Cognitive rehabilitation in neurosurgical pathology of the brain using the Habilect Virtual rehabilitation Complex

Computer programs are a method that effectively complements the cognitive rehabilitation of neurosurgical patients.
THE AIM OF THE STUDY is a comparative assessment of the effectiveness of cognitive rehabilitation in neurosurgical patients with isolated use of psychocorrection methods and their combination with the habilect computer program.
MATERIALS AND METHODS: Among the studied 33 patients (19 men and 14 women, average age 58,35±14,75 years) suffered a non-traumatic intracranial hemorrhage, 38 were operated on for a brain tumor (20 women, 18 men, average age 54,38±15,27 years). 33 patients underwent neuropsychological correction sessions in isolation, 38 — in combination with the habilect computer program.
RESULTS. The average mmSE score in the group of patients who studied under the habilect program was 25,25 (20,25; 27,0) points at admission, 28,0 (25,75; 28,75) at discharge, the dynamics index was 2.5 (1.50; 4.0) points. The average FAb score was 14,5 (12,25; 15,0) points at admission, 17,25 (15,0; 18,25) points at discharge, the dynamics index was 2.75 (2.0; 3.0). The average score on the Roschina scale was 24,0 (17,0; 25,0) points at admission, 15,0 (12,0; 22,0) points at discharge, the dynamics indicator was 4,0 (3,0; 6,0) points.
The average mmSE score in the control group at admission was 25,5 (20,75; 27,25) points, at discharge — 28,5 (24,75; 29,0) points, the dynamics index was 2,75 (1,0; 4,25) points. The average FAb score at admission was 15,0 (11,25; 16,75) points, at discharge — 17,5 (16,75; 18,0) points; dynamics indicator — 2,25 (1,0; 3,25) points. When tested on the Roschina scale, the average score at admission was 17,75 (14,5; 24,0) points, at discharge — 12,5 (10,25; 15,75) points; dynamics indicator — 5,0 (3,25; 8,25) points.
CONCLUSION. Thus, it seems appropriate to use computer programs as an additional rehabilitation method in young patients with mild and moderate disorders of higher cortical functions, especially in the field of spatial gnosis and praxis

1. Park I.S., yoon j. g. The effect of computer-assisted cognitive rehabilitation and repetitive transcranial magnetic stimulation on cognitive function for stroke patients. j phys Ther Sci. 2015 mar;27(3):773–6. https://doi.org/10.1589/jpts.27.773

2. Ozen Z., Senlikci H. B., guzel S., yemisci o. u. Computer game assisted Task Specific exercises in the Treatment of motor and Cognitive Function and quality of life in Stroke: a randomized Control Study. j Stroke Cerebrovasc dis. 2021 Sep;30(9):105991. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105991

3. Liao Y.Y., Tseng H. Y., lin Y. j., wang C. j., Hsu w. C. using virtual reality-based training to improve cognitive function, instrumental activities of daily living and neural efficiency in older adults with mild cognitive impairment. eur j phys rehabil med. 2020 Feb;56(1):47–57. https://doi.org/10.23736/S1973–9087.19.05899–4

4. Ge S., Zhu Z., wu B., mcConnell e. S. Technology-based cognitive training and rehabilitation interventions for individuals with mild cognitive impairment: a systematic review. BmC geriatr. 2018 Sep 15;18(1):213. https://doi.org/10.1186/s12877-018-0893-1

5. Jung H., Jeong J. G., Cheong Y. S., Nam T. w., Kim j. H., park C. H., park e., jung T. d. The effectiveness of Computer-assisted Cognitive rehabilitation and the degree of recovery in patients with Traumatic Brain Injury and Stroke. j Clin med. 2021 dec 7;10(24):5728. https://doi.org/10.3390/jcm10245728

6. de luca r., latella d., maggio m. g., di lorenzo g., maresca g., Sciarrone F., militi d., Bramanti p., Calabrò r. S. Computer assisted cognitive rehabilitation improves visuospatial and executive functions in parkinson’s disease: preliminary results. Neurorehabilitation. 2019;45(2):285–290. https://doi.org/10.3233/NRE-192789

7. Mane r., wu Z., wang d. poststroke motor, cognitive and speech rehabilitation with brain-computer interface: a perspective review. Stroke vasc Neurol. 2022 jul 19;7(6):541–9. https://doi.org/10.1136/svn-2022–001506

8. Mansbach W.E., mace r. a., Clark K. m. The efficacy of a Computer-assisted Cognitive rehabilitation program for patients with mild Cognitive deficits: a pilot Study. exp aging res. 2017 jan-Feb;43(1):94–104. https://doi.org/10.1080/0361073X.2017.1258256

9. Chan J.Y., Hirai H. w., Tsoi K. K. Can computer-assisted cognitive remediation improve employment and productivity outcomes of patients with severe mental illness? a meta-analysis of prospective controlled trials. j psychiatr res. 2015 Sep;68:293–300. https://doi.org/10.1016/j.jpsychires.2015.05.010

10. Cho H.Y., Kim K. T., jung j. H. effects of computer assisted cognitive rehabilitation on brain wave, memory and attention of stroke patients: a randomized control trial. j phys Ther Sci. 2015 apr;27(4):1029–32. https://doi.org/10.1589/jpts.27.1029

11. Kiiashko S. S., olushin v. e., Zrelov a. a., Kukanov K. K., Sklyar S. S., maslova l. N., Ivanova N. e. Static-dynamic disorders in patients after microsurgical resection of the cerebellopontine angle tumors: long-term results. medical News of North Caucasus. 2022;17(1):10–14. https://doi.org/10.14300/mnnc.2022.17003 (In russ.).