In a randomized, controlled trial, multiple sclerosis patients used a computer-based cognitive remediation training program at home for 12 weeks. These patients had significantly higher cognitive test scores compared to those who used a placebo computer program.
Lead author Leigh Charvet said, “This trial demonstrates that computer-based cognitive remediation accessed from home can be effective in improving cognitive symptoms for individuals with MS. The remote delivery of an at-home test and findings of cognitive benefit may also be generalizable to other neurological conditions in which cognitive function is compromised.”
Cognitive problems in multiple sclerosis can affect memory, attention, concentration, information processing, verbal fluency, and executive functioning.
Previous research found that cognitive remediation training could offer some benefits for multiple sclerosis patients. For maximum benefits these programs require in-person treatment sessions in an outpatient setting numerous times a week. This style of training can be difficult for patients who have other responsibilities like work or disease-related disabilities.
The new at-home program allows patients to utilize the program on their own time without impeding on their daily lives.
Senior author Lauren B. Krupp concluded, “Many patients with MS don’t have the time or resources to get to the clinic several times a week for cognitive remediation, and this research shows remotely-supervised cognitive training can be successfully provided to individuals with MS from home. Future studies will look at which patients with MS might respond most to cognitive remediation, and whether these improvements can be enhanced or sustained over longer periods of time.”
Cognitive problems in multiple sclerosis
Cognition refers to memory and thinking, and can include concentration and attention, multitasking, remembering new things, reasoning and problem-solving, planning and execution of the plan, understanding and using language, and object recognition and assembly.
Cognitive impairment is a core symptom of multiple sclerosis and can vary greatly between patients. Living with cognitive impairment can be frightening, it can cause worry, as well as problems with relationships.
Finding coping strategies for your cognitive impairment can help you live a normal life. Some coping mechanisms include eliciting professional help like an occupational therapist, undergoing a neurological assessment to determine exactly what problems you may be experiencing in order to target those specific problems, and, lastly, going for cognitive rehabilitation, which is a way of relearning cognitive skills that may have been lost.
Speaking with your doctor about your concerns can help you get the needed help you require in order to manage your cognitive impairment symptoms effectively.
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Sources:
http://nyulangone.org/press-releases/at-home-cognitive-remediation-may-provide-medication-free-symptom-relief-for-neuropsychological-issues-associated-with-multiple-sclerosis
https://www.mssociety.org.uk/what-is-ms/signs-and-symptoms/memory-and-thinking/cognitive-problems