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Authors
Advisor(s)
Abstract(s)
Introdução: A reabilitação neurocognitiva (RNC) visa reabilitar as funções
cognitivas afetadas por lesão encefálica adquirida (LEA). Este campo requer mais e
melhores ferramentas de intervenção e mais evidências do impacto da sua
implementação.
Objetivos: Este estudo tem como objetivo estudar o impacto de diferentes
tarefas na reabilitação neurocognitiva das Funções Executivas (FEs) em pacientes com
LEA, através de uma plataforma online, NeuronUP, resultado de Acidentes Vasculares
Encefálicos (AVE) e Traumatismo Crânio-Encefálicos (TCE).
Métodos: Este estudo foi realizado com 36 pacientes com LEA (18 do sexo
feminino), com idades entre 27 e 73 anos (M = 53.39; DP = 11.7). Todos os participantes
completaram, pelo menos, 4 anos de educação formal (M = 9.92; DP = 4.70; Mínimo =
4; Máx = 17). Eles foram designados para um dos três grupos, Grupo Experimental (GE),
Grupo de Controlo Ativo (GCA) e Grupo de Controlo Passivo (GCP). Os participantes
foram avaliados antes e após a intervenção, através de uma bateria neuropsicológica de
testes: Montreal Cognitive Assessment (MoCA); INECO Frontal Sreening (IFS); Trail
Making Test (A/B) (TMT A/B); Stroop Neuropsychological Screening Test (SNST C/L); e
Hospital Anxiety and Depression Scale (HADS A/D).
Resultados: O programa de reabilitação neurocognitiva teve um efeito positivo
significativo no MoCA, IFS e SNST (C) no GE, do pré ao pós intervenção. A análise
comparativa entre os três grupos após a intervenção mostra uma diferença significativa
no MoCA, em que o GE revela melhores resultados do que o GCA e o GCP; e entre o GE
e o GCP no IFS e no SNST (C), em que o primeiro tem melhor desempenho.
Conclusão: Estes resultados preliminares mostram o efeito da reabilitação
neurocognitiva, através de uma plataforma online. São necessários mais estudos por
forma a obter evidências adicionais da implementação das novas tecnologias neste
campo.
Introduction: Neurocognitive rehabilitation aims to rehabilitate the cognitive functions affected by acquired brain injury (ABI). This field requires more and better intervention tools and more evidence of the impact of its implementation. Objectives: This study aims to study the impact of different tasks to neurocognitive rehabilitation of executive function, (EF) in ABI patients, through an online platform, NeuronUP, due to stroke and traumatic brain injury. Methods: This study comprises 36 ABI patients (18 female), aged between 27 and 73 years old (M = 53.39; SD = 11.7). All participants completed, at least, 4 years of formal education (M = 9.92; SD = 4.70; Min = 4; Max = 17). They were assigned in to one of three groups, Experimental Group (EG), Active Control Group (ACG) and Passive Control Group (PCG). Participants were assessed before and after the intervention, through a neuropsychological battery of tests: Montreal Cognitive Assessment (MoCA); Institute of Cognitive Neurology Frontal Sreening (IFS); Trail Making Test (A/B) (TMT A/B); Stroop Neuropsychological Screening Test (SNST C/L); and Hospital Anxiety and Depression Scale (HADS A/D). Results: The neurocognitive rehabilitation program had a significant positive effect on the MoCA, IFS and SNST (C) in the EG, from pre- to post-intervention. The comparative analysis between the three groups after the intervention shows a significant difference in MoCA, with GE showing better results than the ACG and PCG; and between the EG and PCG the IFS and SNST(C), with the first having better performance. Conclusion: These preliminary results show the effect of neurocognitive rehabilitation, supported on an online platform. Further studies are needed to get addictional evidence of the implementation of the new technologies in this field
Introduction: Neurocognitive rehabilitation aims to rehabilitate the cognitive functions affected by acquired brain injury (ABI). This field requires more and better intervention tools and more evidence of the impact of its implementation. Objectives: This study aims to study the impact of different tasks to neurocognitive rehabilitation of executive function, (EF) in ABI patients, through an online platform, NeuronUP, due to stroke and traumatic brain injury. Methods: This study comprises 36 ABI patients (18 female), aged between 27 and 73 years old (M = 53.39; SD = 11.7). All participants completed, at least, 4 years of formal education (M = 9.92; SD = 4.70; Min = 4; Max = 17). They were assigned in to one of three groups, Experimental Group (EG), Active Control Group (ACG) and Passive Control Group (PCG). Participants were assessed before and after the intervention, through a neuropsychological battery of tests: Montreal Cognitive Assessment (MoCA); Institute of Cognitive Neurology Frontal Sreening (IFS); Trail Making Test (A/B) (TMT A/B); Stroop Neuropsychological Screening Test (SNST C/L); and Hospital Anxiety and Depression Scale (HADS A/D). Results: The neurocognitive rehabilitation program had a significant positive effect on the MoCA, IFS and SNST (C) in the EG, from pre- to post-intervention. The comparative analysis between the three groups after the intervention shows a significant difference in MoCA, with GE showing better results than the ACG and PCG; and between the EG and PCG the IFS and SNST(C), with the first having better performance. Conclusion: These preliminary results show the effect of neurocognitive rehabilitation, supported on an online platform. Further studies are needed to get addictional evidence of the implementation of the new technologies in this field
Description
Keywords
Acidente vascular encefálico Funções executivas Lesão encefálica adquirida Tecnologias computacionais na reabilitação cognitiva NeuronUP Reabilitação neuropsicológica Traumatismo crânio-encefálico Stroke Executive functions Acquired brain injury Computer-based cognitive rehabilitation Neuropsychological rehabilitation Traumatic brain injury