Cognitive Rehabilitation in Patients with Multiple Sclerosis

Česká verzia

Authors: D. Chmelařová ^1,2; Z. Ambler ¹; M. Dostál ³; V. Vobořilová ²
Authors place of work: Neurologická klinika LF UK a FN Plzeň ¹; Psychiatrická klinika LF UK a FN Plzeň ²; Katedra informatiky a výpočetní techniky FAV ZČU v Plzni ³
Published in the journal: Cesk Slov Neurol N 2014; 77/110(6): 677-683
Category: Review Article
doi: https://doi.org/10.14735/amcsnn2014677

Tato práce byla částečně podpořena z projektů „NTIS – Nové technologie pro informační společnost“, Evropské centrum excelence, CZ.1.05/1.1.00/02.0090, a SGS-2013-029 „Pokročilé výpočetní a informační systémy“. Zvláštní poděkování patří prof. MUDr. Zdeňku Amblerovi za jeho cenné připomínky a konzultace nejen při vzniku tohoto článku, ale po celou dobu mé praxe na Neurologické klinice LF UK a FN Plzeň.

Summary

In all phases of multiple sclerosis (MS), cognitive deficits (CD) are an important predictor of the quality of life and the frequent cause of job loss. The deficits usually have a character of a mild cognitive impairment and their manifestation varies greatly. Therefore, accurate neuropsychological assessment is important. Mild cognitive symptoms in MS usually include problems with the speed of information processing and visual learning, dysfunction of complex attention and executive functions. Rehabilitation of cognitive functions can significantly influence and minimize the impact of the disease. Rehabilitation of cognitive deficits has changed from “pencil-paper” method to computer-program-based rehabilitation. This papers reviews a range of studies dealing with cognitive function rehabilitation, including both quantitative and qualitative results, and both short- and long-term results. The positive effects of rehabilitation are clearly shown by increased quality of life and alleviated depressive symptoms. Further discussion is needed about durability of this effect and what other factors can positively support the training effects.

Key words:
multiple sclerosis – computerized cognitive training – magnetic resonance – cognitive rehabilitation – cognitive dysfunction – neuropsychological assessment

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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