;rsquo;s disease: a&amp;nbsp;pilot study

Jelcic, Nela; Agostini, Michela; Meneghello, Francesca; Bussè, Cinzia; Parise, Sara; Galano, Antonietta; Tonin, Paolo; Dam, Mauro; Cagnin, Annachiara

doi:10.2147/cia.s68145

Cited by 56 publications

(63 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…42 With regard to results, four studies 21 , 22 , 39 , 41 showed post-intervention improvement in naming skills (EL I, II and III) 21 , 22 , 39 , 41 and phonemic, verbal and semantic fluency (EL I). 39 , 40 Only one study (classified as EL IV) 42 showed no post-intervention effects, with few and insignificant changes from baseline for naming skills and vocabulary. 42 Only two studies investigated the maintenance of positive effects in follow-ups after intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Studies that were classified into this category used activities such as tasks which requested the patient to detect semantic relationships between items, name figures, interpret the meaning of isolated words, as well as words within sentences and within stories. From the six studies included in this category, two were classified as EL I, 39 , 40 one as EL II, 41 two as EL III 21 , 22 and one as EL IV. 42 With regard to results, four studies 21 , 22 , 39 , 41 showed post-intervention improvement in naming skills (EL I, II and III) 21 , 22 , 39 , 41 and phonemic, verbal and semantic fluency (EL I).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Language and communication non-pharmacological interventions in patients with Alzheimer's disease: a systematic review. Communication intervention in Alzheimer

Morello

Lima

Brandão

2017

Dement. neuropsychol.

View full text Add to dashboard Cite

Alzheimer's disease considerably compromises communication skills. Language changes become more prominent as the disease progresses. Deterioration of language and cognition reduces the ability of holding conversations, which has a negative impact on social interaction.OBJECTIVE:To conduct a systematic review of the literature for articles reporting interventions focused on the language and communication of people with Alzheimer's disease (AD) without use of medication.METHODS:We performed a search using the keywords Alzheimer's disease, language, communication, cognition, cognitive intervention, rehabilitation and therapy, and their corresponding Portuguese and Spanish terms, on the SciELO, LILACS, PubMed and PsychINFO databases. We analyzed intervention studies published from 1993 to 2016 that involved stimulation of language skills and/or communication with pre-and post-intervention quantitative results, and whose samples included at least 50% with a diagnosis of probable AD. Studies were analyzed and classified into four levels of evidence, according to the criteria described in the literature.RESULTS:Twenty-eight articles were included. The majority of the designs had medium-to-low scientific evidence. Most interventions showed benefits for at least one language or communicative skill. Eight types of interventions emerged from the analysis of the studies. Further research with higher levels of evidence is recommended in the investigation of interventions focused on language and communication skills of patients with dementia.CONCLUSION:Studies with high levels of evidence on the topic investigated are only being conducted on a small scale. Two intervention techniques seem potentially effective: lexical-semantic approaches and interventions that work with different cognitive skills (including language).

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Language and communication non-pharmacological interventions in patients with Alzheimer's disease: a systematic review. Communication intervention in Alzheimer

Morello

Lima

Brandão

2017

Dement. neuropsychol.

View full text Add to dashboard Cite

show abstract

“…Besides the diagnostic evaluation and follow-up monitoring, telemedicine interventions for dementia include internet-based information and support groups, robotic companions, the use of smartphones to report symptoms (258, 363, 364), and cognitive rehabilitation training (365).…”

Section: Telemedicinementioning

confidence: 99%

The Multidisciplinary Approach to Alzheimer's Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment

Sinforiani²,

et al. 2018

View full text Add to dashboard Cite

Background: Alzheimer's disease (AD) and dementia are chronic diseases with progressive deterioration of cognition, function, and behavior leading to severe disability and death. The prevalence of AD and dementia is constantly increasing because of the progressive aging of the population. These conditions represent a considerable challenge to patients, their family and caregivers, and the health system, because of the considerable need for resources allocation. There is no disease modifying intervention for AD and dementia, and the symptomatic pharmacological treatments has limited efficacy and considerable side effects. Non-pharmacological treatment (NPT), which includes a wide range of approaches and techniques, may play a role in the treatment of AD and dementia.Aim: To review, with a narrative approach, current evidence on main NPTs for AD and dementia.Methods: PubMed and the Cochrane database of systematic reviews were searched for studies written in English and published from 2000 to 2018. The bibliography of the main articles was checked to detect other relevant papers.Results: The role of NPT has been largely explored in AD and dementia. The main NPT types, which were reviewed here, include exercise and motor rehabilitation, cognitive rehabilitation, NPT for behavioral and psychological symptoms of dementia, occupational therapy, psychological therapy, complementary and alternative medicine, and new technologies, including information and communication technologies, assistive technology and domotics, virtual reality, gaming, and telemedicine. We also summarized the role of NPT to address caregivers' burden.Conclusions: Although NPT is often applied in the multidisciplinary approach to AD and dementia, supporting evidence for their use is still preliminary. Some studies showed statistically significant effect of NPT on some outcomes, but their clinical significance is uncertain. Well-designed randomized controlled trials with innovative designs are needed to explore the efficacy of NPT in AD and dementia. Further studies are required to offer robust neurobiological grounds for the effect of NPT, and to examine its cost-efficacy profile in patients with dementia.

show abstract

“…The advances in ICT have triggered a wide use of TR solutions in different domains. Nowadays, we can find solutions for the treatment of different physical (Piron et al, 2004 ; Sandlund et al, 2011 ) and cognitive diseases (Gervasi et al, 2010 ; Jelcic et al, 2014 ; Levin et al, 2015 ) and others that aim at providing more comprehensive solutions (Simmons et al, 2014 ; Oliver et al, 2016 ; Cameirao et al, 2017 ; Teruel et al, 2017a ). As stated in Lange et al ( 2012 ), there are some important features that should be considered in the design of RT tasks: they should be adjustable in terms of difficulty level; capable of repetitive and hierarchical administration; quantifiable to measure performance and progress; relevant to the real world; capable of providing users with strategic feedback; and capable of motivating the user’s engagement.…”

Section: Rehabilitation and Technologymentioning

confidence: 99%

Adaptive, Multisensorial, Physiological and Social: The Next Generation of Telerehabilitation Systems

Navarro

González

López-Jaquero

et al. 2018

Front. Neuroinform.

View full text Add to dashboard Cite

Some people require special treatments for rehabilitating physical, cognitive or even social capabilities after an accident or degenerative illness. However, the ever-increasing costs of looking after an aging population, many of whom suffer chronic diseases, is straining the finances of healthcare systems around Europe. This situation has given rise to a great deal of attention being paid to the development of telerehabilitation (TR) systems, which have been designed to take rehabilitation beyond hospitals and care centers. In this article, we propose which features should be addressed in the development of TR systems, that is, they should consider adaptive, multisensorial, physiological and social aspects. For this aim, the research project Vi-SMARt is being conducted for evaluating whether and how different technologies, such as virtual reality (VR), multi-sensorial feedback, or telemonitoring, may be exploited for the development of the next generation of TR systems. Beyond traditional aural and visual feedback, the exploitation of haptic sense by using devices such as haptic gloves or wristbands, can provide patients with additional guidance in the rehabilitation process. For telemonitoring, Electroencephalography (EEG) devices show signs of being a promising approach, not only to monitor patients’ emotions, but also to obtain neuro-feedback useful for controlling his/her interaction with the system and thus to provide a better rehabilitation experience.

show abstract

Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer’s disease: a pilot study

Cited by 56 publications

References 33 publications

Language and communication non-pharmacological interventions in patients with Alzheimer's disease: a systematic review. Communication intervention in Alzheimer

Language and communication non-pharmacological interventions in patients with Alzheimer's disease: a systematic review. Communication intervention in Alzheimer

The Multidisciplinary Approach to Alzheimer's Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment

Adaptive, Multisensorial, Physiological and Social: The Next Generation of Telerehabilitation Systems

Contact Info

Product

Resources

About