A Case of Successful Cognitive Rehabilitation in the Chronic Stage of Right Middle Cerebral Artery Territory Infarction：The Application of Guidance on Internal Methods, Including Time Pressure Management
- VernacularTitle:右中大脳動脈領域梗塞の慢性期に認知リハビリテーションが奏効した1例 ―タイムプレッシャーマネジメント内的手法の応用―
- Author:
Masaharu SAWAKI
1
;
Hiroyasu YAMAMOTO
2
;
Masahiko YAMAMOTO
3
;
Toshiyuki HABUKI
1
;
Katsuo YAMADA
1
;
Koji SAITO
4
Author Information
- Keywords: rehabilitation at chronic stage; cognitive rehabilitation; cerebral infarction; higher brain dysfunction; inattention
- From:The Japanese Journal of Rehabilitation Medicine 2023;60(2):159-165
- CountryJapan
- Language:Japanese
- Abstract: Few reports have yet investigated adequate cognitive rehabilitation for patients with chronic cognitive disorder. In this report, we describe a case of cognitive rehabilitation 10 months after onset of cerebral infarction in the right middle cerebral artery region, resulting in a good outcome. The patient was a 44-year-old right-handed male, with primary symptoms of inattention and left hemispatial neglect. The patient had not undergone any neuropsychological evaluations or cognitive rehabilitation until 10 months after disease onset. After 30 days of both direct attention training and metacognitive strategy training, including time pressure management, improvement of his cognitive disorder was achieved. The teaching of internal methods to improve metacognition with a high level of evidence was effective even 10 months after onset. Furthermore, it is important for therapists who provide cognitive rehabilitation using metacognitive strategy training to understand patients' remaining functions based on neuropsychological assessment, and to consider and teach compensatory methods so that they can be effectively used by patients in situations of daily life.
