Feasibility of cognitive rehabilitation in patients with advanced multiple sclerosis: A pilot study

BACKGROUND: The feasibility of cognitive rehabilitation is rarely investigated in patients with advanced multiple sclerosis. METHODS: Eighteen patients with advanced multiple sclerosis (median EDSS = 7.5) were randomized into restorative or compensatory cognitive rehabilitation. Feasibility was dete...

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Detalles Bibliográficos
Autores principales: Prouskas, Stefanos E, Chiaravalloti, Nancy D, Kant, Neeltje, Ball, Karlene K, de Groot, Vincent, Uitdehaag, Bernard MJ, Geurts, Jeroen JG, Kooij, Elizabeth A, Hulst, Hanneke E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669124/
https://www.ncbi.nlm.nih.gov/pubmed/34917392
http://dx.doi.org/10.1177/20552173211064473
Descripción
Sumario:BACKGROUND: The feasibility of cognitive rehabilitation is rarely investigated in patients with advanced multiple sclerosis. METHODS: Eighteen patients with advanced multiple sclerosis (median EDSS = 7.5) were randomized into restorative or compensatory cognitive rehabilitation. Feasibility was determined by adherence rate, completion rate, patient satisfaction, self-reported fatigue, training difficulty, and training duration. RESULTS: Adherence rates and completion rates were over 70%, and patients were highly satisfied in both groups. Energy levels decreased minimally during the sessions (pre = 6.9 vs post = 6.4). Training difficulty (4.6) and duration (5.7) were close to ideal (scale 1–10, 5 = ideal). CONCLUSIONS: Cognitive rehabilitation, with minor adjustments, appears feasible in patients with advanced multiple sclerosis.

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