Impact of stimulating cognitive-motor training on neuropsychological status and quality of life in patients with Parkinson's disease
| Autor: | N. M. Kozlova, A. N. Kalyagin, G. M. Orlova, Т. М. Maksikova, Yu. N. Bykov, T.B. Bender, O. V. Ryzhkova, Yu. N. Vasiliev |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Neuropsychology Montreal Cognitive Assessment Hospital Anxiety and Depression Scale Mental health Cognitive training cognitive training Psychiatry and Mental health Clinical Psychology quality of life Quality of life parkinson's disease depression Physical therapy medicine Cognitive therapy Neurology. Diseases of the nervous system Neurology (clinical) RC346-429 business Depression (differential diagnoses) cognitive impairment |
| Zdroj: | Nevrologiâ, Nejropsihiatriâ, Psihosomatika, Vol 10, Iss 4, Pp 65-71 (2018) |
| ISSN: | 2310-1342 2074-2711 |
| Popis: | Motor and non-motor symptoms are identified in the clinical picture of Parkinson's disease (PD). Among its non-motor manifestations, cognitive impairment (CI) and emotional disorders play a special role in PD. It is important to search for new forms and methods of cognitive therapy in patients with PD.Objective:to analyze neuropsychological status and quality of life (QOL) in PD patients and to evaluate the efficiency of personalized combination therapy with a stimulating cognitive motor training on computer and mobile devices in these patients.Patients and methods. The investigation enrolled 112 patients with PD. A study group included 56 PD patients who received a cycle of combination therapy with cognitive-motor training on PC and mobile devices; a control group consisted of 56 PD patients who had only a drug therapy cycle. To evaluate neuropsychological status and QOL, the investigators used the Montreal Cognitive Assessment (MoCA), the McNair and Kahn memory self-evaluation scale, the Hospital Anxiety and Depression Scale (HADS), and the 36-Item Short Form Health Survey (SF-36) questionnaire.Results and discussion. According to MoCA scores, CI of varying severity was diagnosed in the majority of patients: in 75 and 80.4% in the study and control groups, respectively. Depressive syndrome was detected in 53.6 and 64.3% in these groups, respectively. According to the SF-36, the physical status of patients had the greatest effect in reducing their QOL. There were treatment-induced statistically significant positive changes for the following domains: physical functioning (pConclusion.The investigation has shown the efficiency of personalized therapy including stimulating cognitive-motor training on computer and mobile devices, which improves neuropsychological status and QOL in patients with PD. |
| Databáze: | OpenAIRE |
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