Cognitive rehabilitation of patients with perceptive disorders surviving to ischemic ictus
Keywords:
hemiplegia, ischemic ictus, cognitive rehabilitation, perceptive disorder, sensorial negligence.Abstract
A therapeutic intervention in 30 patients with motor deficit (hemiplegia/hemiparesis), surviving the ischemic ictus, irrigated by the mean cerebral artery with perceptive disorders (sensorial or atentional negligence or anosognosia), assisted in the Rehabilitation Department of “Dr. Juan Bruno Zayas Alfonso” Teaching General Hospital, was carried out in Santiago de Cuba, from January to November, 2016, aimed at evaluating the effectiveness of the rehabilitative treatment. The sample was divided in 2 groups of 15 members each: those of the control group received conventional treatment; those of the study group, conventional treatment and occupational therapy associated with cognitive rehabilitation. They were considered sociodemographic parameters, of clinical and functional valuation, as well as of global functional recovery. Heminegligence was the most frequent perceptive disorder (63.4%) and the study group showed a better functional recovery (93.3%) when concluding the treatment, reason why the effectiveness of the conventional rehabilitation integrated to cognitive techniques and occupational therapy was demonstrated.
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2. Kerkhoff G, Schenk T. Rehabilitation of neglect: An update. Neuropsychologia. 2012; 50(6):1072-9.
3. Fernández Concepción O, Marrero Fleita M, Mesa Barrero Y, Santiesteban Velázquez N, Rojas Fuentes Y. Depresión post–ictus: frecuencia y factores determinantes. Rev Cubana Neurol Neurocir. 2012;2(1):9-16.
4. Llaguno González M. Rehabilitación de la heminegligencia [Trabajo de fin de grado]. 2013, Universidad de Navarra, España [citado 22 Ene 2017]. Disponible en: http://academica-e.unavarra.es/bitstream/handle/ 2454/8083/Grado% 20 Fisioterapia%20Marta%20Llaguno.pdf?sequence=1
5. Azouvi P, Samuel C, Louis Dreyfus, Bernati T, Bartolomeo P, Beis JM, et al. Sensitivity of clinical and behavioural test of spatial neglect after right hemisphere stroke. J Neurol Neurosurg Psychiatry. 2002;73(2):160-6.
6. Montaner J, Álvarez Sabin J. NIH Stroke scale and its adaptation to spanish. Neurología. 2006; 21(4):192-202.
7. Trigás Ferrín M, Ferreira González L, Meijide Míguez H. Escalas de valoración funcional en el anciano. Galicia Clín. 2011;72(1):11-6.
8. Bisección de líneas. Heminegligencia: evaluación y rehabilitación [citado 22 Ene 2017]. Disponible en: https://neups.wordpress.com/tag/biseccion-de-lineas/
9. Bisiach E, Vallar G, Perani D, Papagno C, Berti A. Unawareness of disease following lesions of the right hemisphere: anosognosia for hemiplegia and anosognosia for hemianopia. Neuropsychologia.1986;24(4):471-82.
10. Llibre Guerra JC, Valhuerdi Cepero A, Fernández Concepción O, Llibre Guerra JJ, Gutiérrez RF, Llibre-Rodriguez JJ. Incidencia y factores de riesgo de ictus en La Habana y Matanzas, Cuba. Neurología. 2015 [citado 22 Ene 2017];30(8). Disponible en: http://www.elsevier.es/es-revista-neurologia-295-articulo-incidencia-factores-riesgo-ictus-la-S0213485314000917
11. Giménez Muñoz A, Ara Callizo JR, Alda Díez JM. Epidemiología de la enfermedad cerebrovascular aguda en Aragón, 1998- 2010 [Tesis Doctoral]. 2013, Universidad de Zaragoza [citado 22 Ene 2017]. Disponible en: https://zaguan.unizar.es/ record/12524/files/TESIS-2013-089.pdf
12. García Zacarías JJ, Álvarez Gómez T, Garrido Valdés G. Ictus isquémico en la tercera edad: estudio de la mortalidad durante una década. Rev Infociencia. 2014 [citado 26 Ene 2017];18(3). Disponible en: http://infociencia.idict.cu/index.php/ infociencia/ article/view/411/357
13. Jacquin Courtoisa S, O'Shea J, Luauté J, Pisella L, Revol P, Mizuno K, et al. Rehabilitation of spatial neglect by prism adaptation: A peculiar expansion of sensorimotor after-effects to spatial cognition. Neurosci Biobehav Rev. 2013;37(4): 594-609.
14. Arango Lasprilla JC. Rehabilitación de la conducta de heminegligencia. Av Psicol Clin Latinoam. 2010;21:53-68.
15. Ianes P, Varalta V, Gandolfi M, Picelli A, Corno M, Di Matteo A, et al. Stimulating visual exploration of the neglected space in the early stage of stroke by hemi field eye-patching: a randomized controlled trial in patients with right brain damage. Eur J Phys Rehabil Med. 2012;48(2):189-96.
16. Luauté J, Halligan P, Rode T, Rossetti Y, Boisson D. Visuo-spatial neglect: a systematic review of current interventions and their effectiveness. Neurosci Biobehav Rev. 2006;30(7):961-82.
17. Muñoz Marrón E, Blazquez Alisente J, Galparsoro Izaguirre N, González Rodríguez B. Estimulación cognitiva y rehabilitación neuropsicológica. Barcelona: UOC; 2014.
18. Navarro Pérez MD, Galán Ciurana P, Ferri Campos B, Moliner Muñoz C, Colomer Font C, Noé Sebastián E. Evolución y pronóstico en un caso de negligencia unilateral: estudio longitudinal con el Behavioural Inattention Test. Rehabilitación (Madr). 2011;45(3):271-4.
19. Appelros P, Nydevik I, Karlsson GM, Thorwalls A, Seiger A. Recovery from unilateral neglect after right-hemisphere stroke. Disabil Rehabil. 2004;26(8):471-7.
20. Serrano Galiano S. Tratamiento de la heminegligencia tras un accidente cerebrovascular [Trabajo de fin de grado]. 2013, Facultad de Medicina y Ciencias de la Salud [citado 26 Ene 2017]. Disponible en: https://dspace.uah.es/dspace/bitstream/handle/10017/19749/TFG_Serrano_Galiano_2013.pdf?sequence=1&isAllowed=y
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