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Cognitive rehabilitation program in patients with multiple sclerosis: A pilot study.

R M Jiménez-Morales¹, Y Broche-Pérez², Y Macías-Delgado³

¹Physical Medicine and Rehabilitation Department, Rehabilitation Hospital Dr. Faustino Pérez Hernández, Sancti Spíritus, Cuba; Center for Studies in Educational Sciences, José Martí University of Sancti Spíritus, Cuba.

|March 9, 2024

Summary

The integrated cognitive rehabilitation program (ICRP) improved cognitive function, mood, and cognitive reserve in multiple sclerosis patients. This program combines cognitive and physical exercises with group sessions for enhanced outcomes.

Keywords:

Aerobic exercise Cognitive function Cognitive rehabilitation Cognitive reserve Ejercicio aeróbico Esclerosis múltiple Función cognitiva Multiple sclerosis Rehabilitación cognitiva Reserva cognitiva

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Area of Science:

Neuroscience
Rehabilitation Medicine
Clinical Psychology

Background:

Growing research in cognitive rehabilitation for multiple sclerosis (MS).
Limited studies examine the impact on cognitive reserve.
Need for effective interventions to improve cognitive and emotional well-being in MS patients.

Purpose of the Study:

To evaluate the effects of an integrated cognitive rehabilitation program (ICRP).
To assess improvements in cognitive performance, emotional state, and cognitive reserve index.
To determine the efficacy of a combined cognitive and physical exercise program with group sessions.

Main Methods:

Fifty MS patients were divided into a control (aerobic exercise) and experimental (ICRP) group (n=25 each).
Evaluations included neuropsychological tests, cognitive reserve scale, and mood/anxiety scales.
Data collected at baseline, post-treatment, and long-term follow-up.

Main Results:

The experimental group showed significant improvements in information processing speed, attention, and memory compared to the control group.
Patients in the ICRP group demonstrated an increased cognitive reserve index.
Long-term mood improvements were observed in the experimental group.

Conclusions:

The integrated cognitive rehabilitation program (ICRP) is effective for improving cognitive and emotional functions in MS patients.
ICRP significantly enhances the cognitive reserve index.
The findings support the use of combined cognitive and physical interventions for MS management.