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A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis / Laurent Guilloton in Annals of physical and rehabilitation medicine, Vol. 63, n°2 (Mars 2020)
[article]
Titre : A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis Type de document : texte imprimé Auteurs : Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network Année de publication : 2020 Article en page(s) : p. 116-122 Note générale : doi.org/10.1016/j.rehab.2018.11.005 Langues : Anglais (eng) Mots-clés : Multiple sclerosis Cognition Cognitive complaint Neuropsychology Résumé : Background
Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult.
Objective
The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS.
Methods
MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated.
Results
The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment.
Conclusion
Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment.Permalink : ./index.php?lvl=notice_display&id=90782
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122[article] A clinical screening tool for objective and subjective cognitive disorders in multiple sclerosis [texte imprimé] / Laurent Guilloton ; Jean-Philippe Camdessanché ; Dominique Latombe ; Philippe Neuschwander ; Sylvie Cantalloube ; Catherine Thomas-Antérion ; Bernadette Mercier ; Stéphanie Roggerone ; Delphine Maucort-Boulch ; Sylvain Roche ; Sophie Jacquin-Courtois ; The "Cognition-MS" group of the Rhône Alpes MS network . - 2020 . - p. 116-122.
doi.org/10.1016/j.rehab.2018.11.005
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°2 (Mars 2020) . - p. 116-122
Mots-clés : Multiple sclerosis Cognition Cognitive complaint Neuropsychology Résumé : Background
Cognitive dysfunction is common in multiple sclerosis (MS). Deficits can affect attention, concentration, planning, and memory. They can have severe functional consequences in many domains. Cognitive complaints are frequently associated with other confounding factors (fatigue, anxiety, depression, or treatment side effects). In most cases, cognitive assessment is proposed after a spontaneous complaint, but determining the extent of discomfort perceived by the patient, the influence of coexisting factors, or the optimal timing for a more complete neuropsychological assessment is difficult.
Objective
The objective of this work was to evaluate the feasibility and relevance of a fast global assessment of both objective and subjective cognitive dysfunction in MS.
Methods
MS patients underwent a brief cognitive assessment including 7 visual analogue scales (VASs) asking about the patient's subjective level of discomfort in various domains, a memory test (Barbizet's lion story), a commonly used test of information processing speed (Symbol Digit Modalities Test [SDMT]) and self-reporting questionnaires for fatigue and mood (Fatigue Severity Scale [FSS] and Hospital Anxiety and Depression Scale [HADS]). Spearman correlation coefficients among scores were estimated.
Results
The mean age of the 73 patients included was 48.3 (SD 11.1) years; 78% were females and 52.8% had the remittent-recurrent MS form, 8.3% the primary progressive form, and 38.9% the secondary progressive form. In less than 20 min, this brief cognitive assessment was able to identify symptoms and quantify discomfort level. Symptoms of fatigue and anxiety frequently coexisted with cognitive complaints. We found modest correlations between scores on the VAS fatigue and the FSS and between scores on the VAS mood and the HADS. Analytical evaluation revealed that most patients had similar SDMT and recall profiles; however, a small proportion showed a dissociation between these 2 tests, which validated the inclusion of both tests in the assessment. Accounting for coexisting factors (e.g., anxiety and fatigue) and their functional repercussions is essential for prioritizing these problems within the context of multidisciplinary patient treatment.
Conclusion
Considering the possible multifactorial character of cognitive dysfunction in MS, it is essential to ask patients about their experiences and to take into account cognitive complaints in the follow-up of patients. The assessment tool we propose is simple and easy to use in a clinical setting and provides the information necessary for requesting (or not) a more complete neuropsychological assessment.Permalink : ./index.php?lvl=notice_display&id=90782 Exemplaires (1)
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Exclu du prêtCognitive and academic profiles in children with cerebral palsy : A narrative review / Joel Fluss in Annals of physical and rehabilitation medicine, Vol. 63, n°5 (Octobre 2020)
[article]
Titre : Cognitive and academic profiles in children with cerebral palsy : A narrative review Type de document : texte imprimé Auteurs : Joel Fluss ; Karen Lidzba Année de publication : 2020 Article en page(s) : p. 447-456 Langues : Anglais (eng) Mots-clés : Cerebral palsy Cognition Neuropsychology Learning disabilities Intelligence Résumé : Background
Considerable effort has recently been made to improve the accurate diagnosis of cerebral palsy (CP) in childhood and to establish early intervention aiming to improve functional outcome. Besides the visible motor impairments, cognitive abilities are frequently affected but might remain unrecognised in children with mild forms. On the other hand, some severely disabled children with presumed intellectual disabilities might demonstrate normal-range reasoning capacities. Most studies on this topic have emphasized a variety of cognitive profiles (cognitive level) related to the type of cerebral palsy and the underlying brain lesions (biological level). However, little is known at the behavioural level, namely learning skills and educational achievement.
Objective
This narrative review aimed to discuss cognitive and scholastic skills typically affected in children with CP.
Methods
Online literature research for studies of cerebral palsy, cognition and academic achievement, extracting all relevant articles regardless of article type.
Results
In children with CP, intellectual disability is frequent and correlated with the degree of motor impairment and early epilepsy. Speech and language problems are prevalent in all forms of CP and might hamper everyday participation on varying levels depending on the degree of motor disability. Most children with CP have neuropsychological deficits affecting predominantly visuospatial functions, attention, and/or executive functions. These problems relate to academic performance and social participation.
Discussion
An adequate interdisciplinary follow-up of children with CP requires a sensitization of clinicians to the complex topic of cognitive and academic problems in this population and a better synergy between the medical and educational worlds.Permalink : ./index.php?lvl=notice_display&id=91319
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 447-456[article] Cognitive and academic profiles in children with cerebral palsy : A narrative review [texte imprimé] / Joel Fluss ; Karen Lidzba . - 2020 . - p. 447-456.
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 447-456
Mots-clés : Cerebral palsy Cognition Neuropsychology Learning disabilities Intelligence Résumé : Background
Considerable effort has recently been made to improve the accurate diagnosis of cerebral palsy (CP) in childhood and to establish early intervention aiming to improve functional outcome. Besides the visible motor impairments, cognitive abilities are frequently affected but might remain unrecognised in children with mild forms. On the other hand, some severely disabled children with presumed intellectual disabilities might demonstrate normal-range reasoning capacities. Most studies on this topic have emphasized a variety of cognitive profiles (cognitive level) related to the type of cerebral palsy and the underlying brain lesions (biological level). However, little is known at the behavioural level, namely learning skills and educational achievement.
Objective
This narrative review aimed to discuss cognitive and scholastic skills typically affected in children with CP.
Methods
Online literature research for studies of cerebral palsy, cognition and academic achievement, extracting all relevant articles regardless of article type.
Results
In children with CP, intellectual disability is frequent and correlated with the degree of motor impairment and early epilepsy. Speech and language problems are prevalent in all forms of CP and might hamper everyday participation on varying levels depending on the degree of motor disability. Most children with CP have neuropsychological deficits affecting predominantly visuospatial functions, attention, and/or executive functions. These problems relate to academic performance and social participation.
Discussion
An adequate interdisciplinary follow-up of children with CP requires a sensitization of clinicians to the complex topic of cognitive and academic problems in this population and a better synergy between the medical and educational worlds.Permalink : ./index.php?lvl=notice_display&id=91319 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt