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Week 1. Psychologische factoren betrokken bij succesvolle neurorevalidatie 3
Achtergrond/Kick-off 3
Paper 1. Psychological factors and subjective cognitive complaints after stroke:
beyond depression and anxiety
Van Rijsbergen et al. (2019) blz. 1671 - 1684 3
Gebrekkig ziekte-inzicht (a.k.a. anosognosie) 4
Paper 2. The relations between cognitive and motivational components of
anosognosia for left-sided hemiplegia and the right hemisphere dominance for
emotions: A historical survey
Gainotti G. (2021) (paragraaf 2 overslaan) 4
Paper 3. Reality monitoring in anosognosia for hemiplegia
Jenkinson, P. M., Edelstyn, N. M., Drakeford, J. L., & Ellis, S. J. (2009) blz. 458–460
7
Paper 4. Explicit and implicit anosognosia or upper limb motor impairment
Cocchini, G., Beschin, N., Fotopoulou, A., & Della Sala, S. (2010) blz. 1489–1494 9
Paper 5. Understanding Motor Awareness Through Normal and Pathological
Behavior Berti, A. & Pia, L. (2006) blz. 245, 246 en figuur 1 10
Coping/depressie/appraisal 11
Paper 6. Verwerking en aanpassing
Fahrenhorst (2010) blz. 316-335 11
Paper 7. Promoting psychological well-being in the face of serious illness: when
theory, research and practice inform each other.
Folkman S. et al. (2000) blz. 11-19 15
Paper 8. The relationship between coping styles and affective/behavioural symptoms
among individuals with an acquired brain injury.
Velikonja et. al (2013) blz. 158 - 168 17
Week 2. TMS, aandachtsstoornissen en cognitieve revalidatie 19
Achtergrond en transcraniële magnetische stimulatie 19
Paper 1. Klinische neuropsychologie
Deelman, B., Eling, P. (2003) blz. 15-38 19
Paper 2. Basic principles of transcranial magnetic stimulation (TMS) and repetitive
TMS (rTMS)
Klomjai et. al (2015) blz. 208 - 213 23
Aandachtsnetwerken 25
Paper 3. Assessment of attention following traumatic brain injury: a review.
Kinsella, G.J. (1998) blz. 351-354 25
Paper 4. Stoornissen in de executieve functies en aandachtsprocessen
Boelen & Spikman (2010) blz. 205-209, 220-221 26
Paper 5. Rehabilitation of executive functioning in patients with frontal lobe brain
damage with Goal Management Training
Levine et. al. (2011) 28
Visuospatieel neglect 29
Paper 6. Visuospatieel neglect en hemianopsie
Van Kessel & Houtink (2010) blz.231 - 247 29
Paper 7. Rehabilitation of neglect: an update
Kerkhoff en Schenk (2012) blz. 1072 - 1079 31
, Paper 8. Spatial neglect: not simply disordered attention.
Dankert, J. (2014) blz. 71-94 33
Week 3. Motorisch (her)leren na beroerte 37
Transcraniële magnetische stimulatie 37
Paper 1. Modulation of brain plasticity in stroke: a novel model for neurorehabilitation.
DiPino et al. (2014) blz. 597-608 (598 overslaan) 37
Motorisch leren 39
Paper 2. Application of motor learning in neurorehabilitation: a framework for
health-care professionals
Kleynen et al. (2021) blz.1-20 40
Paper 3. Internal and external focus of attention during gait re-education: an
observational study off physical therapist practice in stroke rehabilitation
Johnson et al. (2013) blz. 957-966 41
Paper 4. Do People With Severe Traumatic Brain Injury Benefit From Making Errors?
A Randomized Controlled Trial of Error-Based and Errorless Learning.
Ownsworth et. al (2017) blz. 1072 - 1082 42
Paper 5. Implicit and Explicit Motor Learning Interventions Have Similar Effects on
Walking Speed in People After Stroke: A Randomized Controlled Trial.
Jie et al. (2021) 44
Paper 6. The effects of mental practice combined with modified constraint-induced
therapy on corticospinal excitability, movement quality, function, and activities of daily
living in persons with stroke
Kim et al. (2017) blz. 2449–2457 45
, Week 1. Psychologische factoren betrokken bij succesvolle
neurorevalidatie
Achtergrond/Kick-off
Paper 1. Psychological factors and subjective cognitive complaints after stroke:
beyond depression and anxiety
Van Rijsbergen et al. (2019) blz. 1671 - 1684
Subjective Cognitive Complaints (SCC) occur early after stroke and remain: mental
slowness, concentration difficulties and memory problems. SCC defined as psychological
construct with two components:
- Primary content: nature of cognitive difficulties
- Impact/worry: do the SCC have impact on their daily lives
Assessment SCC with Checklist for Cognitive and Emotional consequences following stroke
(CLCE) inventory: standardized interview, 13/24 items self-reported cognitive problems. 0 - 3
presence and affect daily life. CLCE-content (number present) CLCE-worry (impact),
CLCE-cognitive score (original item score)
The Hospital Anxiety and depressions scale (HADS): 0 - 21.
The perceived stress scale (PSS-4): 0 - 4 scale, total score 0 - 14.
Fatigue Assessment Scale (FAS): 1 - 5. Score between 10 - 50
Corresponding subscales of Eysenck Personality Questionnaire Revised Short Scale for
neuroticism and extraversion. Each scale 12 dichotomised items, 0 - 12 score.
The Utrecht Coping List (UCL): 1 - 4 scale.
1. Active problem solving
2. Social support seeking
3. Avoiding
4. Palliative coping (distraction)
Depression, anxiety, perceived stress and fatigue were all associated with SCC three
months after stroke. Fatigue and neuroticism independently related to SCC in addition to
objective cognitive performance. Psychological distress plays role in SCC and personality
factors may be critical factor in association. Post-stroke depressive symptoms associated
with more SCC. Anxiety, perceived stress and fatigue are markers of psychological distress.
Fatigue and anxiety were particularly relevant to SCC, independent of depression. Anxiety
highly correlated with neuroticism. Association SCC and fatigue consistent over time.
Avoidance coping and active handling associated with SCC. Neuroticism for SCC content
additive value, worry-component SCC not. Anxiety and perceived stress more important in
SCC worry. Psychological factors (OCI-index) play important role in SCC. Targeted treatment
for post-stroke patients with SCC should be patient-tailored based on psychological
characteristics.
, Gebrekkig ziekte-inzicht (a.k.a. anosognosie)
Paper 2. The relations between cognitive and motivational components of
anosognosia for left-sided hemiplegia and the right hemisphere dominance for
emotions: A historical survey
Gainotti G. (2021) (paragraaf 2 overslaan)
Cognitive disorders and underlying pathophysiological mechanisms that could be
responsible for anosognosia of hemiplegia
Cognitive disturbances are not a prerequisite of anosognosia for hemiplegia
Sensory feedback hypothesis: sensory loss about the position and movement of limbs result
in patients being unable to make observations and inferences to discover the paralysis.
Intentional feed-forward hypothesis: intentions lead to expectations and a comparator
detects (mis)matches.
1. Without intention to move the paralyzed limbs, the comparator network would not be
provided with information concerning the discordance between expected and performed
motor action.
2. Brain lesions of ALHP affect the comparator directly, resulting in an inability to detect the
mismatch.
AHLP motor intention can influence both movement execution with the intact hand and
motion perception. Monitoring deficits in anosognosia of left-sided hemiplegia are not strictly
unilateral.
- Support to the idea of a partially preserved motor intentionality in ALHP patients: patients
were unable to detect absence of movement correctly in self-generated condition, but were
able to detect it in externally generated condition.
- Brain correlates of motor delusions (fMRI): the delusional belief of having moved is
preceded by brain activation of the cortical regions involved in motor control in the intact left
hemisphere and in the spared motor regions of the right hemisphere. Patients have a
residual ability to generate motor plans and their lesions (possible comparator) prevented
the evaluation of the missing consequences of motor plans on the paralysed limb.
If anosognosia for hemiplegia is predominantly due to RH lesions, then the underlying
mechanisms should also be right lateralized. The sensory-attentional and the
action-intentional network may be more represented in the right than LH.
Interpretations viewing anosognosia as an extreme psychological defence
mechanism
Anosodiaphoria: indifference to their paralysis
Selection bias: introduced by the selection of individuals, groups, or data for analysis in such
a way that proper randomization is not achieved, thereby failing to ensure that the sample
obtained is representative of the population intended to be analyzed
→ In patients with right sided hemiplegia it is impossible to evaluate the presence of
anosognosia for hemiplegia, due to the presence of a global aphasia → general and extreme
defence mechanisms could be more associated with lesions of the right.
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