Affiliations: [a] Department of Neurology, Medical University of Vienna, Vienna, Austria | [b] Departement of Neurology, Sozialmedizinisches Zentrum Süd, Vienna, Austria
Correspondence:
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Address for correspondence: Gisela Pusswald, Medical University of Vienna, Department of Neurology, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Tel.: +43 140400 5772; Fax: +43 140400 5714; E-mail: [email protected]
Abstract: Background:Forty to sixty percent of MS patients suffer from cognitive impairments. Cognitive deficits are a great burden for patients affected. In particular they may lead to a reduced quality of life, loss of work and problems with the social environment. Objective:The aim of this study was to evaluate a specific neuropsychological rehabilitation program for MS patients according to the ICF to be able to meet more properly individual requirements on the therapy level of function as well as of activities and participation. Methods:Forty patients with MS were randomised in an intervention (IG) – and a control group (CG). The outcome measure of the IG, who started an intensive computer based home training of attention and attended psychological counselling was compared to the untrained CG. Results:In specific domains of attention (simple and cued alertness and divided attention) significant group differences between CG and IG could be found. The IG reported an improvement of mental fatigue and retardation. Conclusion:These findings support the idea that a neuropsychological rehabilitation program, which based on the model of ICF, could improve cognitive impairment and could also have a positive influence of activities and participation.
