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Neuropsychological rehabilitation in adult multiple sclerosis

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Abstract

Neuropsychological impairment affects 40–65% of multiple sclerosis patients, mainly involving speed in information processing, attention, executive functions and memory. Deterioration occurs over time independently from disability and seems to correlate particularly with magnetic resonance imaging (MRI) atrophy measures. Studies on therapies effective in controlling cognitive impairment are scanty. We found that intensive and specific training of attention, information processing and executive functions is significantly effective in ameliorating both neuropsychological treated functions and in reducing depression. Preliminary functional MRI data suggest that possible neural correlates of this neuropsychological training could be an exercise-induced activation of prefrontal and cingulate cortices.

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References

  1. Rao SM et al (1991) Cognitive dysfunction in multiple sclerosis. I. Frequency, patterns, and prediction. Neurology 41(5):685–691

    CAS  PubMed  Google Scholar 

  2. Rao SM et al (1991) Cognitive dysfunction in multiple sclerosis. II. Impact on employment and social functioning. Neurology 41(5):692–696

    CAS  PubMed  Google Scholar 

  3. Benedict RH et al (2009) Memory impairment in multiple sclerosis: correlation with deep grey matter and mesial temporal atrophy. J Neurol Neurosurg Psychiatry 80(2):201–206

    Article  CAS  PubMed  Google Scholar 

  4. Fisniku LK et al (2008) Gray matter atrophy is related to long-term disability in multiple sclerosis. Ann Neurol 64(3):247–254

    Article  PubMed  Google Scholar 

  5. Houtchens MK et al (2007) Thalamic atrophy and cognition in multiple sclerosis. Neurology 69(12):1213–1223

    Article  CAS  PubMed  Google Scholar 

  6. Rovaris M et al (2008) Cognitive impairment and structural brain damage in benign multiple sclerosis. Neurology 71(19):1521–1526

    Article  CAS  PubMed  Google Scholar 

  7. Chiaravalloti ND, DeLuca J (2008) Cognitive impairment in multiple sclerosis. Lancet Neurol 7(12):1139–1151

    Article  PubMed  Google Scholar 

  8. Patti F (2009) Cognitive impairment in multiple sclerosis. Mult Scler 15(1):2–8

    Article  CAS  PubMed  Google Scholar 

  9. Thomas PW, Thomas S, Hillier C (2007) Psychological interventions for multiple sclerosis (review). In: The Cochrane Collaboration. Wiley, New York, pp 1–51

  10. Benedict RH et al (2000) Neuropsychological counseling improves social behavior in cognitively-impaired multiple sclerosis patients. Mult Scler 6(6):391–396

    CAS  PubMed  Google Scholar 

  11. Jonsson A et al (1993) Effects of neuropsychological treatment in patients with multiple sclerosis. Acta Neurol Scand 88(6):394–400

    Article  CAS  PubMed  Google Scholar 

  12. Plohmann AM et al (1998) Computer assisted retraining of attentional impairments in patients with multiple sclerosis. J Neurol Neurosurg Psychiatry 64(4):455–462

    Article  CAS  PubMed  Google Scholar 

  13. Solari A et al (2004) Computer-aided retraining of memory and attention in people with multiple sclerosis: a randomized, double-blind controlled trial. J Neurol Sci 222(1–2):99–104

    Article  PubMed  Google Scholar 

  14. Crawford JD, McIvor GP (1985) Group psychotherapy: benefits in multiple sclerosis. Arch Phys Med Rehabil 66(12):810–813

    CAS  PubMed  Google Scholar 

  15. Foley FW et al (1992) A prospective study of depression and immune dysregulation in multiple sclerosis. Arch Neurol 49(3):238–244

    CAS  PubMed  Google Scholar 

  16. Rigby SA et al (2003) Development and validation of a self-efficacy measure for people with multiple sclerosis: the Multiple Sclerosis Self-efficacy Scale. Mult Scler 9(1):73–81

    Article  CAS  PubMed  Google Scholar 

  17. Kurtzke JF (1983) Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology 33(11):1444–1452

    CAS  PubMed  Google Scholar 

  18. Mattioli F et al (2010) Efficacy and specificity of intensive cognitive rehabilitation of attention and executive functions in multiple sclerosis. J Neurol Sci 288(1–2):101–105

    Google Scholar 

  19. Bhogal SK, Teasell R, Speechley M (2003) Intensity of aphasia therapy, impact on recovery. Stroke 34(4):987–993

    Article  PubMed  Google Scholar 

  20. Penner IK et al (2006) Therapy induced plasticity of cognitive functions in MS patients: insights from fMRI. J Physiol Paris 99:455–462

    Article  PubMed  Google Scholar 

  21. Mattioli F et al (2009) Cognitive training in MS: an fMRI study. J Neurol 256(2):S240

    Google Scholar 

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Mattioli, F., Stampatori, C., Bellomi, F. et al. Neuropsychological rehabilitation in adult multiple sclerosis. Neurol Sci 31 (Suppl 2), 271–274 (2010). https://doi.org/10.1007/s10072-010-0373-7

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