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Cognitive Rehabilitation - Science topic

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US health coverages exclude cognitive rehabilitation (CR) after stroke due to a lack of evidence of efficacy.
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I am hoping to find a measure to track a patient's progress in treatment.
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I'm looking for cognitive rehabilitation programs for free or pdf schedules. There is someone who could help me?
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Regretteble all I have is in my native language and that is dutch but I will add the guidelines to this answer.
Greetings
jan van de Rakt
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I am using COGNIPLUS program as a rehabilitation computerized tool but not sure how many session will be enough to expect cognitive enhancement. I set 24 1.5 h. sessions , twice a week. And I am not quite sure if I am going the right direction. Is anybody familiar with COGNIPLUS (SCHUHFRIED Co.)?
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At what point after traumatic brain injury, stroke, etc. will the rehabilitation begin?  Improvements in cognitive functioning may occur for quite some time after an event, but these may be related to various factors other than a specific rehabilitation approach.  Also, what is your definition of "cognitive rehabilitation?"  How will you know that you have succeeded in reaching your goal?  The goal may be different depending on the type of neurological event that occurred, its severity, and how long it has been since the occurrence.   
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Hi everyone.
I try to find some simple method to measure body-posture. We know a lot of them, but they are either low objective (aspect-based methods) or very difficult and expensive (Formetric 4D). Some advice...?
I know about nice resarch from Australia (https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-9-113), but I miss some more informations and all my attempts to contact authors ended up failing.
Thanks in advance, Lenka
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I agree with your statement.  All the tools and programs are expensive so I have used a combination of many evaluations on children to come to conclusions.  Here is a couple of guides we have used to train resident on:
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Microperimetry is an important diagnostic tool in patients with macular diseases and plays a role also in rehabilitation in relation to the PRL.
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It's based on my own clinical observations which will be published soon.  These articles may help:
Cheung S-H, Legge GE.  Functional and cortical adaptations to central vision loss.   Vis Neurosci. 2005 ; 22(2): 187–201.
Riss-Jayle M, Giorgi R, Barthes A. La mise en place de Zone Rétinienne Préferentielle. Partie II: Quand? Ou? Pourquoi s’installe-t-elle? J Fr Ophtalmol, 2008; 31 (4): 379-385.
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I am a psychomotor therapist and I am implementing cognitive remediation approaches in child psychiatry. I would like exchange with researchers and therapists about clinical practice and deep clinical know how in this area...
Is there someone interested in ?
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Hi Simon,
Many thanks for your message and articles, I appreciate a lot. I am away of my desk yet for some hollidays... I will read your papers, and I will come back to you...
Have a nice days, talk to you soon
Jéerôme
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Exoskeletons assist physical tasks by applying significant forces that actuate human joints. Users feel these forces as more or less comfortable depending on the design of the physical interfaces, e.g. wide contact surfaces and soft materials.
I would be happy to hear your experience on what factors affect user comfort the most, when going for larger and larger assistive forces.
My feeling is that at some point the discomfort caused by large forces overcomes the benefits of being physically assisted, resulting at best in users preferring not to wear the exoskeleton in the first place.
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sorry I do not understand the question. could be clearer?
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Maybe a comprehensive neuropsychological test battery like the NAB (Petermann, Jäncke & Waldmann, 2016) would be helpful in providing a broad cognitive profile!
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During my research for PhD Thesis about neuropsychological findings in children with focal epilepsy  I used different neuropsychological tests regarding function I have tested.
For attention I used TP test (origin from Slovenia)
For visual memory and perception: Rey -Osterreith complex figure
For verbal memory Selective Reminding Test (Buschke et al 1974)
Boston Naming Test, TOKEN test and verbal fluency for language
For praxia; Kohs block design test and Stick test
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Is there a validated german translation of the "vestibular disorder activities of daily living scale" (VADL)?   Thank you
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Dear  Colleague,
may I suggest you to ask to  Prof THomas Brandt from Munchen University  in Germany working on the vestibular system: Thomas.Brandt@med.uni-muenchen.de
Sincerly.
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There is a social innovation model in India in the rehabilitation of the mentally ill through individual initiatives and community support. It is innovative due to the new relationship the community people involved in and the new ideas generated out of it. The researcher used grounded theory as methodology and if any international journals are interested in the original work please let me know.
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Plos 10 is another option
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A protocol for rehabilitation team.
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Dear Malahat,
I suggest you to read the updating meta-analysis of Cicerone et al. (2011) :
Arch Phys Med Rehabil. 2011 Apr;92(4):519-30. doi: 10.1016/j.apmr.2010.11.015.
Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008.
Cicerone KD1, Langenbahn DM, Braden C, Malec JF, Kalmar K, Fraas M, Felicetti T, Laatsch L, Harley JP, Bergquist T, Azulay J, Cantor J, Ashman T.
In practice, I used a cognitive remediation program on computer called Cogni Plus, with people with severe TBI and they improved their cognitive performance after 1 month of remediation.
Good luck in your research!
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I'm looking at putting together some training on this and am reviewing the literature before developing the content. I'm interested in how professionals approach boundaries between professional/personal, especially with consideration to individuals with cognitive impairments who may struggle to retain information about boundaries, and also when therapists take a role in social rehabilitation. 
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The Gans article is:
Gans, JS. Hate in the rehabilitation setting. Arch Phys Med Rehabil. 1983; 64: 176–179
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It would really help me!
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I hope this could help.
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 AAT  interventions are often used in mental health practice, yet there is little research on its use in improving social skills and memory in persons with ABI. I am looking to use this literature to build a strategy within  traditional cognitive rehabilitation that would increase successful and long termpositive outcomes.
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Colleagues at Oliver Zangwill Centre have presented and written about this topic, the published conference abstract was 
Winegardner, J, Ashworth, F & Jennings, C. (2012). The benefits of a therapy dog in holistic neuropsychological rehabilitation. Conference Program and Abstracts of the 9th Annual Conference of the Special Interest Group in Neuropsychological Rehabilitation of the World Federation for NeuroRehabilitation (WFNR). Brain Impairment, 13, pp 132-195.
there is a book chapter in press somewhere soon
Our current Assistant Psychologist brings his very well trained Cocker Spaniel to work where he forms part of our environment ('the therapeutic milieu'), adding to the sense of welcome to the Centre, and as a prospective memory  challenge & exercise opportunity - in the community meeting clients are invited to offer to walk him around the grounds during breaks....
see my twitter feed @ozcboss for a photo of 'Bertie'
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I am particularly interested in the standard of care for cognitive rehabilitiation in adults or children who have suffered a stroke.
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Look at the ACRM evidence-based reviews on cognitive rehabilitation for stroke that are published in the Archives of Physical Medicine and Rehabiltiation. Those are the most authoritative references reviewed by the leaders in the field.
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I have the measure and the user manual but annot find the subscale or the total cut off scores for the measure.  Does anyone have them?  Or can you point me towards a paper that has published these?  This is for research only, not for clinical screening.
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I don't believe there is a standardized cut off score for GHQ-28.  Goldberg, Oldehinkel & Ormel (1998) had recommend that each researcher derive a cut off score based on the mean of their respective sample (Goldberg DP, Oldehinkel T, Ormel J (1998) Why GHQ threshold varies from one place to another. Psychol Med 28:915-921).  However, that is an old citation and there might be newer information.  The general cut off range reported from different cultures and countries seems to be similar, about 3/4 out of 28 items in most cases.
Also, I agree with comments from other colleagues - GHQ does not screen for psychiatric disorders.  In most of literature from UK you will read the term "psychiatric morbidity" associated with it, while in most literature in the US, it is used as a measure of "psychological distress".  The former term suggests propensity for mental illness, while the latter term suggests a more "normative" distress state.  Looking at the individual items, you can see that it more likely taps on current signs of stress, anxiety or depressed mood which may or may not be clinically significant. 
Hope this is helpful.
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I have read little about IADL performance observations in dementia (or other cognitive disorders) due to the limited evidence base, yet was wondering whether there is any more research done that I did not come across yet?
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Hi Clarissa
Have you already read about the IADL Involvement (Capacity/Performance) Scale or the IADL Clinical Assessment Protocol (CAP)?
 
 
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I am trying to understand the concept of FES. Since I'm not an expert in rehab research, is there any good link or maybe good review paper that I can read that clarifies the research direction of this FES? For those who are experts, is there any issue or gap that can be filled if I'm interested in getting involved in this area of research? Thanks.
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You can gather useful information in the international FES society website (http://www.ifess.org). There's an education section that might prove useful for those not familiar with FES concepts. And there's also an open access repository of the IFESS conference proceedings.
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In neuropsychological & neuro-rehabilitation there are times when we meet clients who profoundly disagree with our analysis (which I accept is only ever a hypothesis). Sometimes the nature of the disagreement might be about expected outcomes. For example "when will my hand start moving again?" might be met with a therapist's view - this is a profound paralysis explained by extent of lesion and it might not voluntarily move again - that contrasts with the patient's view "if I keep seeking opinions, keep striving, someone might be able to help restore the lost function"). There are times when it is very difficult to shift from this narrative that seems to head into persisting disagreement&disappointment, preventing adjustment & acceptance. Playing into this context is a marketplace of people with their latest gadget or therapy approach. IN my view, this can perpetuate distress. I think there are some interesting therapeutic implications but not aware of much literature on this (?). I'd be fascinated to know if this is of interest to others in this forum. What therapeutic strategies would you try?
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I agree with Catherine on the need to work on acceptance in many cases. The problem [and this is my main point] is that acceptance is not as simple as it sounds. On the contrary it is an emotionally dynamic process, highly complex, for the patient [his family] and the therapists as well. I believe that more training [and the development of models] on this matter is needed. So professionals can facilitate this process and avoid interventions that are iatrogenic.
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Technical support of every day clinical practice in neurorehabilitation increases with each day. Rehabilitation robots, virtual environments, telerehabilitation, eye-trackers, brain computer interfaces, neuroprostheses, exoskeletons becomes useful and effective tools for members of multidisciplinary therapeutic teams (especially physiotherapists). Where is the place of engineers within it? Will be there possibility (or even necessity) to incorporate them into therapeutic teams in the future?
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Multispeciality hospitals employ a wide variety of engineers to guarantee the smooth day-to-day running of patient care, diagnostics and treatment - from building services engineers to electrical engineers, IT engineers, medical technology engineers, and so on.The biomedical engineer is to form an interdisciplinary link between the physician and his respective technical environment.
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I am interested in assessment of social communication of children with autism, but I would like develop alternative assessment methods from questionnaires.
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Hi I don't know for social communication, but maybye you could be interested to use a questionnaire of social participation. The LIFE-HABIT is a generic questionnaire, validated for pediatric population, and could be used for that purpose. (Noreau et al., 2007).
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I´m looking for some new updates in the treatment of DOC in order to improve neurorehabilitation programms
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treating severe disorders of consciousness is possible--spearheaded by Dr Jonathan Fellus and Dr Philip DeFina.