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5 Cognitive Rehabilitation Using Teleneuropsychology. A Cohort Study in South America

Published online by Cambridge University Press:  21 December 2023

Carlos Martinez Canyazo
Affiliation:
Fleni, Buenos Aires, Argentina.
Rodrigo S Fernandez
Affiliation:
Instituto de Fisiologia, Biologia Molecular y Neurociencias (IFIBYNE), CONICET-Universidad de Buenos Aires, Buenos Aires, Argentina
Maria B Helou
Affiliation:
Fleni, Buenos Aires, Argentina.
Micaela Arruabarrena
Affiliation:
Fleni, Buenos Aires, Argentina.
Nicolas Corvalan
Affiliation:
Fleni, Buenos Aires, Argentina.
Agostina Carello
Affiliation:
Fleni, Buenos Aires, Argentina.
Paula Harris
Affiliation:
Fleni, Buenos Aires, Argentina.
Monica Feldman
Affiliation:
Fleni, Buenos Aires, Argentina.
Ismael Luis Calandri
Affiliation:
Fleni, Buenos Aires, Argentina.
Maria E Martin
Affiliation:
Fleni, Buenos Aires, Argentina.
Ricardo F Allegri
Affiliation:
Fleni, Buenos Aires, Argentina.
Lucia Crivelli*
Affiliation:
Fleni, Buenos Aires, Argentina.
*
Correspondence: Lucia Crivelli Fleni, Buenos Aires Argentina lcrivelli@fleni.org.ar
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Abstract

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Objective:

The COVID-19 pandemic has affected the continuity of cognitive rehabilitation (CR) worldwide. However, the use of teleneuropsychology (TNP) to provide CR has contributed significantly to the continuity of treatment. The objective of this study was to measure the effects of CR via the TNP on cognition, neuropsychiatric symptoms, and memory strategies in a cohort of patients with Mild Cognitive Impairment (MCI).

Participants and Methods:

A sample of 60 patients (60% female; age: 72.4±6.96) with MCI according to Petersen criteria was randomly divided into two groups: 30 cases (treatment group) and 30 controls (waiting list group). Subjects were matched for age, sex, and MMSE or MoCA.

The treatment group received ten weekly CR sessions of 45 minutes weekly. Pre-treatment (week 0) and post-treatment (week 10) measures were assessed for both groups. Different Linear Mixed Models were estimated to test treatment effect (CR vs. Controls) on each outcome of interest over Time (Pre/Post), controlling for Diagnosis, Age, Sex, and MMSE/MoCA performance.

Results:

A significant Group (Control/Treatment) x Time (pre/post) interaction revealed that the treatment group at 10 weeks had better scores in cognitive variables: memory (RAVLT learning trials p=0.030; RAVLT delayed recall p=0.029), phonological fluency(p=0.001), activities of daily living (FAQ p=0.001), satisfaction with memory performance (MMQ Satisfaction p=0.004) and use of memory strategies (MMQ Strategy p=0.00), and a significant reduction of affective symptomatology: depression (GDS p=0.00), neuropsychiatric symptoms (NPIQ p=0.045), Forgetfulness (EDO-10 p=0.00), Stress (DAS Stress p=0.00).

Conclusions:

This is the first study to test CR using teleNP in South America. Our results suggest that CR through teleNP is an effective intervention to improve performance on cognitive variables and reduce neuropsychiatric symptomatology compared to patients with MCI. These results have great significance in the context of the COVID-19 pandemic in South America, where teleNP is proving to be a valuable tool.

Type
Poster Session 02: Acute & Acquired Brain Injury
Copyright
Copyright © INS. Published by Cambridge University Press, 2023