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Dementia & Neuropsychologia

Print version ISSN 1980-5764

Dement. neuropsychol. vol.2 no.2 São Paulo Apr./June 2008

https://doi.org/10.1590/S1980-57642009DN20200011 

Original Articles

Cognitive rehabilitation of neuropsychological deficits and mild cognitive impairment: A review of the literature

Reabilitação cognitiva de déficits neuropsicológicos e transtorno cognitivo leve: revisão da literatura

Eliane Correa Miotto 1  

Valéria Trunkl Serrao 2  

Gláucia Benutte Guerra 3  

Mara Cristina Souza de Lúcia 4  

Milberto Scaff 5  

1Clinical Director of the Division of Psychology, Hospital das Clinicas, University of São Paulo, Brazil.

2Post-Graduate Student in Clinical Neuropsychology, Hospital das Clinicas, University of São Paulo, Brazil.

3Research Director of the Division of Psychology, Hospital das Clinicas, University of São Paulo, Brazil.

4Director of the Psychology Division, Hospital das Clínicas, University of São Paulo, Brazil;

5Professor of the Neurology Department, Hospital das Clínicas, University of São Paulo, Brazil.


Abstract

Neuropsychological rehabilitation is related to the treatment or optimization of disabilities, handicaps and cognitive deficiencies including emotional, behavioral and personality alterations, aiming at the best cognitive, neurobiological and social re-adaptation.

Objective:

The main aim of this paper is to review scientific studies published over the last five years on cognitive training with rehabilitation, focusing on elderly subjects with cognitive complaints and patients diagnosed with MCI.

Methods:

Data were generated from Medline, PsychoInfo and EMBASE including publications from 2002 to 2007 using the search terms "Mild Cognitive Impairment", "Cognitive Complaints", "Rehabilitation" and "Intervention Studies". Data collection criteria were restricted to the quality of evidence Class I.

Results:

Eight articles out of sixty eight previously selected were chosen because of their randomized studies, including techniques of cognitive rehabilitation in patients with cognitive complaints, MCI and neuropsychological training.

Conclusions:

The studies showing generalization of rehabilitation techniques to practical real life situations and use of an errorless learning approach were considered more effective in terms of maintaining treatment follow up, although further studies are recommended.

Key words: mild cognitive impairment; neuropsychological rehabilitation; cognitive training

Resumo

A reabilitação cognitiva se ocupa do tratamento e otimização das incapacidades, desvantagens e deficiências cognitivas, bem como de alterações emocionais, comportamentais e de personalidade. Visa a melhor readaptação neuropsicológica, neurobiológica e social.

Objetivo:

Realizar revisão literária sobre os estudos científicos publicados nos últimos cinco anos em reabilitação cognitiva, em sujeitos com queixas cognitivas e pacientes idosos diagnosticados com TCL.

Métodos:

As informações foram obtidas nas bases de dados Mediline, PsychoInfo e EMBASE com recomendações baseadas na qualidade de evidência Classe I.

Resultados:

Foram encontrados 68 artigos. Destes, selecionados oito, por caracterizarem estudos randomizados, incluir técnicas de reabilitação cognitiva em pacientes com queixas cognitivas e TCL e por documentarem avaliações neuropsicológicas.

Conclusões:

As pesquisas que demonstraram técnicas de reabilitação com abordagens capazes de generalização para as atividades práticas da vida e uso da abordagem aprendizagem sem erro se mostraram mais efetivas quanto à manutenção no seguimento, contudo, são necessários estudos mais detalhados.

Palavras-chave: transtorno cognitivo leve; reabilitação neuropsicológica e treino cognitivo

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

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Received: March 24, 2008; Accepted: May 20, 2008

Eliane Correa Miotto - Division of Psychology and Department of Neurology / Hospital das Clinicas / University of Sao Paulo - Av. Dr Enéas de Carvalho Aguiar, 155 - 05403-000 São Paulo SP - Brazil. E-mail: ecmiotto@usp.br

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