1. Justification

The main target of the intervention is on people with out cognitive impairment and people with mild cognitive impairment (MCI).

For the design of the session, the NeuronUP platform has been used, from which all of the actions have been chosen, taking into consideration these which are most acceptable for sufferers with a purpose to obtain the aims set.

The cognitive operate that we need to stimulate with this intervention is language. As well as, by finishing up every one of many actions, fast reminiscence and sustained consideration can even be stimulated.

2. Targets of the language session for people with mild cognitive impairment

2.1. Normal goal

The final goal of the cognitive session is to stimulate the language and maximize the preserved linguistic talents of the customers.

2.1. Particular Targets

A sequence of particular aims have been established for every of the actions to be carried out. Within the following part “Programmed actions” the actions are defined and the precise aims of every of them are defined.

Programmed Actividades

The NeuronUP actions chosen to carry out the language session for people with mild cognitive impairment will likely be defined under.

1.Matching nouns to photographs

Length

10 minutes.

Materials

Massive room, tables and chairs, pc, projector, NeuronUP program, white paper, pens.

Description

  1. As a way to perform this exercise, the customers should place themselves collectively and sit dealing with the display on which the projector picture is displayed. Pens and paer will likely be supplied.
  2. The skilled will open NeuronUP on the pc and choose the exercise “Matching Nouns to Pictures”.
  3. The extent will likely be chosen with the pictures of the theme that most accurately fits the group; in our case the superior stage playing cards have been chosen, during which on a regular basis objects seem, with a purpose to favor memory.
  4. After having ready the fabric, we are going to proceed to clarify the exercise to be carried out; during which solely the pictures of NeuronUP will seem and the skilled will learn the phrases out loud.
  5. Every picture will likely be assigned a quantity and the sufferers should write the variety of the picture they consider to be right when the therapist says the phrase.
  6. Each six pictures will likely be corrected out loud permitting all sufferers within the group to take part.

Targets 

  • Train reading-writing comprehension.
  • Encourage verbal fluency.
  • Train oral comprehension.
  • Encourage the popularity of objects.
  • Train vocabulary stage.
  • Keep reminiscence and semantics by means of memory by means of on a regular basis objects.
  • Protect fast reminiscence.
  • Encourage spatial orientation.

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2. Process Sequencing (textual content)

Length

10 minutes.

Materials

Massive room, tables and chairs, pc, projector, NeuronUP program, white paper, pens.

Description

  1. As a way to perform this exercise, customers should be seated on the chairs subsequent to the tables, with clean sheets of paper and a pen every (materials supplied by the occupational therapist).
  2. The skilled will open NeuronUP on the pc, and choose the exercise “Process Sequencing”.
  3. As soon as the exercise has been opened, the specified configuration will likely be chosen, on this case it will likely be free mode and medium-advanced ranges.
  4. After finishing up these steps, the reason of the exercise will proceed, since, though this system already provides a quick indication, the therapist, with a purpose to keep away from doable confusion, will reinforce the clarification.
  5. Subsequent, the skilled will undertaking the sheets that he desires the sufferers to finish, in such a method that these on a person stage, they must put to paper, in keeping with them,  the order of the completely different steps of the corresponding process.
  6. Allowing for that there are sheets that include many steps, to keep away from the sufferers from changing into bored and drained, it must be made clear that every step will likely be accompanied by a letter, beginning with A. On this method, as a substitute of getting to jot down all of the steps, it is sufficient to place the right letter on their piece of paper (comparable to a step of the exercise) and subsequent to it, the order quantity that they consider corresponds to that letter.
  7. As soon as all of the customers have completed placing the exercise so as, a volunteer will likely be requested to learn it aloud. On this method, the remainder of the customers will see if the reply coincides or not with what they’ve written, and in the event that they observe that there are errors made, they may right one another favoring interplay.

Targets 

    • Enhance planning.
    • Favor reasoning.
    • Stimulate the mechanics of studying and writing.
    • Train the nice motor expertise of the hand.
    • Optimize recognition and numerical comprehension.

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3. Telling the time (numbers)

Length

10 minutes.

Materials

Massive room, tables and chairs, pc, projector, NeuronUP, tokens with empty clock dials, pens.

Description

  1. As a way to perform this exercise, sufferers should be seated on the chairs subsequent to the tables, dealing with the projector display. Every person will likely be given a card with empty clock footage and a pen. The fabric will likely be supplied by the occupational therapist.
  2. The skilled will open the NeuronUP program on the pc, and choose the exercise “Telling the time”.
  3. The problem of the exercise will progressively improve.
  4. There will likely be no most time or notices of inactivity, since it will likely be the therapists who manages the time in keeping with the wants of every affected person.
  5. After explaining the exercise to the sufferers, the exercise will start. On the projection a numerical hour will seem, the customers must attempt to characterize that hour on one of many clean clocks that they may have of their sheet, drawing the fingers of the clock and inserting them suitably.
  6. As soon as the therapists have completed the time, we are going to ask for a volunteer to go to the display to attempt to correctly place the fingers of the clock. It will likely be corrected in teams and, if any affected person is having any issue, we are going to attempt to assist and clarify it.
  7. As soon as every train has been corrected, we are going to transfer on to the following one.

Targets 

  • Facilitate recognition and numerical comprehension.
  • Facilitate reading-writing comprehension.
  • Strengthen the spatial relationship.

 

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4. Making Phrases 

Length

15 minutes.

Materials

Massive room, tables and chairs, pc, projector, NeuronUP, white paper, pens.

Description

  1. To hold out this exercise, customers will likely be seated on chairs and tables, with a sheet of paper and a pen every.
    The therapist will open NeuronUP on the pc, and choose the “Making Phrases” exercise.
  2. As soon as the exercise is opened, a personalised section will likely be configured, the place the next configurations will likely be established. The final elements could have quite a few screens of 15 exceeded, in order that if any of the phrases are too difficult, one other could be generated, preserving the overall of 15 phrases that we need to work with. However, no most time or inactivity warning will likely be established, since we would be the ones who management the exercise and the time devoted to it.
  3. The parameters will likely be of 6 bubbles and can rely with letters, having a letter in every bubble.
  4. The mechanics of the exercise will consist in projecting a display with the bubbles that include the letters, and the customers must type a phrase with all of the letters that seem within the bubbles. The primary person to type the phrase will say it out loud, and the occupational therapist will choose the letters within the right order on the pc, so that every one sufferers will see the phrase. sufferers will likely be requested to memorize all the fitting phrases.
  5. After having matched 5 phrases, customers will likely be requested to type a phrase with one of many 5 phrases which were matched beforehand, and to jot down it on the sheet that every of them has. If certainly one of them remembers a number of phrases, she or he can mix them in the identical sentence, or write a number of sentences with the completely different phrases  remembered.
  6. As soon as every of them has written a phrase, every affected person will learn the identical phrase aloud.
  7. After this studying, you’ll return to the exercise, till you get one other 5 phrases proper. At that second the affected person will cease once more to create the sentence(s). This process will likely be carried out one final time, in order that on the finish of the exercise, a complete of 15 phrases have been appropriately shaped and a minimal of three phrases per person have been written.

Targets 

  • Strengthen the capability for repetition.
  • Favor the popularity and affiliation of letters.
  • Promote the capability of ideation.
  • Strengthen the spatial relationship and heminegligence.
  • Reinforce targeted consideration.
  • Stimulate short-term reminiscence.

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Conclusions from the language session for people with mild cognitive impairment

For this session we have now chosen to work on language, because it has been thought-about probably the most necessary cognitive capabilities for the sufficient growth of each day life and the remainder of the occupational areas of all people.

It’s thought-about that in aged people, the operate of language is an space that progressively deteriorates, and it’s for this purpose that the principle goal of the programmed cognitive session is to work on language. As well as, working with this operate is very necessary in people with mild cognitive impairment, because it is likely one of the first capabilities to deteriorate.

The selection of NeuronUP actions has been based mostly on masking all of the processes lined by language, together with expression, comprehension, fluency, writing and studying, in addition to working transversally with different cognitive capabilities.

Potential difficulties

The difficulties that may come up within the realization of the cognitive session are that the participation might be scarce on the a part of some sufferers, in addition to, however, that the customers take part concurrently, arising conflicts or confrontations. As well as, sufferers could turn into annoyed if they aren’t in a position to perform the actions, or if they’ve quite a few failures. Additionally, that the time programmed for every exercise is inadequate. One other side to keep in mind is the technological one, because the Web and even the pc can fail.

To attempt to keep away from these issues, the very first thing that must be finished is a corporation of the order of the actions, in such a method that the session goes to start with a easy exercise, growing the extent of issue within the others, and ending once more with one other easy exercise, to extend the motivation and the non-public satisfaction of the customers. In case we discover ourselves in a state of affairs of low participation, the sufferers will likely be chosen to hold out the exercise or the correction. If, there may be an extra of participation, talking in turns will likely be established and mediation will likely be made between the confrontations which will come up.

If the actions last more than the established time, an exercise will likely be eradicated from the session, since what’s necessary is that the language is labored on, not the quantity of actions which are carried out.

Closing evaluation

As a last analysis in relation to this apply, it has been thought-about very enriching, because it has allowed to design a cognitive session for a gaggle of customers in a collective method, one thing needed in occupational remedy to intervene in numerous environments or with completely different collectives.

It has additionally been thought-about very fascinating, because it has allowed a primary contact with the NeuronUP utility, a very helpful platform for any skilled within the subject of occupational remedy, in addition to helpful for all these customers who make use of it.

Bibliografía

  • NeuronUP [Internet]. Neuronup.com. [acceso 13 noviembre 2018]. Disponible en: https://www.neuronup.com/es/plataforma-rehabilitacion-cognitiva
  • Ávila Álvarez A, Martínez Piédrola R, Matilla Mora R, Máximo Bocanegra M, Méndez Méndez B, Talavera Valverde MA et al. Marco de Trabajo para la práctica de la Terapia Ocupacional: Dominio y proceso. 2da Edición [Traducción]. terapia-ocupacional.com [portal en Internet]. 2010 [-fecha de la consulta-]; [85p.]. Disponible en: http://www.terapia-ocupacional.com/aota2010esp.pdf Traducido de: American Occupational Remedy Affiliation (2008). Occupational remedy apply framework: Area and course of (2nd ed.).

Authors

Olalla Saiz Vazquez, profesora Asociada Universidad de Burgos y sus alumnos Gloria Álvarez, Yasmina Bécares, Rosa Cruz y Álvaro García.

In the event you appreciated this text that explains tips on how to create a language session for people with mild cognitive impairment you may additionally be serious about these different articles:

La entrada Language session for people with mild cognitive impairment aparece primero en NeuronUP, Neuropsychology information and Cognitive Rehabilitation Workout routines.

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