A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia
Introduction. A complex of computer neuropsychological programs was developed at KrasSMU, which in several pilot studies has shown effectiveness in cognitive training for patients with vascular cognitive impairments (VCI). Objectives. The aim of the present study was to compare changes in cognitiv...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
M.V. Lomonosov Moscow State University
2018-06-01
|
| Series: | Psychology in Russia: State of Art |
| Subjects: | |
| Online Access: | http://psychologyinrussia.com/volumes/pdf/2018_2/psych_2_2018_5_prokopenko.pdf |
| _version_ | 1818033221393186816 |
|---|---|
| author | Semen V. Prokopenko Anna F. Bezdenezhnykh Elena U. Mozheyko Marina M. Petrova |
| author_facet | Semen V. Prokopenko Anna F. Bezdenezhnykh Elena U. Mozheyko Marina M. Petrova |
| author_sort | Semen V. Prokopenko |
| collection | DOAJ |
| description | Introduction. A complex of computer neuropsychological programs was developed at KrasSMU, which in several pilot studies has shown effectiveness in cognitive training for
patients with vascular cognitive impairments (VCI).
Objectives. The aim of the present study was to compare changes in cognitive status in those patients with post-stroke VCI who worked with neuropsychological computer programs, with those changes experienced by a group of similar patients who played entertaining computer games.
Methods. Patients in the early recovery period after a hemispheric stroke with VCI without dementia (N=26, age 40-67) were randomized into three groups. All patients underwent conventional treatment in a rehabilitation hospital. Patients in the intervention group had ten daily 40-minute training sessions with neuropsychological computer programs. Participants in the active control group played entertaining computer games, and kept an identical regimen. Patients in the passive control group received only conventional treatment. Cognitive, neurological, affective, and functional states were assessed
before and after the training periods.
Results. Significant improvements were observed in the intervention group as compared to the passive control group on the Montreal Cognitive Assessment (MoCA, p=0.0004), the Clock Drawing Test (CDT, p=0.001), and the Frontal Assessment Battery (FAB, p=0.01). Differences between the groups of patients playing neuropsychological and entertaining games were statistically insignificant (Mann-Whitney U test, p>0.05),
although in the intervention group there were improvements on every cognitive scale after the training period (Wilcoxon matched pairs test, p<0.05), while in the active control group, enhancements were evident only on some cognitive scales (p<0.05). No changes were observed in the passive control group. |
| first_indexed | 2024-12-10T06:19:49Z |
| format | Article |
| id | doaj.art-9b28631db2cf436981de7fc87259e869 |
| institution | Directory Open Access Journal |
| issn | 2074-6857 2307-2202 |
| language | English |
| last_indexed | 2024-12-10T06:19:49Z |
| publishDate | 2018-06-01 |
| publisher | M.V. Lomonosov Moscow State University |
| record_format | Article |
| series | Psychology in Russia: State of Art |
| spelling | doaj.art-9b28631db2cf436981de7fc87259e8692022-12-22T01:59:22ZengM.V. Lomonosov Moscow State UniversityPsychology in Russia: State of Art2074-68572307-22022018-06-01112556710.11621/pir.2018.0205A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementiaSemen V. Prokopenko0Anna F. Bezdenezhnykh1Elena U. Mozheyko2Marina M. Petrova3Department of Neurology and Medical Rehabilitation, Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Krasnoyarsk, Russia; Center of Neurology and Neurorehabilitation, the Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency of Russia, Krasnoyarsk, RussiaDepartment of Neurology and Medical Rehabilitation, Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Krasnoyarsk, Russia; Center of Neurology and Neurorehabilitation, the Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency of Russia, Krasnoyarsk, RussiaDepartment of Neurology and Medical Rehabilitation, Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Krasnoyarsk, Russia; Center of Neurology and Neurorehabilitation, the Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency of Russia, Krasnoyarsk, RussiaDepartment of Neurology and Medical Rehabilitation, Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky, Krasnoyarsk, RussiaIntroduction. A complex of computer neuropsychological programs was developed at KrasSMU, which in several pilot studies has shown effectiveness in cognitive training for patients with vascular cognitive impairments (VCI). Objectives. The aim of the present study was to compare changes in cognitive status in those patients with post-stroke VCI who worked with neuropsychological computer programs, with those changes experienced by a group of similar patients who played entertaining computer games. Methods. Patients in the early recovery period after a hemispheric stroke with VCI without dementia (N=26, age 40-67) were randomized into three groups. All patients underwent conventional treatment in a rehabilitation hospital. Patients in the intervention group had ten daily 40-minute training sessions with neuropsychological computer programs. Participants in the active control group played entertaining computer games, and kept an identical regimen. Patients in the passive control group received only conventional treatment. Cognitive, neurological, affective, and functional states were assessed before and after the training periods. Results. Significant improvements were observed in the intervention group as compared to the passive control group on the Montreal Cognitive Assessment (MoCA, p=0.0004), the Clock Drawing Test (CDT, p=0.001), and the Frontal Assessment Battery (FAB, p=0.01). Differences between the groups of patients playing neuropsychological and entertaining games were statistically insignificant (Mann-Whitney U test, p>0.05), although in the intervention group there were improvements on every cognitive scale after the training period (Wilcoxon matched pairs test, p<0.05), while in the active control group, enhancements were evident only on some cognitive scales (p<0.05). No changes were observed in the passive control group.http://psychologyinrussia.com/volumes/pdf/2018_2/psych_2_2018_5_prokopenko.pdfCognitive trainingcomputer cognitive trainingstrokecognitive rehabilitationneuropsychological computer programsvascular cognitive impairmentspoststroke cognitive impairments |
| spellingShingle | Semen V. Prokopenko Anna F. Bezdenezhnykh Elena U. Mozheyko Marina M. Petrova A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia Psychology in Russia: State of Art Cognitive training computer cognitive training stroke cognitive rehabilitation neuropsychological computer programs vascular cognitive impairments poststroke cognitive impairments |
| title | A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia |
| title_full | A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia |
| title_fullStr | A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia |
| title_full_unstemmed | A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia |
| title_short | A comparative clinical study of the effectiveness of computer cognitive training in patients with post-stroke cognitive impairments without dementia |
| title_sort | comparative clinical study of the effectiveness of computer cognitive training in patients with post stroke cognitive impairments without dementia |
| topic | Cognitive training computer cognitive training stroke cognitive rehabilitation neuropsychological computer programs vascular cognitive impairments poststroke cognitive impairments |
| url | http://psychologyinrussia.com/volumes/pdf/2018_2/psych_2_2018_5_prokopenko.pdf |
| work_keys_str_mv | AT semenvprokopenko acomparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT annafbezdenezhnykh acomparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT elenaumozheyko acomparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT marinampetrova acomparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT semenvprokopenko comparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT annafbezdenezhnykh comparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT elenaumozheyko comparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia AT marinampetrova comparativeclinicalstudyoftheeffectivenessofcomputercognitivetraininginpatientswithpoststrokecognitiveimpairmentswithoutdementia |