Cognitive Rehabilitation for Neurosurgical Brain Pathology Using the Habilect Virtual Rehabilitation Complex

Ivanova NE, Efimova MYu, Samochernykh KA and Dikonenko MV

Published on: 2023-06-28

Abstract

Computerized programs are an effective method to augment the cognitive rehabilitation of neurosurgical patients. The aim of the study was to compare the effectiveness of cognitive rehabilitation in neurosurgical patients with the independent use of psychocorrection methods and their combination with the Habilect computerized program.

Among the studied group, 33 patients (19 male and 14 female, mean age 58.35±14.75 years) had nontraumatic intracranial hemorrhage, and 38 were operated for brain tumor (20 female, 18 male, mean age 54.38±15.27 years). 33 patients underwent neuropsychological correction sessions separately, while in 38 it was combined with the Habilect computerized program.

The mean MMSE score in the Habilect patient group was 25.25 (20.25; 27.0) at admission and 28.0 (25.75; 28.75) at discharge, with a dynamics indicator of 2.5 (1.50; 4.0) points. The mean FAB score was 14.5 (12.25; 15.0) at admission and 17.25 (15.0; 18.25) at discharge, with a dynamics indicator of 2.75 (2.0; 3.0) points. The mean score on the Roschina scale was 24.0 (17.0; 25.0) at admission and 15.0 (12.0; 22.0) at discharge, with a dynamics indicator of 4.0 (3.0; 6.0) points.

The mean MMSE score in the control group was 25.5 (20.75; 27.25) at admission and 28.5 (24.75; 29.0) at discharge, with a dynamics indicator of 2.75 (1.0; 4.25). The mean FAB score at admission was 15.0 (11.25; 16.75) and at discharge was 17.5 (16.75; 18.0); the dynamics indicator was 2.25 (1.0; 3.25) points. When tested on the Roschina scale, the mean score at admission was 17.75 (14.5; 24.0) and at discharge - 12.5 (10.25; 15.75); with the dynamics indicator being 5.0 (3.25; 8.25) points.

Thus, the use of computerized programs as an additional rehabilitation method in young patients with mild and moderate impairments of higher cortical functions, especially in the area of spatial gnosis and praxis, appears to be appropriate.