Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1
Introducción: El ataque cerebrovascular (ACV) es un trastorno de tipo neurológico que involucra áreas específicas del encéfalo, considerada la segunda causa de muerte y la tercera causa de discapacidad a nivel mundial. Con secuelas en las funciones ejecutivas (FE) tales como: dificultades conceptual...
- Autores:
-
Londoño Arias, Ana María
- Tipo de recurso:
- Fecha de publicación:
- 2024
- Institución:
- Universidad de San Buenaventura
- Repositorio:
- Repositorio USB
- Idioma:
- spa
- OAI Identifier:
- oai:bibliotecadigital.usb.edu.co:10819/23884
- Acceso en línea:
- https://hdl.handle.net/10819/23884
- Palabra clave:
- 150 - Psicología::153 - Procesos mentales conscientes e inteligencia
Infarto cerebral
Oclusión vascular
Flujo sanguíneo
Ataque cerebrovascular
Arteria cerebral media
Rehabilitación Neuropsicológica
Funciones ejecutivas
Habilidades instrumentales
Stroke
Middle cerebral artery
Neuropsychological rehabilitation
Executive functions
Instrumental skills
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- closedAccess
- License
- http://purl.org/coar/access_right/c_14cb
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|
dc.title.spa.fl_str_mv |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
title |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
spellingShingle |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 150 - Psicología::153 - Procesos mentales conscientes e inteligencia Infarto cerebral Oclusión vascular Flujo sanguíneo Ataque cerebrovascular Arteria cerebral media Rehabilitación Neuropsicológica Funciones ejecutivas Habilidades instrumentales Stroke Middle cerebral artery Neuropsychological rehabilitation Executive functions Instrumental skills |
title_short |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
title_full |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
title_fullStr |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
title_full_unstemmed |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
title_sort |
Efecto de un plan de rehabilitación neuropsicológica en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales: Estudio N=1 |
dc.creator.fl_str_mv |
Londoño Arias, Ana María |
dc.contributor.advisor.none.fl_str_mv |
Arias Ramírez, Yaira Zuleine Arias Ramírez, Yaira Zuleine |
dc.contributor.author.none.fl_str_mv |
Londoño Arias, Ana María |
dc.subject.ddc.none.fl_str_mv |
150 - Psicología::153 - Procesos mentales conscientes e inteligencia |
topic |
150 - Psicología::153 - Procesos mentales conscientes e inteligencia Infarto cerebral Oclusión vascular Flujo sanguíneo Ataque cerebrovascular Arteria cerebral media Rehabilitación Neuropsicológica Funciones ejecutivas Habilidades instrumentales Stroke Middle cerebral artery Neuropsychological rehabilitation Executive functions Instrumental skills |
dc.subject.other.none.fl_str_mv |
Infarto cerebral Oclusión vascular Flujo sanguíneo |
dc.subject.proposal.spa.fl_str_mv |
Ataque cerebrovascular Arteria cerebral media Rehabilitación Neuropsicológica Funciones ejecutivas Habilidades instrumentales |
dc.subject.proposal.eng.fl_str_mv |
Stroke Middle cerebral artery Neuropsychological rehabilitation Executive functions Instrumental skills |
description |
Introducción: El ataque cerebrovascular (ACV) es un trastorno de tipo neurológico que involucra áreas específicas del encéfalo, considerada la segunda causa de muerte y la tercera causa de discapacidad a nivel mundial. Con secuelas en las funciones ejecutivas (FE) tales como: dificultades conceptuales, de planificación, espaciales, velocidad de procesamiento, y memoria de trabajo. La Rehabilitación neuropsicológica (RN) mediada por las tecnologías de la información y las comunicaciones (TICs) ha demostrado resultados eficaces en estos dominios, por tanto, resulta ser una alternativa que promueve la recuperación cognitiva y funcional. Objetivo: Determinar el efecto de la rehabilitación neuropsicológica mediante la herramienta RehaCom enfocada en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales. Metodología: Diseño cuasiexperimental de caso único, con esquema A-B. La participante, una mujer de 32 años, con antecedente de ACV isquémico, con dificultades en sus habilidades instrumentales de la vida diaria. La RN se llevó a cabo mediante el Software RehaCom y como medida se utilizó la escala CIF y el cuestionario disejecutivo (DEX -SP). Resultados: Los resultados RN describen un efecto grande (NAP:100%) para las habilidades instrumentales, y para la reducción de los síndromes disejecutivos, y con un tratamiento muy efectivo (NAP:90%) para las FE relacionadas con capacidad de abstracción, planeación y flexibilidad mental. Conclusiones: La implementación de un programa de RN basado en medicación tecnológica, junto con un plan casero, resultan ser un tratamiento muy efectivo para mejorar las habilidades instrumentales. |
publishDate |
2024 |
dc.date.issued.none.fl_str_mv |
2024 |
dc.date.accessioned.none.fl_str_mv |
2025-03-11T18:25:52Z |
dc.date.available.none.fl_str_mv |
2025-03-11T18:25:52Z |
dc.type.none.fl_str_mv |
Trabajo de grado - Maestría |
dc.type.content.none.fl_str_mv |
Text |
dc.type.driver.none.fl_str_mv |
info:eu-repo/semantics/masterThesis |
dc.type.redcol.none.fl_str_mv |
http://purl.org/redcol/resource_type/TM |
dc.type.version.none.fl_str_mv |
info:eu-repo/semantics/acceptedVersion |
status_str |
acceptedVersion |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/10819/23884 |
url |
https://hdl.handle.net/10819/23884 |
dc.language.iso.none.fl_str_mv |
spa |
language |
spa |
dc.rights.accessrights.none.fl_str_mv |
info:eu-repo/semantics/closedAccess |
dc.rights.coar.none.fl_str_mv |
http://purl.org/coar/access_right/c_14cb |
dc.rights.license.*.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International |
dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
closedAccess |
rights_invalid_str_mv |
http://purl.org/coar/access_right/c_14cb Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
dc.format.extent.none.fl_str_mv |
39 páginas |
dc.format.mimetype.none.fl_str_mv |
application/pdf |
dc.publisher.branch.none.fl_str_mv |
Medellín |
dc.publisher.faculty.none.fl_str_mv |
Facultad de Psicología |
dc.publisher.place.none.fl_str_mv |
Medellín |
dc.publisher.program.none.fl_str_mv |
Maestría en Neuropsicología |
institution |
Universidad de San Buenaventura |
dc.source.bibliographicCitation.spa.fl_str_mv |
Abiodun, A. (2018, October). Stroke (Cerebrovascular Accident (CVA) or Brain Attack) and Its Management-Literature Review. 1–9. www.seahipaj.org Aho, K., Harmsen, P., Hatano, S., Marquardsen, J., Smirnov, V. E., & Strasser, & T. (1980). Cerebrovascular disease in the community: results of a WHO Collaborative Study*. In Bulletin of the World Health Organization (Vol. 58, Issue 1). Alonso, E., Fernández, L. C., & Tejedor, E. D. (2023). Cerebrovascular diseases. Medicine (Spain), 13(70), 4073–4082. https://doi.org/10.1016/j.med.2023.01.001. Amiri, S., Hassani-Abharian, P., Vaseghi, S., Kazemi, R., & Nasehi, M. (2023). Effect of RehaCom cognitive rehabilitation software on working memory and processing speed in chronic ischemic stroke patients. Assistive Technology, 35(1), 41–47. https://doi.org/10.1080/10400435.2021.1934608. Arango Lasprilla, J. C., & Rivera, D. (2015). Neuropsicología en Colombia: Datos normativos, estado actual y retos a futuro (J. C. Arango Laspriella & D. Rivera, Eds.; Vol. ISBN9789588730639). Universidadautónomademanizales. Ardila Rodríguez, W. A., Silva Sieger, F. A., & Rocío Acosta Barreto, M. (2013). Perfil neuropsicológico en pacientes con ACV isquémico de la arteria cerebral media izquierda. Actaneurologicacolombiana, 29, 36–43. Arian Darestani, A., Naeeni Davarani, M., Hassani-Abharian, P., Zarrindast, M. R., & Nasehi, M. (2020). The therapeutic effect of treatment with RehaCom software on verbal performance in patients with multiple sclerosis. Journal of Clinical Neuroscience, 72, 93–97. https://doi.org/10.1016/j.jocn.2020.01.007. Babulal, G. M., Huskey, T. N., Roe, C. M., Goette, S. A., & Connor, L. T. (2015). Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke. Topics in Stroke Rehabilitation, 22(2), 144–151. https://doi.org/10.1179/1074935714Z.0000000012. Baltaduoniene, D., Kubilius, R., Mingaila, S., & Baltaduoniene, D. (2018). Computer-based cognitive rehabilitation for cognitive functions after stroke. In Ceska a Slovenska Neurologie a Neurochirurgie (Vol. 81, Issue 3, pp. 269–277). Czech Medical Association J.E. Purkyne. https://doi.org/10.14735/amcsnn2018269. Benke, T., Dazinger, F., Pechlaner, R., Willeit, K., Clausen, J., & Knoflach, M. (2021). Lesion topography of posterior cerebral artery infarcts. Journal of the Neurological Sciences, 428. https://doi.org/10.1016/j.jns.2021.117585. Blomgren, C., Samuelsson, H., Blomstrand, C., Jern, C., Jood, K., & Claesson, L. (2019). Long-term performance of instrumental activities of daily living in young and middleaged stroke survivors—Impact of cognitive dysfunction, emotional problems and fatigue. PLoS ONE, 14(5). https://doi.org/10.1371/journal.pone.0216822. Cagna-Castillo, D., Salcedo-Carrillo, A. L., Carrillo-Larco, R. M., & Bernabé-Ortiz, A. (2023). Prevalence and incidence of stroke in Latin America and the Caribbean: a systematic review and meta-analysis. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-33182-3. Campbell, J., Langdon, D., Cercignani, M., & Rashid, W. (2016). A Randomised controlled trial of efficacy of cognitive rehabilitation in multiple sclerosis: A cognitive, behavioural, and MRI study. Neural Plasticity, 2016. https://doi.org/10.1155/2016/4292585. Capirossi, C., Laiso, A., Renieri, L., Capasso, F., & Limbucci, N. (2023). Epidemiology, organization, diagnosis and treatment of acute ischemic stroke. European Journal of Radiology Open, 11. https://doi.org/10.1016/j.ejro.2023.100527. Catania, V., Rundo, F., Panerai, S., & Ferri, R. (2024). Virtual Reality for the Rehabilitation of Acquired Cognitive Disorders: A Narrative Review. In Bioengineering (Vol. 11, Issue 1). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/bioengineering11010035. Cho, H., Kim, T., Kim, Y. Do, Na, S., Choi, Y. H., Song, I. U., Chung, S. W., Koo, J., Kwon, H., Park, J. H., & Im, H. (2022). A clinical study of 288 patients with anterior cerebral artery infarction. Journal of Neurology, 269(6), 2999–3005. https://doi.org/10.1007/s00415-021-10904-z. Cicerone, K. D., Goldin, Y., Ganci, K., Rosenbaum, A., Wethe, J. V., Langenbahn, D. M., Malec, J. F., Bergquist, T. F., Kingsley, K., Nagele, D., Trexler, L., Fraas, M., Bogdanova, Y., & Harley, J. P. (2019). Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014. In Archives of Physical Medicine and Rehabilitation (Vol. 100, Issue 8, pp. 1515–1533). W.B. Saunders. https://doi.org/10.1016/j.apmr.2019.02.01. Cogollor, J. M., Rojo-Lacal, J., Hermsdörfer, J., Ferre, M., Teresa Arredondo Waldmeyer, M., Giachritsis, C., Armstrong, A., Manuel Breñosa Martinez, J., Anabelle Bautista Loza, D., & María Sebastián, J. (2018). Evolution of cognitive rehabilitation after stroke from traditional techniques to smart and personalized home-based information and communication technology systems: Literature review. In JMIR Rehabilitation and Assistive Technologies (Vol. 20, Issue 3). https://doi.org/10.2196/rehab.8548. Coupland, A. P., Thapar, A., Qureshi, M. I., Jenkins, H., & Davies, A. H. (2017). The definition of stroke. Journal of the Royal Society of Medicine, 110(1), 9–12. https://doi.org/10.1177/014107681668012. Cozby, P. (2004). Métodos de investigación del comportamiento (L. Newball Gonzalez, S. Nájera Franco, C. Zuñiga Gutierrez, & T. Eliosa Garcia, Eds.; L. Pineda Ayala, Trans.; 8th ed.). McGraw-Hill Interamericana. Cramer, S. C., Richards, L. G., Bernhardt, J., & Duncan, P. (2023). Cognitive Deficits After Stroke. In Stroke (Vol. 54, Issue 1, pp. 5–9). Wolters Kluwer Health. https://doi.org/10.1161/STROKEAHA.122.041775. De Luca, R., Aragona, B., Leonardi, S., Torrisi, M., Galletti, B., Galletti, F., Accorinti, M., Bramanti, P., De Cola, M. C., & Calabrò, R. S. (2018). Computerized Training in Poststroke Aphasia: What About the Long-Term Effects? A Randomized Clinical Trial. Journal of Stroke and Cerebrovascular Diseases, 27(8), 2271–2276. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.04.019. Domensino, A. F., Verberne, D., Prince, L., Fish, J., Winegardner, J., Bateman, A., Wilson, B., Ponds, R., & van Heugten, C. (2022). Client experiences with holistic neuropsychological rehabilitation: “It is an ongoing process.” Neuropsychological Rehabilitation, 32(8), 2147–2169. https://doi.org/10.1080/09602011.2021.1976222. Elstein, D., Doniger, G., & Altarescu, G. (2012). Cognitive testing in Fabry Disease: Pilot Using a Brief Computerized Assessment Tool . 14. Fan, J., Li, X., Yu, X., Liu, Z., Jiang, Y., Fang, Y., Zong, M., Suo, C., Man, Q., & Xiong, L. (2023). Global Burden, Risk Factor Analysis, and Prediction Study of Ischemic Stroke, 1990-2030. Neurology, 101(2), E137–E150. https://doi.org/10.1212/WNL.0000000000207387. Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. In International Journal of Stroke (Vol. 17, Issue 1, pp. 18–29). SAGE Publications Inc. https://doi.org/10.1177/17474930211065917. Feigin, V. L., Owolabi, M. O., Owolabi, M. O., Owolabi, M. O., Feigin, V. L., Abd-Allah, F., Akinyemi, R. O., Bhattacharjee, N. V., Brainin, M., Cao, J., Caso, V., Dalton, B., Davis, A., Dempsey, R., Duprey, J., Feng, W., Ford, G. A., Gall, S., Gandhi, D., … Zagożdżon, P. (2023). Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization–Lancet Neurology Commission. In The Lancet Neurology (Vol. 22, Issue 12, pp. 1160–1206). Elsevier Ltd. https://doi.org/10.1016/S1474-4422(23)00277-6 Fernández-López, J. (2009). Seminar of Health Sciences and Health Policy, University of Lucerne, and at SPF, Nottwil. Switzerland. (5) ICF Research Branch, WHO FIC CC Germany (DIMDI) at SPF, Nottwil, Switzerland and at IHRS. In Madrid. España (Issue 1) Feske, S. K. (2021). Ischemic Stroke. In American Journal of Medicine (Vol. 134, Issue 12, pp. 1457–1464). Elsevier Inc. https://doi.org/10.1016/j.amjmed.2021.07.027. Fetta, J., Starkweather, A., & Gill, J. M. (2017). Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury: A Critical Review of the Literature. In Journal of Neuroscience Nursing (Vol. 49, Issue 4, pp. 235–240). Lippincott Williams and Wilkins. https://doi.org/10.1097/JNN.0000000000000298. Flores, J., Gutiérrez, A., & Ostrosky, F. (2014). Batería Neuropsicológica de Funciones Ejecutivas y Lóbulos Frontales-2 B N A F E (G. Moreno Zarco, Ed.). El Manual Moderno. www.manualmoderno.com. Garcia Alfonso, C., Martínez Reyes, A., García, V., Ricaurte-Fajardo, A., Torres, I., & Coral, J. (2019). Actualización en diagnóstico y tratamiento del ataque cerebrovascular isquemico agudo. Universitas Medica, 60. https://doi.org/https://doi.org/10.11144/Javeriana.umed60-3.actu Goldstein, S., & Naglieri, J. A. (2014). Handbook of Executive Functioning (S. Goldstein & J. Naglieri, Eds.). Springer; 2014th edition (January 28, 2014). https://doi.org/10.1007/978-1-4614-8106-5. Hasomed. (2024). RehaCom_Katalog_Spanisch_2024-01_Web. HASOMED GmbH 2023. Heaton, R., Goldon, chulene, Talley, J., Kay, G., & Curtiss, G. (2001). Manual Test (WCST) (TEAEdicionesS.A publucaciones de psicología aplicada, Ed.; L. M. V. De la cruz, Trans.; 2nd ed.). TEA Ediciones S.A. Henry, J. D. (2021). Prospective memory impairment in neurological disorders: implications and management. In Nature Reviews Neurology (Vol. 17, Issue 5, pp. 297–307). Nature Research. https://doi.org/10.1038/s41582-021-00472-1. Heugten, van, Wilson, B., Winegardner, J., & Ownsworth, T. (2019). Rehabilitación neuropsicológica Manual internacional 2 (J. Morales Saavedra & T. Garcia San juan, Eds.; J. Cisneros Herrera, Trans.; ElmanualmodernoS.A.). Lavados, P. M., Hennis, A. J. M., Erson, J., Fernandes, G., Medina, M. T., Legetic, B., Hoppe, A., Sacks, C., Jadue, L., & Salinas, R. (2007). Series Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean. https://doi.org/10.1016/S1474 Lezak, M. D. (1982). THE PROBLEM OF ASSESSING EXECUTIVE FUNCTIONS. International Journal of Psychology, 17(1–4), 281–297. https://doi.org/10.1080/00207598208247445. Li, F., Kong, X., Zhu, H., Xu, H., Wu, B., Cao, Y., & Li, J. (2022). The moderating effect of cognitive reserve on cognitive function in patients with Acute Ischemic Stroke. Frontiers in Aging Neuroscience, 14. https://doi.org/10.3389/fnagi.2022.1011510. Lipskaya-Velikovsky, L., Zeilig, G., Weingarden, H., Rozental-Iluz, C., & Rand, D. (2018). Executive functioning and daily living of individuals with chronic stroke: Measurement and implications. International Journal of Rehabilitation Research, 41(2), 122–127. https://doi.org/10.1097/MRR.0000000000000272. Loret, G., Miatton, M., Vingerhoets, G., Poppe, B., & Hemelsoet, D. (2021). A long-term neuropsychological evaluation in Fabry disease. Acta Neurologica Belgica, 121(1), 191– 197. https://doi.org/10.1007/s13760-020-01484-2. Maggio, M. G., De Bartolo, D., Calabrò, R. S., Ciancarelli, I., Cerasa, A., Tonin, P., Di Iulio, F., Paolucci, S., Antonucci, G., Morone, G., & Iosa, M. (2023). Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives. In Frontiers in Neurology (Vol. 14). Frontiers Media SA. https://doi.org/10.3389/fneur.2023.1255319. Marsh, E. B., Brodbeck, C., Llinas, R. H., Mallick, D., Kulasingham, J. P., Simon, J. Z., Llinás, R. R., Funke, M., Garcia-Rill, E., & Mosher, J. C. (2020). Poststroke acute dysexecutive syndrome, a disorder resulting from minor stroke due to disruption of network dynamics. https://doi.org/10.1073/pnas.2013231117/-/DCSupplemental. Marta-Enguita, J., Machado, F. J. D., Orbe, J., & Muñoz, R. (2024). Composición del trombo e implicaciones en la caracterización y el tratamiento en el ictus isquémico. Neurología. https://doi.org/10.1016/j.nrl.2022.11.007. Martínez Martínez, A. M., Martínez Villar, S., Aguilar Mejía, O. M., & Mariño García, D. (2014). Caracterización y efectividad de programas de rehabilitación neuropsicológica de las funciones ejecutivas en pacientes con daño cerebral adquirido: una revisión. Universitas Psychologica, 13(3). https://doi.org/10.11144/javeriana.upsy13-3.cepr. Mendoza-Sánchez, J. A., Silva, F. A., Rangel-Celis, L. M., Arias, J. E., & Zuñiga-Sierra, E. A. (2019). Model of costs associated with stroke and adverse events in patients with nonvalvular atrial fibrillation treated with warfarin. Revista Colombiana de Cardiologia, 26(3), 125–132. https://doi.org/10.1016/j.rccar.2018.12.003. Messinis, L., Nasios, G., Kosmidis, M. H., Zampakis, P., Malefaki, S., Ntoskou, K., Nousia, A., Bakirtzis, C., Grigoriadis, N., Gourzis, P., & Papathanasopoulos, P. (2017). Efficacy of a Computer-Assisted Cognitive Rehabilitation Intervention in Relapsing-Remitting Multiple Sclerosis Patients: A Multicenter Randomized Controlled Trial. Behavioural Neurology, 2017. https://doi.org/10.1155/2017/5919841. Mulhern, M. (2023). Cognitive Rehabilitation Interventions for Post-Stroke Populations. In Delaware Journal of Public Health (Vol. 9, Issue 3). Delaware Academy of Medicine. https://doi.org/10.32481/DJPH.2023.08.012. Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. 53. https://doi.org/https://doiorg.udea.lookproxy.com/10.1111/j.1532-5415.2005.53221.x. Ohlmeier, L., Nannoni, S., Pallucca, C., Brown, R. B., Loubiere, L., & Markus, H. S. (2023). Prevalence of, and risk factors for, cognitive impairment in lacunar stroke. International Journal of Stroke, 18(1), 62–69. https://doi.org/10.1177/17474930211064965. Ostrosky solis, F., Ardila, A., & Rosselli, M. (1999). Neuropis. Evaluación neuropsicologica Breve en Español . Editorial Manual Moderno. O’Sullivan, M. J., Li, X., Galligan, D., & Pendlebury, S. T. (2023). Cognitive Recovery After Stroke: Memory. In Stroke (Vol. 54, Issue 1, pp. 44–54). Wolters Kluwer Health. https://doi.org/10.1161/STROKEAHA.122.041497. Pacheco-Barrios, K., Giannoni-Luza, S., Navarro-Flores, A., Rebello-Sanchez, I., Parente, J., Balbuena, A., de Melo, P. S., Otiniano-Sifuentes, R., Rivera-Torrejón, O., Abanto, C., Alva-Diaz, C., Musolino, P. L., & Fregni, F. (2022). Burden of Stroke and PopulationAttributable Fractions of Risk Factors in Latin America and the Caribbean. Journal of the American Heart Association, 11(21). https://doi.org/10.1161/JAHA.122.027044. Park, Y. H., Jang, J. W., Park, S. Y., Wang, M. J., Lim, J. S., Baek, M. J., Kim, B. J., Han, M. K., Bae, H. J., Ahn, S., & Kim, S. (2015). Executive function as a strong predictor of recovery from disability in patients with acute stroke: A preliminary study. Journal of Stroke and Cerebrovascular Diseases, 24(3), 554–561. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.09.033. Pedrero-Pérez, E. J., Ruiz-Sánchez de León, J. M., Lozoya-Delgado, P., Llanero-Luque, M., Rojo-Mota, G., & Puerta-García, C. (2011). Prefrontal symptoms assessment: Psychometric properties and normative data of the dysexecutive questionnaire (DEX) in a sample from the Spanish population. Revista de Neurologia, 52(7), 394–404. https://doi.org/10.33588/rn.5207.2010731. Pineda Sanabria, J. P., & Tolosa Cubillos, J. M. (2022). Accidente cerebrovascular isquémico de la arteria cerebral media. Revista Repertorio de Medicina y Cirugía, 31(1). https://doi.org/10.31260/repertmedcir.01217372.1104. Pinilla-Monsalve, G. D., Vergara-Aguilar, J. P., Machado-Noguera, B., Gutiérrez-Baquero, J., Cabezas-Vargas, Z., & Bejarano-Hernández, J. (2021). Estudio de la epidemiología neurológica en Colombia a partir de información administrativa (ESENCIA). Resultados preliminares 2015-2017. Salud UIS, 53(1). https://doi.org/10.18273/saluduis.53.e:21025. Polanowska, K. E., Iwański, S., Leśniak, M. M., & Seniów, J. (2022). Computer-assisted training of executive functions in adult patients with non-progressive acquired brain damage–a pilot study on efficacy of a new therapeutic application. Applied Neuropsychology:Adult. https://doi.org/10.1080/23279095.2022.2114354. Prigatano, G. P., Braga, L. W., Johnson, S. F., & Souza, L. M. N. (2021). Neuropsychological rehabilitation, neuroimaging and neuroplasticity: A clinical commentary. NeuroRehabilitation, 49(2), 255–265. https://doi.org/10.3233/NRE-218024. Quamar, A. H., Schmeler, M. R., Collins, D. M., & Schein, R. M. (2020). Information communication technology-enabled instrumental activities of daily living: a paradigm shift in functional assessment. In Disability and Rehabilitation: Assistive Technology (Vol. 15, Issue 7, pp. 746–753). Taylor and Francis Ltd. https://doi.org/10.1080/17483107.2019.1650298. Ramos Galarza, C., Ramos, valentina, jadan Guerrero Janio, Lepe Martinez, N., Paredes Nuñez Lorena, Gómez Garcia Antonio, & Bolaños, M. (2017). ConceptosFundamentales-Teoría-Neuropsicológica.-Fundamental-ConceptsNeuropsychological-Theory. 26, 53–59. Robledo-Castro, C., Castillo-Ossa, L. F., & Corchado, J. M. (2023). Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review. Arabian Journal for Science and Engineering, 48(2), 2399–2427. https://doi.org/10.1007/s13369-022-07292-5. Rogers, J. M., Duckworth, J., Middleton, S., Steenbergen, B., & Wilson, P. H. (2019). Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: Evidence from a randomized controlled pilot study. Journal of NeuroEngineering and Rehabilitation, 16(1). https://doi.org/10.1186/s12984-019-0531- y. Ruiz, E. de C., Masjuan, J., Tejedor, E. D., & Donlebún, J. R. P. de. (2023). Ischemic stroke. Cerebral infarction and transitory ischemic attack. Medicine (Spain), 13(70), 4083–4094. https://doi.org/10.1016/j.med.2023.01.002. Saleh, Y., Le Heron, C., Petitet, P., Veldsman, M., Drew, D., Plant, O., Schulz, U., Sen, A., Rothwell, P. M., Manohar, S., & Husain, M. (2021). Apathy in small vessel cerebrovascular disease is associated with deficits in effort-based decision making. Brain, 144(4), 1247–1262. https://doi.org/10.1093/brain/awab013. Sanz, J., & García-Vera, M. P. (2015). Técnicas para el análisis de diseños de caso único en la práctica clínica: ejemplos de aplicación en el tratamiento de víctimas de atentados terroristas. Clinica y Salud, 26(3), 167–180. https://doi.org/10.1016/j.clysa.2015.09.004. Shao, K., Wang, W., Guo, S. Z., Dong, F. M., Yang, Y. M., Zhao, Z. M., Jia, Y. L., & Wang, J. H. (2020). Assessing executive function following the early stage of mild Ischemic stroke with three brief screening tests. Journal of Stroke and Cerebrovascular Diseases, 29(8). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104960. Sieger, S., Garzón-Hernández, J. P., Mendoza-Sánchez, J. A., Arias, J. E., & Ortiz, C. (2021). Direct cost assumed by patients and out-of-pocket expenses of acute ischemic stroke. Rev. Salud Pública, 23(4), 1–8. https://doi.org/10.15446/rsap.V23n4.91507. Sigmundsdottir, L., Tchan, M. C., Knopman, A. A., Menzies, G. C., Batchelor, J., & Sillence, D. O. (2014). Cognitive and psychological functioning in Fabry disease. Archives of Clinical Neuropsychology, 29(7), 642–650. https://doi.org/10.1093/arclin/acu047. Silva-Sieger, F. A., Garzón-Hernández, J. P., Mendoza-Sánchez, J. A., Arias, J. E., & Ortiz, C. (2021). Direct cost assumed by patients and out-of-pocket expenses of acute ischemic stroke. Rev. Salud Pública, 23(4), 1–8. https://doi.org/10.15446/rsap.V23n4.91507. Sinanović, O. (2010). NEUROPSYCHOLOGY OF ACUTE STROKE. In Psychiatria Danubina (Vol. 22, Issue 2). Tarantino, V., Burgio, F., Toffano, R., Rigon, E., Meneghello, F., Weis, L., & Vallesi, A. (2021). Efficacy of a training on executive functions in potentiating rehabilitation effects in stroke patients. Brain Sciences, 11(8). https://doi.org/10.3390/brainsci11081002. Tikhomirov, G. V., & Grigoryeva, V. N. (2022). Appertseptivnaya i assotsiativnaya zritel’naya ob"ektnaya agnoziya v ostrom periode ishemicheskogo insul’ta. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova, 122(8 Vyp 2), 18–25. https://doi.org/10.17116/jnevro202212208218. Urcia-Fernández, F., & Cam-Chiock, D. (2023). Perfil epidemiológico de los pacientes con secuelas de accidente cerebrovascular atendidos en un instituto de rehabilitación de Lima-Perú. Revista Médica Herediana, 34(3), 132–142. https://doi.org/10.20453/rmh.v34i3.4922. Vega P., J. D., Ramos S., Á. A., Ibáñez P., E. A., & Cobo M., E. A. (2017). Factores asociados al ataque cerebrovascular isquémico entre los años 2013 a 2016: estudio de casos y controles. Revista Colombiana de Cardiologia, 24(6), 574–582. https://doi.org/10.1016/j.rccar.2017.04.001. Veisi-Pirkoohi, S., Hassani-Abharian, P., Kazemi, R., Vaseghi, S., Zarrindast, M. R., & Nasehi, M. (2020). Efficacy of RehaCom cognitive rehabilitation software in activities of daily living, attention and response control in chronic stroke patients. Journal of Clinical Neuroscience, 71, 101–107. https://doi.org/10.1016/j.jocn.2019.08.114. Wang, Y., Du, W., Yang, X., Yan, J., Sun, W., Bai, J., Zhou, J., Zhou, A., Niu, J., Li, C., & Wang, J. (2021). Diagnosis and differential diagnosis flow diagram of Chinese poststroke aphasia types and treatment of post-stroke aphasia. In Aging Medicine (Vol. 4, Issue 4, pp. 325–336). John Wiley and Sons Inc. https://doi.org/10.1002/agm2.12183. Wilson, B. A. (2008). Neuropsychological rehabilitation. In Annual Review of Clinical Psychology (Vol. 4, pp. 141–162). https://doi.org/10.1146/annurev.clinpsy.4.022007.141212. Zhang, Q., Fu, Y., Lu, Y., Zhang, Y., Huang, Q., Yang, Y., Zhang, K., & Li, M. (2021). Impact of virtual reality-based therapies on cognition and mental health of stroke patients: Systematic review and meta-analysis. In Journal of Medical Internet Research (Vol. 23, Issue 11). JMIR Publications Inc. https://doi.org/10.2196/31007. Zinn, S., Bosworth, H. B., Hoenig, H. M., & Swartzwelder, H. S. (2007). Executive Function Deficits in Acute Stroke. Archives of Physical Medicine and Rehabilitation, 88(2), 173– 180. https://doi.org/10.1016/j.apmr.2006.11.015. |
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Arias Ramírez, Yaira ZuleineArias Ramírez, Yaira Zuleinevirtual::2937-1Londoño Arias, Ana María2025-03-11T18:25:52Z2025-03-11T18:25:52Z2024Introducción: El ataque cerebrovascular (ACV) es un trastorno de tipo neurológico que involucra áreas específicas del encéfalo, considerada la segunda causa de muerte y la tercera causa de discapacidad a nivel mundial. Con secuelas en las funciones ejecutivas (FE) tales como: dificultades conceptuales, de planificación, espaciales, velocidad de procesamiento, y memoria de trabajo. La Rehabilitación neuropsicológica (RN) mediada por las tecnologías de la información y las comunicaciones (TICs) ha demostrado resultados eficaces en estos dominios, por tanto, resulta ser una alternativa que promueve la recuperación cognitiva y funcional. Objetivo: Determinar el efecto de la rehabilitación neuropsicológica mediante la herramienta RehaCom enfocada en funciones ejecutivas en una paciente con antecedente de ACV isquémico, en relación con el desempeño de sus habilidades instrumentales. Metodología: Diseño cuasiexperimental de caso único, con esquema A-B. La participante, una mujer de 32 años, con antecedente de ACV isquémico, con dificultades en sus habilidades instrumentales de la vida diaria. La RN se llevó a cabo mediante el Software RehaCom y como medida se utilizó la escala CIF y el cuestionario disejecutivo (DEX -SP). Resultados: Los resultados RN describen un efecto grande (NAP:100%) para las habilidades instrumentales, y para la reducción de los síndromes disejecutivos, y con un tratamiento muy efectivo (NAP:90%) para las FE relacionadas con capacidad de abstracción, planeación y flexibilidad mental. Conclusiones: La implementación de un programa de RN basado en medicación tecnológica, junto con un plan casero, resultan ser un tratamiento muy efectivo para mejorar las habilidades instrumentales.Introduction: Cerebrovascular accident (CVA) or stroke is a neurological disorder involving specific areas of the brain, it is considered the second leading cause of death and the third leading cause of disability worldwide. This event has sequels in executive functions (EF) such as: conceptual, planning, spatial, processing speed, and working memory difficulties. Neuropsychological rehabilitation (NR) mediated by information and communication technologies has shown effective results in these domains, therefore, it is an alternative that promotes cognitive and functional recovery. Objective: To determine the effect of NR using RehaCom tool focused on executive functions in a patient with a history of ischemic stroke, in relation to the performance of her instrumental skills. Methodology: Quasi-experimental single case design, with A-B scheme. The participant is a 32-year-old woman with a history of ischemic stroke, with difficulties in her instrumental daily living skills. The RN was carried out using RehaCom software and the CIF scale and the dis-executive questionnaire (DEX -SP) were used as measurements. Results: The NR results describe a large effect (NAP: 100%) for instrumental skills, and also for the reduction of dis-executive syndromes with a very effective treatment (NAP:90%) for the EFs related to abstraction, planning and cognitive flexibility. Conclusions: The implementation of a neuropsychological rehabilitation program based on technological medication, with a home plan, proves to be a very effective treatment to improve instrumental skills.MaestríaMagíster en Neuropsicología39 páginasapplication/pdfhttps://hdl.handle.net/10819/23884spaMedellínFacultad de PsicologíaMedellínMaestría en Neuropsicologíainfo:eu-repo/semantics/closedAccesshttp://purl.org/coar/access_right/c_14cbAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/Abiodun, A. (2018, October). Stroke (Cerebrovascular Accident (CVA) or Brain Attack) and Its Management-Literature Review. 1–9. www.seahipaj.orgAho, K., Harmsen, P., Hatano, S., Marquardsen, J., Smirnov, V. E., & Strasser, & T. (1980). Cerebrovascular disease in the community: results of a WHO Collaborative Study*. In Bulletin of the World Health Organization (Vol. 58, Issue 1).Alonso, E., Fernández, L. C., & Tejedor, E. D. (2023). Cerebrovascular diseases. Medicine (Spain), 13(70), 4073–4082. https://doi.org/10.1016/j.med.2023.01.001.Amiri, S., Hassani-Abharian, P., Vaseghi, S., Kazemi, R., & Nasehi, M. (2023). Effect of RehaCom cognitive rehabilitation software on working memory and processing speed in chronic ischemic stroke patients. Assistive Technology, 35(1), 41–47. https://doi.org/10.1080/10400435.2021.1934608.Arango Lasprilla, J. C., & Rivera, D. (2015). Neuropsicología en Colombia: Datos normativos, estado actual y retos a futuro (J. C. Arango Laspriella & D. Rivera, Eds.; Vol. ISBN9789588730639). Universidadautónomademanizales.Ardila Rodríguez, W. A., Silva Sieger, F. A., & Rocío Acosta Barreto, M. (2013). Perfil neuropsicológico en pacientes con ACV isquémico de la arteria cerebral media izquierda. Actaneurologicacolombiana, 29, 36–43.Arian Darestani, A., Naeeni Davarani, M., Hassani-Abharian, P., Zarrindast, M. R., & Nasehi, M. (2020). The therapeutic effect of treatment with RehaCom software on verbal performance in patients with multiple sclerosis. Journal of Clinical Neuroscience, 72, 93–97. https://doi.org/10.1016/j.jocn.2020.01.007.Babulal, G. M., Huskey, T. N., Roe, C. M., Goette, S. A., & Connor, L. T. (2015). Cognitive impairments and mood disruptions negatively impact instrumental activities of daily living performance in the first three months after a first stroke. Topics in Stroke Rehabilitation, 22(2), 144–151. https://doi.org/10.1179/1074935714Z.0000000012.Baltaduoniene, D., Kubilius, R., Mingaila, S., & Baltaduoniene, D. (2018). Computer-based cognitive rehabilitation for cognitive functions after stroke. In Ceska a Slovenska Neurologie a Neurochirurgie (Vol. 81, Issue 3, pp. 269–277). Czech Medical Association J.E. Purkyne. https://doi.org/10.14735/amcsnn2018269.Benke, T., Dazinger, F., Pechlaner, R., Willeit, K., Clausen, J., & Knoflach, M. (2021). Lesion topography of posterior cerebral artery infarcts. Journal of the Neurological Sciences, 428. https://doi.org/10.1016/j.jns.2021.117585.Blomgren, C., Samuelsson, H., Blomstrand, C., Jern, C., Jood, K., & Claesson, L. (2019). Long-term performance of instrumental activities of daily living in young and middleaged stroke survivors—Impact of cognitive dysfunction, emotional problems and fatigue. PLoS ONE, 14(5). https://doi.org/10.1371/journal.pone.0216822.Cagna-Castillo, D., Salcedo-Carrillo, A. L., Carrillo-Larco, R. M., & Bernabé-Ortiz, A. (2023). Prevalence and incidence of stroke in Latin America and the Caribbean: a systematic review and meta-analysis. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-33182-3.Campbell, J., Langdon, D., Cercignani, M., & Rashid, W. (2016). A Randomised controlled trial of efficacy of cognitive rehabilitation in multiple sclerosis: A cognitive, behavioural, and MRI study. Neural Plasticity, 2016. https://doi.org/10.1155/2016/4292585.Capirossi, C., Laiso, A., Renieri, L., Capasso, F., & Limbucci, N. (2023). Epidemiology, organization, diagnosis and treatment of acute ischemic stroke. European Journal of Radiology Open, 11. https://doi.org/10.1016/j.ejro.2023.100527.Catania, V., Rundo, F., Panerai, S., & Ferri, R. (2024). Virtual Reality for the Rehabilitation of Acquired Cognitive Disorders: A Narrative Review. In Bioengineering (Vol. 11, Issue 1). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/bioengineering11010035.Cho, H., Kim, T., Kim, Y. Do, Na, S., Choi, Y. H., Song, I. U., Chung, S. W., Koo, J., Kwon, H., Park, J. H., & Im, H. (2022). A clinical study of 288 patients with anterior cerebral artery infarction. Journal of Neurology, 269(6), 2999–3005. https://doi.org/10.1007/s00415-021-10904-z.Cicerone, K. D., Goldin, Y., Ganci, K., Rosenbaum, A., Wethe, J. V., Langenbahn, D. M., Malec, J. F., Bergquist, T. F., Kingsley, K., Nagele, D., Trexler, L., Fraas, M., Bogdanova, Y., & Harley, J. P. (2019). Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014. In Archives of Physical Medicine and Rehabilitation (Vol. 100, Issue 8, pp. 1515–1533). W.B. Saunders. https://doi.org/10.1016/j.apmr.2019.02.01.Cogollor, J. M., Rojo-Lacal, J., Hermsdörfer, J., Ferre, M., Teresa Arredondo Waldmeyer, M., Giachritsis, C., Armstrong, A., Manuel Breñosa Martinez, J., Anabelle Bautista Loza, D., & María Sebastián, J. (2018). Evolution of cognitive rehabilitation after stroke from traditional techniques to smart and personalized home-based information and communication technology systems: Literature review. In JMIR Rehabilitation and Assistive Technologies (Vol. 20, Issue 3). https://doi.org/10.2196/rehab.8548.Coupland, A. P., Thapar, A., Qureshi, M. I., Jenkins, H., & Davies, A. H. (2017). The definition of stroke. Journal of the Royal Society of Medicine, 110(1), 9–12. https://doi.org/10.1177/014107681668012.Cozby, P. (2004). Métodos de investigación del comportamiento (L. Newball Gonzalez, S. Nájera Franco, C. Zuñiga Gutierrez, & T. Eliosa Garcia, Eds.; L. Pineda Ayala, Trans.; 8th ed.). McGraw-Hill Interamericana.Cramer, S. C., Richards, L. G., Bernhardt, J., & Duncan, P. (2023). Cognitive Deficits After Stroke. In Stroke (Vol. 54, Issue 1, pp. 5–9). Wolters Kluwer Health. https://doi.org/10.1161/STROKEAHA.122.041775.De Luca, R., Aragona, B., Leonardi, S., Torrisi, M., Galletti, B., Galletti, F., Accorinti, M., Bramanti, P., De Cola, M. C., & Calabrò, R. S. (2018). Computerized Training in Poststroke Aphasia: What About the Long-Term Effects? A Randomized Clinical Trial. Journal of Stroke and Cerebrovascular Diseases, 27(8), 2271–2276. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.04.019.Domensino, A. F., Verberne, D., Prince, L., Fish, J., Winegardner, J., Bateman, A., Wilson, B., Ponds, R., & van Heugten, C. (2022). Client experiences with holistic neuropsychological rehabilitation: “It is an ongoing process.” Neuropsychological Rehabilitation, 32(8), 2147–2169. https://doi.org/10.1080/09602011.2021.1976222.Elstein, D., Doniger, G., & Altarescu, G. (2012). Cognitive testing in Fabry Disease: Pilot Using a Brief Computerized Assessment Tool . 14.Fan, J., Li, X., Yu, X., Liu, Z., Jiang, Y., Fang, Y., Zong, M., Suo, C., Man, Q., & Xiong, L. (2023). Global Burden, Risk Factor Analysis, and Prediction Study of Ischemic Stroke, 1990-2030. Neurology, 101(2), E137–E150. https://doi.org/10.1212/WNL.0000000000207387.Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. In International Journal of Stroke (Vol. 17, Issue 1, pp. 18–29). SAGE Publications Inc. https://doi.org/10.1177/17474930211065917.Feigin, V. L., Owolabi, M. O., Owolabi, M. O., Owolabi, M. O., Feigin, V. L., Abd-Allah, F., Akinyemi, R. O., Bhattacharjee, N. V., Brainin, M., Cao, J., Caso, V., Dalton, B., Davis, A., Dempsey, R., Duprey, J., Feng, W., Ford, G. A., Gall, S., Gandhi, D., … Zagożdżon, P. (2023). Pragmatic solutions to reduce the global burden of stroke: a World Stroke Organization–Lancet Neurology Commission. In The Lancet Neurology (Vol. 22, Issue 12, pp. 1160–1206). Elsevier Ltd. https://doi.org/10.1016/S1474-4422(23)00277-6Fernández-López, J. (2009). Seminar of Health Sciences and Health Policy, University of Lucerne, and at SPF, Nottwil. Switzerland. (5) ICF Research Branch, WHO FIC CC Germany (DIMDI) at SPF, Nottwil, Switzerland and at IHRS. In Madrid. España (Issue 1)Feske, S. K. (2021). Ischemic Stroke. In American Journal of Medicine (Vol. 134, Issue 12, pp. 1457–1464). Elsevier Inc. https://doi.org/10.1016/j.amjmed.2021.07.027.Fetta, J., Starkweather, A., & Gill, J. M. (2017). Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury: A Critical Review of the Literature. In Journal of Neuroscience Nursing (Vol. 49, Issue 4, pp. 235–240). Lippincott Williams and Wilkins. https://doi.org/10.1097/JNN.0000000000000298.Flores, J., Gutiérrez, A., & Ostrosky, F. (2014). Batería Neuropsicológica de Funciones Ejecutivas y Lóbulos Frontales-2 B N A F E (G. Moreno Zarco, Ed.). El Manual Moderno. www.manualmoderno.com.Garcia Alfonso, C., Martínez Reyes, A., García, V., Ricaurte-Fajardo, A., Torres, I., & Coral, J. (2019). Actualización en diagnóstico y tratamiento del ataque cerebrovascular isquemico agudo. Universitas Medica, 60. https://doi.org/https://doi.org/10.11144/Javeriana.umed60-3.actuGoldstein, S., & Naglieri, J. A. (2014). Handbook of Executive Functioning (S. Goldstein & J. Naglieri, Eds.). Springer; 2014th edition (January 28, 2014). https://doi.org/10.1007/978-1-4614-8106-5.Hasomed. (2024). RehaCom_Katalog_Spanisch_2024-01_Web. HASOMED GmbH 2023.Heaton, R., Goldon, chulene, Talley, J., Kay, G., & Curtiss, G. (2001). Manual Test (WCST) (TEAEdicionesS.A publucaciones de psicología aplicada, Ed.; L. M. V. De la cruz, Trans.; 2nd ed.). TEA Ediciones S.A.Henry, J. D. (2021). Prospective memory impairment in neurological disorders: implications and management. In Nature Reviews Neurology (Vol. 17, Issue 5, pp. 297–307). Nature Research. https://doi.org/10.1038/s41582-021-00472-1.Heugten, van, Wilson, B., Winegardner, J., & Ownsworth, T. (2019). Rehabilitación neuropsicológica Manual internacional 2 (J. Morales Saavedra & T. Garcia San juan, Eds.; J. Cisneros Herrera, Trans.; ElmanualmodernoS.A.).Lavados, P. M., Hennis, A. J. M., Erson, J., Fernandes, G., Medina, M. T., Legetic, B., Hoppe, A., Sacks, C., Jadue, L., & Salinas, R. (2007). Series Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean. https://doi.org/10.1016/S1474Lezak, M. D. (1982). THE PROBLEM OF ASSESSING EXECUTIVE FUNCTIONS. International Journal of Psychology, 17(1–4), 281–297. https://doi.org/10.1080/00207598208247445.Li, F., Kong, X., Zhu, H., Xu, H., Wu, B., Cao, Y., & Li, J. (2022). The moderating effect of cognitive reserve on cognitive function in patients with Acute Ischemic Stroke. Frontiers in Aging Neuroscience, 14. https://doi.org/10.3389/fnagi.2022.1011510.Lipskaya-Velikovsky, L., Zeilig, G., Weingarden, H., Rozental-Iluz, C., & Rand, D. (2018). Executive functioning and daily living of individuals with chronic stroke: Measurement and implications. International Journal of Rehabilitation Research, 41(2), 122–127. https://doi.org/10.1097/MRR.0000000000000272.Loret, G., Miatton, M., Vingerhoets, G., Poppe, B., & Hemelsoet, D. (2021). A long-term neuropsychological evaluation in Fabry disease. Acta Neurologica Belgica, 121(1), 191– 197. https://doi.org/10.1007/s13760-020-01484-2.Maggio, M. G., De Bartolo, D., Calabrò, R. S., Ciancarelli, I., Cerasa, A., Tonin, P., Di Iulio, F., Paolucci, S., Antonucci, G., Morone, G., & Iosa, M. (2023). Computer-assisted cognitive rehabilitation in neurological patients: state-of-art and future perspectives. In Frontiers in Neurology (Vol. 14). Frontiers Media SA. https://doi.org/10.3389/fneur.2023.1255319.Marsh, E. B., Brodbeck, C., Llinas, R. H., Mallick, D., Kulasingham, J. P., Simon, J. Z., Llinás, R. R., Funke, M., Garcia-Rill, E., & Mosher, J. C. (2020). Poststroke acute dysexecutive syndrome, a disorder resulting from minor stroke due to disruption of network dynamics. https://doi.org/10.1073/pnas.2013231117/-/DCSupplemental.Marta-Enguita, J., Machado, F. J. D., Orbe, J., & Muñoz, R. (2024). Composición del trombo e implicaciones en la caracterización y el tratamiento en el ictus isquémico. Neurología. https://doi.org/10.1016/j.nrl.2022.11.007.Martínez Martínez, A. M., Martínez Villar, S., Aguilar Mejía, O. M., & Mariño García, D. (2014). Caracterización y efectividad de programas de rehabilitación neuropsicológica de las funciones ejecutivas en pacientes con daño cerebral adquirido: una revisión. Universitas Psychologica, 13(3). https://doi.org/10.11144/javeriana.upsy13-3.cepr.Mendoza-Sánchez, J. A., Silva, F. A., Rangel-Celis, L. M., Arias, J. E., & Zuñiga-Sierra, E. A. (2019). Model of costs associated with stroke and adverse events in patients with nonvalvular atrial fibrillation treated with warfarin. Revista Colombiana de Cardiologia, 26(3), 125–132. https://doi.org/10.1016/j.rccar.2018.12.003.Messinis, L., Nasios, G., Kosmidis, M. H., Zampakis, P., Malefaki, S., Ntoskou, K., Nousia, A., Bakirtzis, C., Grigoriadis, N., Gourzis, P., & Papathanasopoulos, P. (2017). Efficacy of a Computer-Assisted Cognitive Rehabilitation Intervention in Relapsing-Remitting Multiple Sclerosis Patients: A Multicenter Randomized Controlled Trial. Behavioural Neurology, 2017. https://doi.org/10.1155/2017/5919841.Mulhern, M. (2023). Cognitive Rehabilitation Interventions for Post-Stroke Populations. In Delaware Journal of Public Health (Vol. 9, Issue 3). Delaware Academy of Medicine. https://doi.org/10.32481/DJPH.2023.08.012.Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment. 53. https://doi.org/https://doiorg.udea.lookproxy.com/10.1111/j.1532-5415.2005.53221.x.Ohlmeier, L., Nannoni, S., Pallucca, C., Brown, R. B., Loubiere, L., & Markus, H. S. (2023). Prevalence of, and risk factors for, cognitive impairment in lacunar stroke. International Journal of Stroke, 18(1), 62–69. https://doi.org/10.1177/17474930211064965.Ostrosky solis, F., Ardila, A., & Rosselli, M. (1999). Neuropis. Evaluación neuropsicologica Breve en Español . Editorial Manual Moderno.O’Sullivan, M. J., Li, X., Galligan, D., & Pendlebury, S. T. (2023). Cognitive Recovery After Stroke: Memory. In Stroke (Vol. 54, Issue 1, pp. 44–54). Wolters Kluwer Health. https://doi.org/10.1161/STROKEAHA.122.041497.Pacheco-Barrios, K., Giannoni-Luza, S., Navarro-Flores, A., Rebello-Sanchez, I., Parente, J., Balbuena, A., de Melo, P. S., Otiniano-Sifuentes, R., Rivera-Torrejón, O., Abanto, C., Alva-Diaz, C., Musolino, P. L., & Fregni, F. (2022). Burden of Stroke and PopulationAttributable Fractions of Risk Factors in Latin America and the Caribbean. Journal of the American Heart Association, 11(21). https://doi.org/10.1161/JAHA.122.027044.Park, Y. H., Jang, J. W., Park, S. Y., Wang, M. J., Lim, J. S., Baek, M. J., Kim, B. J., Han, M. K., Bae, H. J., Ahn, S., & Kim, S. (2015). Executive function as a strong predictor of recovery from disability in patients with acute stroke: A preliminary study. Journal of Stroke and Cerebrovascular Diseases, 24(3), 554–561. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.09.033.Pedrero-Pérez, E. J., Ruiz-Sánchez de León, J. M., Lozoya-Delgado, P., Llanero-Luque, M., Rojo-Mota, G., & Puerta-García, C. (2011). Prefrontal symptoms assessment: Psychometric properties and normative data of the dysexecutive questionnaire (DEX) in a sample from the Spanish population. Revista de Neurologia, 52(7), 394–404. https://doi.org/10.33588/rn.5207.2010731.Pineda Sanabria, J. P., & Tolosa Cubillos, J. M. (2022). Accidente cerebrovascular isquémico de la arteria cerebral media. Revista Repertorio de Medicina y Cirugía, 31(1). https://doi.org/10.31260/repertmedcir.01217372.1104.Pinilla-Monsalve, G. D., Vergara-Aguilar, J. P., Machado-Noguera, B., Gutiérrez-Baquero, J., Cabezas-Vargas, Z., & Bejarano-Hernández, J. (2021). Estudio de la epidemiología neurológica en Colombia a partir de información administrativa (ESENCIA). Resultados preliminares 2015-2017. Salud UIS, 53(1). https://doi.org/10.18273/saluduis.53.e:21025.Polanowska, K. E., Iwański, S., Leśniak, M. M., & Seniów, J. (2022). Computer-assisted training of executive functions in adult patients with non-progressive acquired brain damage–a pilot study on efficacy of a new therapeutic application. Applied Neuropsychology:Adult. https://doi.org/10.1080/23279095.2022.2114354.Prigatano, G. P., Braga, L. W., Johnson, S. F., & Souza, L. M. N. (2021). Neuropsychological rehabilitation, neuroimaging and neuroplasticity: A clinical commentary. NeuroRehabilitation, 49(2), 255–265. https://doi.org/10.3233/NRE-218024.Quamar, A. H., Schmeler, M. R., Collins, D. M., & Schein, R. M. (2020). Information communication technology-enabled instrumental activities of daily living: a paradigm shift in functional assessment. In Disability and Rehabilitation: Assistive Technology (Vol. 15, Issue 7, pp. 746–753). Taylor and Francis Ltd. https://doi.org/10.1080/17483107.2019.1650298.Ramos Galarza, C., Ramos, valentina, jadan Guerrero Janio, Lepe Martinez, N., Paredes Nuñez Lorena, Gómez Garcia Antonio, & Bolaños, M. (2017). ConceptosFundamentales-Teoría-Neuropsicológica.-Fundamental-ConceptsNeuropsychological-Theory. 26, 53–59.Robledo-Castro, C., Castillo-Ossa, L. F., & Corchado, J. M. (2023). Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review. Arabian Journal for Science and Engineering, 48(2), 2399–2427. https://doi.org/10.1007/s13369-022-07292-5.Rogers, J. M., Duckworth, J., Middleton, S., Steenbergen, B., & Wilson, P. H. (2019). Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: Evidence from a randomized controlled pilot study. Journal of NeuroEngineering and Rehabilitation, 16(1). https://doi.org/10.1186/s12984-019-0531- y.Ruiz, E. de C., Masjuan, J., Tejedor, E. D., & Donlebún, J. R. P. de. (2023). Ischemic stroke. Cerebral infarction and transitory ischemic attack. Medicine (Spain), 13(70), 4083–4094. https://doi.org/10.1016/j.med.2023.01.002.Saleh, Y., Le Heron, C., Petitet, P., Veldsman, M., Drew, D., Plant, O., Schulz, U., Sen, A., Rothwell, P. M., Manohar, S., & Husain, M. (2021). Apathy in small vessel cerebrovascular disease is associated with deficits in effort-based decision making. Brain, 144(4), 1247–1262. https://doi.org/10.1093/brain/awab013.Sanz, J., & García-Vera, M. P. (2015). Técnicas para el análisis de diseños de caso único en la práctica clínica: ejemplos de aplicación en el tratamiento de víctimas de atentados terroristas. Clinica y Salud, 26(3), 167–180. https://doi.org/10.1016/j.clysa.2015.09.004.Shao, K., Wang, W., Guo, S. Z., Dong, F. M., Yang, Y. M., Zhao, Z. M., Jia, Y. L., & Wang, J. H. (2020). Assessing executive function following the early stage of mild Ischemic stroke with three brief screening tests. Journal of Stroke and Cerebrovascular Diseases, 29(8). https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104960.Sieger, S., Garzón-Hernández, J. P., Mendoza-Sánchez, J. A., Arias, J. E., & Ortiz, C. (2021). Direct cost assumed by patients and out-of-pocket expenses of acute ischemic stroke. Rev. Salud Pública, 23(4), 1–8. https://doi.org/10.15446/rsap.V23n4.91507.Sigmundsdottir, L., Tchan, M. C., Knopman, A. A., Menzies, G. C., Batchelor, J., & Sillence, D. O. (2014). Cognitive and psychological functioning in Fabry disease. Archives of Clinical Neuropsychology, 29(7), 642–650. https://doi.org/10.1093/arclin/acu047.Silva-Sieger, F. A., Garzón-Hernández, J. P., Mendoza-Sánchez, J. A., Arias, J. E., & Ortiz, C. (2021). Direct cost assumed by patients and out-of-pocket expenses of acute ischemic stroke. Rev. Salud Pública, 23(4), 1–8. https://doi.org/10.15446/rsap.V23n4.91507.Sinanović, O. (2010). NEUROPSYCHOLOGY OF ACUTE STROKE. In Psychiatria Danubina (Vol. 22, Issue 2).Tarantino, V., Burgio, F., Toffano, R., Rigon, E., Meneghello, F., Weis, L., & Vallesi, A. (2021). Efficacy of a training on executive functions in potentiating rehabilitation effects in stroke patients. Brain Sciences, 11(8). https://doi.org/10.3390/brainsci11081002.Tikhomirov, G. V., & Grigoryeva, V. N. (2022). Appertseptivnaya i assotsiativnaya zritel’naya ob"ektnaya agnoziya v ostrom periode ishemicheskogo insul’ta. Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova, 122(8 Vyp 2), 18–25. https://doi.org/10.17116/jnevro202212208218.Urcia-Fernández, F., & Cam-Chiock, D. (2023). Perfil epidemiológico de los pacientes con secuelas de accidente cerebrovascular atendidos en un instituto de rehabilitación de Lima-Perú. Revista Médica Herediana, 34(3), 132–142. https://doi.org/10.20453/rmh.v34i3.4922.Vega P., J. D., Ramos S., Á. A., Ibáñez P., E. A., & Cobo M., E. A. (2017). Factores asociados al ataque cerebrovascular isquémico entre los años 2013 a 2016: estudio de casos y controles. Revista Colombiana de Cardiologia, 24(6), 574–582. https://doi.org/10.1016/j.rccar.2017.04.001.Veisi-Pirkoohi, S., Hassani-Abharian, P., Kazemi, R., Vaseghi, S., Zarrindast, M. R., & Nasehi, M. (2020). Efficacy of RehaCom cognitive rehabilitation software in activities of daily living, attention and response control in chronic stroke patients. Journal of Clinical Neuroscience, 71, 101–107. https://doi.org/10.1016/j.jocn.2019.08.114.Wang, Y., Du, W., Yang, X., Yan, J., Sun, W., Bai, J., Zhou, J., Zhou, A., Niu, J., Li, C., & Wang, J. (2021). Diagnosis and differential diagnosis flow diagram of Chinese poststroke aphasia types and treatment of post-stroke aphasia. In Aging Medicine (Vol. 4, Issue 4, pp. 325–336). John Wiley and Sons Inc. https://doi.org/10.1002/agm2.12183.Wilson, B. A. (2008). Neuropsychological rehabilitation. In Annual Review of Clinical Psychology (Vol. 4, pp. 141–162). https://doi.org/10.1146/annurev.clinpsy.4.022007.141212.Zhang, Q., Fu, Y., Lu, Y., Zhang, Y., Huang, Q., Yang, Y., Zhang, K., & Li, M. (2021). Impact of virtual reality-based therapies on cognition and mental health of stroke patients: Systematic review and meta-analysis. In Journal of Medical Internet Research (Vol. 23, Issue 11). JMIR Publications Inc. https://doi.org/10.2196/31007.Zinn, S., Bosworth, H. B., Hoenig, H. M., & Swartzwelder, H. S. (2007). Executive Function Deficits in Acute Stroke. 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