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P3‐397: The psychosocial effects of the use of computerized cognitive stimulation on Alzheimer's patients
Author(s) -
Berenbaum Rakel,
Lange Yehudit
Publication year - 2011
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2011.05.1840
Subject(s) - feeling , psychosocial , psychology , cognition , intervention (counseling) , coping (psychology) , observational study , clinical psychology , psychotherapist , medicine , psychiatry , social psychology , pathology
complained of word finding difficulty. Case 1 had severe, Case 2 showed moderate, and Case 3 had mild language disorder. The patients selected the melodies they knew well, but of which they could not sing. We made a new lyric with a familiar melody, using words they could not name. The singing training using melodies with these new lyrics was performed for 30minutes once aweek. The total training session timewas ten weeks. After the song training, naming ability was assessed using the Picture Naming of 400 words (only Case 1 uses 200 words) and the Picture Description. The three patients took image ofMRI and FDG-PET before the intervention. Results All cases had improved the number of correct answer in naming test (from 9 to19 in Case 1, from 129 to 209 in Case 2, from 284 to 320 in Case 3). The changes in produced word numbers of the Picture Description test were different depending on the patients (as 0 in Case 1, from 15 to 20 in Case 2, and from 31 to 22 in Case 3). Case 1 and Case 2 had the lesion that extended to Broca’s area. Case 3 had the lesion that extended to Wernicke’s area. The glucose metabolism of Case 1 and Case 2 showed decrease in the temporal lobe and the posterior frontal lobe, and Case 3 has decreased in the temporal lobe and the anterior frontal lobe. Conclusions: Singing training may improve the word finding ability in VaD patients with aphasia independent of the severity. Remote effect of hypo metabolism on the frontal lobe may explain the different effect of music therapy.