15+ strategies that can help solve eating and meal time problems that commonly occur with dementia
Research in neuroplasticity shows the brain continues to “permit flexible change” (Alves, et.al.) throughout life. What does the evidence say about brain training?
What it is...
3 types of Cognitive treatments:
- Cognitive Stimulation Cognitive social groups (e.g. Newspaper review, relaxation training, apps) These groups are helpful, but it's unknown if that is because of the social or cognitive aspects (or both?).
- Cognitive Training General tasks pen/paper or those popular brain training apps. These work on individual skills, like memory, reasoning, attention, executive function, speed of processing, visualization, mind mapping, external aids. Healthy aging adults do improve in the tasks, but it doesn't carry-over into everyday life. Playing Sudoku means you get better at Sudoku.
- Cognitive Rehabilitation This is where there's potential! Focused on individualized client challenges and goals, speech therapists offer cognitive rehabilitation. Research shows improvement in both goal performance and satisfaction.
The type of dementia has a significant impact on the effectiveness of the treatment.
- Healthy adults, MCI, Alzheimer’s and Vascular Dementia types have had the most research and demonstrated the most benefit.
- A 2012 study on Primary Progressive Aphasia from 2012 that indicated benefits in language performance and naming skills.
- Lewy Body and Frontal Temporal Dementia have minimal research supporting this type of training. Secondary symptoms (e.g. behaviors, hallucinations) affect ability to participate in a cognitive rehabilitation program, which may be why there’s so little research on cognitive stimulation programs.
How much training?
More research is needed, but most programs were 90-120 minutes a week, 1-2 times a week, for 6-10 weeks.
References (if you'd like to read the studies supporting)
Alves, J., Magalhaes, R., Machado, A., Goncalves, O., Sampaio, A., & Petrosyan, A. (2013). Non-pharmacological cognitive intervention for aging and dementia: Current perspectives. World Journal of Clinical Cases WJCC, 1(8).
Bourgeois, M. (2013). Therapy Techniques for Mild Cognitive Impairment. Perspect Neurophysiol Neurogenic Speech Lang Disord Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders.
Fleck, C., & Corwin, M. (2013). Evidence-based decisions: Memory intervention for individuals with mild cognitive impairment. EBP Briefs, vol. 8, 1–14.
Note: a version of this article was originally published at: http://graymattertherapy.com/when-and-how-to-treat-cognitive-linguistic-disorders-what-evidence-do-we-have/
For many clients, applying basic communication strategies are effective to solve and prevent problems. Remember that many frustrations, stress and challenging behaviors come from "communication breakdowns" - when the message get lost between the 2 people. Changing the communication style, changing the message, changing the environment, are all ways to help.