None listed
Conditions
Brief summary
Purpose of the study is to compare if orthopaedic patients with mild cognitive impairment who recieve computer based cognitive therapy have better changes in cognitive function, activities of daily living and overall rehabilitation outcomes when compared to patients receiving standard care. The secondary aim is evaluate the usability of computer based cognitive therapy for orthopedic patients in rehabilitation
Interventions
Therapy will be completed by two occupational therapist one with 13 years experience and 11 years experience. Cognitive training will be completed on the RehaCom- a computer based cognitive retraining program. Retraining is done through graded targeted exercises, eg memory, attention, concentration, executive function. Sessions are for 30 minutes for 10 sessions. Sessions may be twice a day dependent on patients fatigue and ability to participate. Sessions are done initially under supervision and guidance from the OT. Distant supervision may be used if appropriate. The computer program also adjusts the level of difficulty based on patient performance. If the patient is having difficulties the system identifies this and alerts the patient to seek assistance from therapist.
Sponsors
Study design
Eligibility
Inclusion criteria
Score on the Montreal Cognitive Assessment between 19-25, admitted and discharge from the rehabilitation unit after an orthopaedic injury or surgery,
Exclusion criteria
pre-existing cognitive impairment, younger than 65 or older than 85 years, unable to provide consent