Effectiveness of a Cognitive Rehabilitation Program in Geriatric Patients
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Abstract
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.
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References
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