Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients

Objective: To evaluate the efficacy of a cognitive rehabilitation program in geriatric patients using the Montreal Cognitive Assessment (MoCA) test as a measurement tool. Methods: A quasi-experimental study was conducted at the Physical Medicine and Rehabilitation Unit of the Mexican Institute of So...

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Autores: Lozano-Rodríguez, Irma G., Taboada-Gallardo, Guadalupe E., Hernández-Valencia, María C.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:México
Institución:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
Repositorio:Atención Familiar
Idioma:español
OAI Identifier:oai:ojs.pkp.sfu.ca:article/88833
Acceso en línea:https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/88833
Access Level:acceso abierto
Palabra clave:Rehabilitation
Cognition
Geriatrics
Attention
Memory
rehabilitación
cognición
geriatría
atención
memoria
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spelling Effectiveness of a Cognitive Rehabilitation Program in Geriatric PatientsEficacia de un programa de rehabilitación cognitiva en pacientes geriátricosLozano-Rodríguez, Irma G. Taboada-Gallardo, Guadalupe E. Hernández-Valencia, María C.RehabilitationCognitionGeriatricsAttentionMemoryrehabilitacióncognicióngeriatríaatenciónmemoriaObjective: To evaluate the efficacy of a cognitive rehabilitation program in geriatric patients using the Montreal Cognitive Assessment (MoCA) test as a measurement tool. Methods: A quasi-experimental study was conducted at the Physical Medicine and Rehabilitation Unit of the Mexican Institute of Social Security Siglo XXI, in Mexico City, from January to May 2023. The sample size was calculated, and the type of sampling was probabilistic. Forty-seven participants of both genders, over 60 years of age, with no history of neurological pathology were included, to whom the MoCA test was applied, then six institutional cognitive rehabilitation sessions of 40 minutes were performed, and at the end of the sessions the measurement instrument was applied again. Interferential statistics were performed using the Wilcoxon test, and Student’s t-test, both with an estimate of p< 0.05. Results: The initial MoCA score was 21.9±4.8 points, and the final score was 26.3±1.9, which corresponds to a normal score, with a difference of 4.4 points (p<0.05).  Most of the MoCA test sections had p<0.05, with the exception of identification, sentence repetition and orientation domains, the best results also corresponded to the sections of visuoconstruction (clock), abstraction, and memory. Conclusión: the use of cognitive rehabilitation programs, and strategies applied to the geriatric population have a significant impact on the improvement of attention and memory.Objetivo: evaluar la eficacia de un programa de rehabilitación cognitiva en pacientes geriátricos utilizando como instrumento de medición el test Montreal Cognitive Assesment (MoCA). Métodos: se realizó un estudio cuasi experimental en la Unidad de Medicina Física y Rehabilitación Siglo XXI de la Ciudad de México del Instituto Mexicano del Seguro Social de enero a mayo del 2023. Se realizó cálculo de tamaño de muestra, el tipo de muestreo fue probabilístico. Se incluyeron 47 participantes de ambos sexos, mayores de 60 años de edad, sin antecedente de patología neurológica, a quienes se les aplicó el test de MoCA, posteriormente se implementaron seis sesiones de rehabilitación cognitiva institucional de 40 minutos de duración cada una, al término de las sesiones se aplicó nuevamente el instrumento de medición. Se realizó estadística interferencial y se utilizó la prueba de Wilcoxon, y la prueba t de Student, ambas con estimación de p< 0.05. Resultados: el valor de test de MoCA inicial fue 21.9±4.8 puntos y el final 26.3±1.9, que corresponde a un puntaje normal, con diferencia de 4.4 puntos (p<0.05).  La mayoría de los apartados del test de MoCA tuvieron p<0.05, excepto los dominios de identificación, repetición de frases y orientación, además los mejores resultados correspondieron a los apartados de visuoconstrucción (reloj), abstracción y memoria. Conclusión: el uso de programas y estrategias de rehabilitación cognitiva aplicados a la población geriátrica impactan significativamente en la mejoría de atención y memoria.Facultad de Medicina2024-06-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.unam.mx/index.php/atencion_familiar/article/view/8883310.22201/fm.14058871p.2024.388833Atención Familiar; Vol. 31 Núm. 3; 160-1642992-782X10.22201/fm.14058871p.2024.3reponame:Atención Familiarinstname:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICOinstacron:UNAMspahttps://www.revistas.unam.mx/index.php/atencion_familiar/article/view/88833/78079http://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessoai:ojs.pkp.sfu.ca:article/888332024-08-16T16:51:49Z
dc.title.none.fl_str_mv Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
Eficacia de un programa de rehabilitación cognitiva en pacientes geriátricos
title Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
spellingShingle Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
Lozano-Rodríguez, Irma G.
Rehabilitation
Cognition
Geriatrics
Attention
Memory
rehabilitación
cognición
geriatría
atención
memoria
title_short Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
title_full Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
title_fullStr Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
title_full_unstemmed Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
title_sort Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
dc.creator.none.fl_str_mv Lozano-Rodríguez, Irma G.
Taboada-Gallardo, Guadalupe E.
Hernández-Valencia, María C.
author Lozano-Rodríguez, Irma G.
author_facet Lozano-Rodríguez, Irma G.
Taboada-Gallardo, Guadalupe E.
Hernández-Valencia, María C.
author_role author
author2 Taboada-Gallardo, Guadalupe E.
Hernández-Valencia, María C.
author2_role author
author
dc.subject.none.fl_str_mv Rehabilitation
Cognition
Geriatrics
Attention
Memory
rehabilitación
cognición
geriatría
atención
memoria
topic Rehabilitation
Cognition
Geriatrics
Attention
Memory
rehabilitación
cognición
geriatría
atención
memoria
description Objective: To evaluate the efficacy of a cognitive rehabilitation program in geriatric patients using the Montreal Cognitive Assessment (MoCA) test as a measurement tool. Methods: A quasi-experimental study was conducted at the Physical Medicine and Rehabilitation Unit of the Mexican Institute of Social Security Siglo XXI, in Mexico City, from January to May 2023. The sample size was calculated, and the type of sampling was probabilistic. Forty-seven participants of both genders, over 60 years of age, with no history of neurological pathology were included, to whom the MoCA test was applied, then six institutional cognitive rehabilitation sessions of 40 minutes were performed, and at the end of the sessions the measurement instrument was applied again. Interferential statistics were performed using the Wilcoxon test, and Student’s t-test, both with an estimate of p< 0.05. Results: The initial MoCA score was 21.9±4.8 points, and the final score was 26.3±1.9, which corresponds to a normal score, with a difference of 4.4 points (p<0.05).  Most of the MoCA test sections had p<0.05, with the exception of identification, sentence repetition and orientation domains, the best results also corresponded to the sections of visuoconstruction (clock), abstraction, and memory. Conclusión: the use of cognitive rehabilitation programs, and strategies applied to the geriatric population have a significant impact on the improvement of attention and memory.
publishDate 2024
dc.date.none.fl_str_mv 2024-06-26
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/88833
10.22201/fm.14058871p.2024.388833
url https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/88833
identifier_str_mv 10.22201/fm.14058871p.2024.388833
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.revistas.unam.mx/index.php/atencion_familiar/article/view/88833/78079
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Facultad de Medicina
publisher.none.fl_str_mv Facultad de Medicina
dc.source.none.fl_str_mv Atención Familiar; Vol. 31 Núm. 3; 160-164
2992-782X
10.22201/fm.14058871p.2024.3
reponame:Atención Familiar
instname:UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
instacron:UNAM
instname_str UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO
instacron_str UNAM
institution UNAM
reponame_str Atención Familiar
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