Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease

Mild cognitive impairment, especially executive dysfunction might occur early in the course of Parkinson's disease. Cognitive training is thought to improve cognitive performance. However, transfer of improvements achieved in paper and pencil tests into daily life has been difficult. The aim of...

Full description

Saved in:
Bibliographic Details
Main Authors: I. Reuter, S. Mehnert, G. Sammer, M. Oechsner, M. Engelhardt
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2012/235765
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832561450921492480
author I. Reuter
S. Mehnert
G. Sammer
M. Oechsner
M. Engelhardt
author_facet I. Reuter
S. Mehnert
G. Sammer
M. Oechsner
M. Engelhardt
author_sort I. Reuter
collection DOAJ
description Mild cognitive impairment, especially executive dysfunction might occur early in the course of Parkinson's disease. Cognitive training is thought to improve cognitive performance. However, transfer of improvements achieved in paper and pencil tests into daily life has been difficult. The aim of the current study was to investigate whether a multimodal cognitive rehabilitation programme including physical exercises might be more successful than cognitive training programmes without motor training. 240 PD-patients were included in the study and randomly allocated to three treatment arms, group A cognitive training, group B cognitive training and transfer training and group C cognitive training, transfer training and psychomotor and endurance training. The primary outcome measure was the ADAS-Cog. The secondary outcome measure was the SCOPA-Cog. Training was conducted for 4 weeks on a rehabilitation unit, followed by 6 months training at home. Caregivers received an education programme. The combination of cognitive training using paper and pencil and the computer, transfer training and physical training seems to have the greatest effect on cognitive function. Thus, patients of group C showed the greatest improvement on the ADAS-Cog and SCOPA-COG and were more likely to continue with the training programme after the study.
format Article
id doaj-art-b0406c542a5041748724ccbd81993e4c
institution Kabale University
issn 2090-2204
2090-2212
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Journal of Aging Research
spelling doaj-art-b0406c542a5041748724ccbd81993e4c2025-02-03T01:25:03ZengWileyJournal of Aging Research2090-22042090-22122012-01-01201210.1155/2012/235765235765Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's DiseaseI. Reuter0S. Mehnert1G. Sammer2M. Oechsner3M. Engelhardt4Department of Neurology, Justus-Liebig University, Klinikstraße 33, 35392 Giessen, GermanyDepartment of Neurology, Justus-Liebig University, Klinikstraße 33, 35392 Giessen, GermanyDepartment of Psychiatry, Cognitive Laboratory Justus-Liebig University, Am Steg 22, 35385 Giessen, GermanyNeurologisches Rehabilitationszentrum, HELIOS Klinik Zihlschlacht AG, Hauptstrße 2-4, 8588 Zihlschlacht, SwitzerlandDepartment of Orthopedic Surgery, Klinikum Osnabrück, Am Finkenhügel 1, 49076 Osnabrück, GermanyMild cognitive impairment, especially executive dysfunction might occur early in the course of Parkinson's disease. Cognitive training is thought to improve cognitive performance. However, transfer of improvements achieved in paper and pencil tests into daily life has been difficult. The aim of the current study was to investigate whether a multimodal cognitive rehabilitation programme including physical exercises might be more successful than cognitive training programmes without motor training. 240 PD-patients were included in the study and randomly allocated to three treatment arms, group A cognitive training, group B cognitive training and transfer training and group C cognitive training, transfer training and psychomotor and endurance training. The primary outcome measure was the ADAS-Cog. The secondary outcome measure was the SCOPA-Cog. Training was conducted for 4 weeks on a rehabilitation unit, followed by 6 months training at home. Caregivers received an education programme. The combination of cognitive training using paper and pencil and the computer, transfer training and physical training seems to have the greatest effect on cognitive function. Thus, patients of group C showed the greatest improvement on the ADAS-Cog and SCOPA-COG and were more likely to continue with the training programme after the study.http://dx.doi.org/10.1155/2012/235765
spellingShingle I. Reuter
S. Mehnert
G. Sammer
M. Oechsner
M. Engelhardt
Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
Journal of Aging Research
title Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
title_full Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
title_fullStr Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
title_full_unstemmed Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
title_short Efficacy of a Multimodal Cognitive Rehabilitation Including Psychomotor and Endurance Training in Parkinson's Disease
title_sort efficacy of a multimodal cognitive rehabilitation including psychomotor and endurance training in parkinson s disease
url http://dx.doi.org/10.1155/2012/235765
work_keys_str_mv AT ireuter efficacyofamultimodalcognitiverehabilitationincludingpsychomotorandendurancetraininginparkinsonsdisease
AT smehnert efficacyofamultimodalcognitiverehabilitationincludingpsychomotorandendurancetraininginparkinsonsdisease
AT gsammer efficacyofamultimodalcognitiverehabilitationincludingpsychomotorandendurancetraininginparkinsonsdisease
AT moechsner efficacyofamultimodalcognitiverehabilitationincludingpsychomotorandendurancetraininginparkinsonsdisease
AT mengelhardt efficacyofamultimodalcognitiverehabilitationincludingpsychomotorandendurancetraininginparkinsonsdisease