Objective: The aim of this study was to focus on the feasibility and potential benefits of cognitive telerehabilitation (CTR) in patients with Parkinson´s disease (PD).

Background: PD can be in particular characterized by disruption of executive functions, attention and working memory. These changes may already occur in the early stages of the disease. CTR could be seen as a process oriented to the assessment and rehabilitation of patient´s cognitive impairments. CTR focuses on reinforcement, strengthening and recovering of previously learned patterns of behaviour and it adapts them to the actual cognitive disabilities. CTR extends the treatment and clinician interventions at patients home.

Method: Pilot study of CTR was conducted in patients with idiopathic PD. Participants underwent a neuropsychological examination to distinguish the presence of mild cognitive impairment or dementia in PD. The neuropsychological examination was carried out on the clinic. Three women and three men were included in the pilot trial, the average age of participants was 69.5 years, the average length of education was 16.4 years, the average score in DRS-II = 141,2. Respondents underwent CTR in their home environment. They got individualized webinar once a week for 60 minutes focused on cognitive strategies training. The intervention was indicated for 12 weeks. Respondents after finishing CTR programme underwent control neuropsychological examination.

Results: Pilot study shows, that CTR may have a positive effect on the improvement memory domains and specific domains of executive functions in respondents with PD. The results of statistical analysis will be presented as a part of the poster.

Conclusion: The pilot data shows the non-specific effect of the CTR on cognitive domains in PD. CTR represents perspective concept of specific health care for patients with PD. It is useful concept of healthcare for patients who are not able to visit outpatient specialist. For verification of the CTR efficiency is larger cohort of respondents needed.

References: HOW, Tuck-Voon, Amy S. HWANG, Robin E. A. GREEN a Alex MIHAILIDIS. Envisioning future cognitive telerehabilitation technologies: a co-design process with clinicians. Disability and Rehabilitation: Assistive Technology. 2015, 12(3), 244-261. DOI: 10.3109/17483107.2015.1129457. ISSN 1748-3107. Dostupné také z: https://www.tandfonline.com/doi/full/10.3109/17483107.2015.1129457 AARSLAND D, BRONNICK K, WILLIAMS-GRAY C, et al. Mild cognitive impairment in Parkinson disease: a multicenter pooled analysis. Neurology. 2010, 75(12), 1062-1069. PFEIFFER, H. C. V., A. LØKKEGAARD, M. ZOETMULDER, L. FRIBERG a L. WERDELIN. Cognitive impairment in early-stage non-demented Parkinson’s disease patients. Acta Neurologica Scandinavica. 2014, 129(5), 307-318.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/the-feasibility-of-cognitive-telerehabilitation-in-patients-with-parkinsons-disease-the-pilot-data/