Rehacom software application is effective in cognitive rehabilitation of patients with brain injuries

Study design:A non-randomized control study in a rehabilitation center.Objectives: To investigate effectiveness of RehaCom cognitive rehabilitation software compared to creative activities program in neuropsychological parameters in patients with cognitive deficits due to acquired central nervous system disorder.Background: Impairment in cognitive function is common in patients with acquired brain injury and influences negatively the rehabilitation outcome. Methods/Measures:The study included 96 subjects with different neurological conditions: cerebrovascular accident, hemiplegia, multiple sclerosis and traumatic brain injury.Fifty-six patients participated in the RehaCom cognitive rehabilitation program.Controls performed a program of creative activities.Both groups participated in a comprehensive rehabilitation program including physical therapy, occupational therapy and psychological support.In admission and at discharge a cognitive skill evaluation was performed in the patients of both groups based on the Montreal Cognitive Assessment (MoCA) psychometric screening test. Results:The average RehaCom intervention participation time was 115 ± 70 days.It was observed that the treatment group MoCA score upon exit was statistically significantly higher than upon admission in assessment tasks of attention and concentration, reaction behavior, visuo-constructive ability, verbal memory, topological memory, visuo-motor coordination and exploration, compared with the control group (p<0.001).The sub-group that seemed to have derived the most advantage is the cerebrovascular accident-right hemiplegia. Conclusion:Computerized cognitive rehabilitation with the RehaCom program results in improvement in cognitive function and can be used as a treatment tool beneficial to patients presenting cognitive impairment.Admission Discharge Di erence Figure 3. Statistical significance according to the disease: p<0.001CVA (left and right), p<0.05 TBI, p<0.001MS.