Teleneuropsychology for vascular cognitive impairment: Which tools do we have?
The halt of clinical activities imposed during the COVID-19 pandemic forced clinicians to find alternative strategies to provide continuity of care and services, and led to a renewed interest in use of teleneuropsychology (TNP) to remotely assess patients. Recent TNP guidelines recommend maximizing...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Cerebral Circulation - Cognition and Behavior |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266624502300017X |
| _version_ | 1797398993968300032 |
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| author | Emilia Salvadori Leonardo Pantoni |
| author_facet | Emilia Salvadori Leonardo Pantoni |
| author_sort | Emilia Salvadori |
| collection | DOAJ |
| description | The halt of clinical activities imposed during the COVID-19 pandemic forced clinicians to find alternative strategies to provide continuity of care and services, and led to a renewed interest in use of teleneuropsychology (TNP) to remotely assess patients. Recent TNP guidelines recommend maximizing the reproduction of standard in-person assessment, particularly through videoconferences. However, consistency of the adaptations of usual cognitive tests to videoconference needs further elucidation.This review aims at critical reviewing which cognitive tests could be recommended for a remote evaluation of patients with vascular cognitive impairment (VCI) among those widely recognized as reference standards.Current evidence supports the use of global cognitive efficiency (MMSE and MoCA), verbal memory (Revised Hopkins Verbal Learning Test), and language tests (phonemic and semantic verbal fluencies, Boston Naming Test), while there is a lack of strong validity support for measures of visuospatial functions (Rey-Osterreith Complex Figure), and executive functioning and processing speed (Trail making Test, and Digit symbol or Symbol digit tests). This represents a major limitation in the evaluation of VCI because its cognitive profile in often characterized by attention and executive deficits.At present, a videoconference TNP visit appears useful for a brief evaluation of global cognitive efficiency, and to ‘triage’ patients towards a second level in person evaluation. In future, hybrid models of TNP based on data collected across multiple modalities, incorporating both adaptation of usual cognitive tools and new computerized tools in the supervised videoconference setting, are likely to become the best option for a comprehensive remote cognitive assessment. |
| first_indexed | 2024-03-09T01:33:33Z |
| format | Article |
| id | doaj.art-c7d6c3232047426388f912ca0f7f572f |
| institution | Directory Open Access Journal |
| issn | 2666-2450 |
| language | English |
| last_indexed | 2024-03-09T01:33:33Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Cerebral Circulation - Cognition and Behavior |
| spelling | doaj.art-c7d6c3232047426388f912ca0f7f572f2023-12-09T06:08:01ZengElsevierCerebral Circulation - Cognition and Behavior2666-24502023-01-015100173Teleneuropsychology for vascular cognitive impairment: Which tools do we have?Emilia Salvadori0Leonardo Pantoni1NEUROFARBA Department, Neuroscience Section, University of Florence, Florence, Italy; Corresponding author at: NEUROFARBA Department - Neuroscience Section, University of Florence, Viale Gaetano Pieraccini 6, 50139; Florence, Italy.Neuroscience Research Center, Department of Biomedical and Clinical Sciences, University of Milan, Milan, ItalyThe halt of clinical activities imposed during the COVID-19 pandemic forced clinicians to find alternative strategies to provide continuity of care and services, and led to a renewed interest in use of teleneuropsychology (TNP) to remotely assess patients. Recent TNP guidelines recommend maximizing the reproduction of standard in-person assessment, particularly through videoconferences. However, consistency of the adaptations of usual cognitive tests to videoconference needs further elucidation.This review aims at critical reviewing which cognitive tests could be recommended for a remote evaluation of patients with vascular cognitive impairment (VCI) among those widely recognized as reference standards.Current evidence supports the use of global cognitive efficiency (MMSE and MoCA), verbal memory (Revised Hopkins Verbal Learning Test), and language tests (phonemic and semantic verbal fluencies, Boston Naming Test), while there is a lack of strong validity support for measures of visuospatial functions (Rey-Osterreith Complex Figure), and executive functioning and processing speed (Trail making Test, and Digit symbol or Symbol digit tests). This represents a major limitation in the evaluation of VCI because its cognitive profile in often characterized by attention and executive deficits.At present, a videoconference TNP visit appears useful for a brief evaluation of global cognitive efficiency, and to ‘triage’ patients towards a second level in person evaluation. In future, hybrid models of TNP based on data collected across multiple modalities, incorporating both adaptation of usual cognitive tools and new computerized tools in the supervised videoconference setting, are likely to become the best option for a comprehensive remote cognitive assessment.http://www.sciencedirect.com/science/article/pii/S266624502300017XTeleneuropsychologyVideoconferenceNeuropsychological testsNeuropsychological assessmentVascular cognitive impairment |
| spellingShingle | Emilia Salvadori Leonardo Pantoni Teleneuropsychology for vascular cognitive impairment: Which tools do we have? Cerebral Circulation - Cognition and Behavior Teleneuropsychology Videoconference Neuropsychological tests Neuropsychological assessment Vascular cognitive impairment |
| title | Teleneuropsychology for vascular cognitive impairment: Which tools do we have? |
| title_full | Teleneuropsychology for vascular cognitive impairment: Which tools do we have? |
| title_fullStr | Teleneuropsychology for vascular cognitive impairment: Which tools do we have? |
| title_full_unstemmed | Teleneuropsychology for vascular cognitive impairment: Which tools do we have? |
| title_short | Teleneuropsychology for vascular cognitive impairment: Which tools do we have? |
| title_sort | teleneuropsychology for vascular cognitive impairment which tools do we have |
| topic | Teleneuropsychology Videoconference Neuropsychological tests Neuropsychological assessment Vascular cognitive impairment |
| url | http://www.sciencedirect.com/science/article/pii/S266624502300017X |
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