Implementation of computer programs in neuropsychological rehabilitation of cognitive impairment in SM patients
In the clinical picture of sclerosis multiplex (SM) the neurological functioning of patients is affected, besides the neurological symptoms, by neuropsychological symptoms, which include emotional disturbances, cognitive dysfunction, and personality factors. Memory, attention or executive functions disturbances affect reduction of adaptability, which play a key role in the quality of life of patients. Prevalence studies using large, community and clinical samples indicate that roughly 45–60% of patients with SM are cognitively impaired. Cognitive disorders with mobility disabilities may hinder daily functioning, often they become obstacle to take life tasks, so there is a need to develop new and effective rehabilitation programs for this group of patients. Neuropsychological rehabilitation of patients with SM is covered by the various types of impacts, especially reduction of cognitive deficits as much as possible. There is increasingly use of computer programs to cognitive trainings in neuropsychologist work.The basis for this type of impact is evidence of neuroplastic changes in people with SM. The greatest therapeutic effects are achieved through the cooperation of an interdisciplinary team, including neurologist, psychiatrist, neuropsychologist and physiotherapist. Obtaining such assistance by patients with SM still remains difficult in Poland. An example illustrating the effective usage of neuropsychological rehabilitation with the help of computer programs is a case study of a patient with SM.