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Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke

Received: 8 August 2013     Published: 20 October 2013
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Abstract

Cognitive difficulties frequently reported in the sufferers of stroke. Limited literatures are available regarding effectiveness of cognitive rehabilitation in post stroke dementia in Indian culture. Aims and objective: To examine the efficacy of home based cognitive retraining (HCR) in a patient who suffered from stroke. Method: Single case study method was opted regarding the same and results of pre and post assessment using NIMHANS neuropsychological battery and MRI of brain were compared. Six month’s package of home based cognitive retraining was given to the patient. Results: Pre assessment condition were indicative of fronto-temporal involvement and post assessment revealed significant improvement in cognitive functions i.e. speed of processing, attention, memory and executive function that improve patient’s academic performance and daily functioning. Further findings of the present study need validation in discrete settings. Conclusion: Home based cognitive retraining (HCR) is a promising home based technique for treating cognitive impairments caused by stroke.

Published in American Journal of Internal Medicine (Volume 1, Issue 4)
DOI 10.11648/j.ajim.20130104.11
Page(s) 27-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Stroke, Cognitive Impairment, Cognitive Retraining

References
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[2] Sachdev PS, Brodaty H, Valenzuela MJ, Lorentz L, Looi JC, Wen W, Zagami AS. The neurop-sychological profile of vascular cognitive impairment in stroke and TIA patients. Neurology 2004; 62: 912–9.
[3] Tatemichi TK, Paik M, Bagiella E, Desmond DW, Pirro M, Hanzawa LK. Dementia after stroke is a predictor of long-term survival. Stroke 1994; 25: 1915–9.
[4] Fish J, Manly T, Em-slie H, Evans JJ, et al. Compensatory strategies for acquired disorders of memory and planning: differential effects of a paging system for patients with brain injury of traumatic versus cerebro-vascular aetiology. Journal of Neurology, Neurosurgery and Psychiatry 2008; 79(8):930-5.
[5] Ryan J.D., Polatajko H.J., McEwen S et al. Analysis of Cognitive Environmen-tal Support (ACES): preliminary testing. Neuropsychol Rehabil 2011; 21: 401–27.
[6] Schwamm L H, Audebert H J, Amarenco P et al. Recommendations for The im-plementation of telemedicine within stroke systems of care: a Policy statement from the Ameri-can Heart Association. Stroke 2009; 40:2635–60
[7] CraiK, F.I. M., & Watkins, M.J. The role of rehearsal in short-term memory. Journal of Verbal Learning and Verbal Behavior.1973; 12: 599-607.
[8] Rao, Shobini L., D. K. Subbakrishna, and K. Gopukumar. NIMHANS Neuropsy-chology Battery Manual. National Institute of Mental Health and Neurosciences, 2004
[9] Winkens I, Van Heugten CM, Wade DT, Habets EJ, Fasotti L. Efficacy of time pressure man-agement in stroke patients with slowed information processing: a randomized controlled trial. Arch Phys Med Rehabil. 2009; 90(10):1672-9.
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Cite This Article
  • APA Style

    Neelam Verma, Aldrin Anthony Dung Dung, Meena Sharma, Akhila Kumar Panda. (2013). Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke. American Journal of Internal Medicine, 1(4), 27-30. https://doi.org/10.11648/j.ajim.20130104.11

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    ACS Style

    Neelam Verma; Aldrin Anthony Dung Dung; Meena Sharma; Akhila Kumar Panda. Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke. Am. J. Intern. Med. 2013, 1(4), 27-30. doi: 10.11648/j.ajim.20130104.11

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    AMA Style

    Neelam Verma, Aldrin Anthony Dung Dung, Meena Sharma, Akhila Kumar Panda. Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke. Am J Intern Med. 2013;1(4):27-30. doi: 10.11648/j.ajim.20130104.11

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  • @article{10.11648/j.ajim.20130104.11,
      author = {Neelam Verma and Aldrin Anthony Dung Dung and Meena Sharma and Akhila Kumar Panda},
      title = {Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke},
      journal = {American Journal of Internal Medicine},
      volume = {1},
      number = {4},
      pages = {27-30},
      doi = {10.11648/j.ajim.20130104.11},
      url = {https://doi.org/10.11648/j.ajim.20130104.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20130104.11},
      abstract = {Cognitive difficulties frequently reported in the sufferers of stroke. Limited literatures are available regarding effectiveness of cognitive rehabilitation in post stroke dementia in Indian culture. Aims and objective: To examine the efficacy of home based cognitive retraining (HCR) in a patient who suffered from stroke. Method: Single case study method was opted regarding the same and results of pre and post assessment using NIMHANS neuropsychological battery and MRI of brain were compared. Six month’s package of home based cognitive retraining was given to the patient. Results: Pre assessment condition were indicative of fronto-temporal involvement and post assessment revealed significant improvement in cognitive functions i.e. speed of processing, attention, memory and executive function that improve patient’s academic performance and daily functioning. Further findings of the present study need validation in discrete settings. Conclusion: Home based cognitive retraining (HCR) is a promising home based technique for treating cognitive impairments caused by stroke.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Home Based Cognitive Retraining for Cognitive Impairments Followed by Stroke
    AU  - Neelam Verma
    AU  - Aldrin Anthony Dung Dung
    AU  - Meena Sharma
    AU  - Akhila Kumar Panda
    Y1  - 2013/10/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.ajim.20130104.11
    DO  - 10.11648/j.ajim.20130104.11
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 27
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20130104.11
    AB  - Cognitive difficulties frequently reported in the sufferers of stroke. Limited literatures are available regarding effectiveness of cognitive rehabilitation in post stroke dementia in Indian culture. Aims and objective: To examine the efficacy of home based cognitive retraining (HCR) in a patient who suffered from stroke. Method: Single case study method was opted regarding the same and results of pre and post assessment using NIMHANS neuropsychological battery and MRI of brain were compared. Six month’s package of home based cognitive retraining was given to the patient. Results: Pre assessment condition were indicative of fronto-temporal involvement and post assessment revealed significant improvement in cognitive functions i.e. speed of processing, attention, memory and executive function that improve patient’s academic performance and daily functioning. Further findings of the present study need validation in discrete settings. Conclusion: Home based cognitive retraining (HCR) is a promising home based technique for treating cognitive impairments caused by stroke.
    VL  - 1
    IS  - 4
    ER  - 

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Author Information
  • Clinical Psychologist at Nur Manzil Psychiatric Centre, Lal Bagh, Lucknow, India

  • Department of Neurology, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi

  • Department of Clinical Psychology, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi

  • Department of Neurology, Institute of Human Behaviour and Allied Sciences (IHBAS), Delhi

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