American Journal of Educational Research
ISSN (Print): 2327-6126 ISSN (Online): 2327-6150 Website: Editor-in-chief: Ratko Pavlović
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American Journal of Educational Research. 2016, 4(2), 155-162
DOI: 10.12691/education-4-2-3
Open AccessArticle

Application of Neuro-Cognitive Assessment and Rehabilitation (NCAR) Computerized Test in Working Memory Deficit in Parkinson

Zarghi A1, , Zali A2, Ashrafi F3, Bandegani N4 and Moazzezi S4

1Department of Neuroscience, Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2Functional Neurosurgery Research Center

3Department of Neurology, Functional Neurosurgery Research Center

4Medical student, Shahid Beheshti University of Medical Sciences

Pub. Date: February 18, 2016

Cite this paper:
Zarghi A, Zali A, Ashrafi F, Bandegani N and Moazzezi S. Application of Neuro-Cognitive Assessment and Rehabilitation (NCAR) Computerized Test in Working Memory Deficit in Parkinson. American Journal of Educational Research. 2016; 4(2):155-162. doi: 10.12691/education-4-2-3


Patients with Parkinson have working memory changes, so they need rehabilitation and treatment is required for them. The purpose of current study is to determine the effect of neuro-cognitive rehabilitation computerized test on these impairments. The present cross-sectional study was conducted on 120 patients with Parkinson and neuro-cognitive rehabilitation computerized test were used for assessment (before) and rehabilitation (after) in patients in 15 minutes. Before and after neuro-cognitive rehabilitation, a significant difference was identified in neuro-cognitive rehabilitation computerized test’ scores (P<0.000). This technique can rehab in Parkinson with working memory disorders associated with neurological conditions to facilitate the acquisition.

neuro-cognitive assessment rehabilitation

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[1]  Baddeley, A.( 2003). “Working memory: looking back and looking forward”. Nature Reviews. Neuroscience, 4, 10, 829-39.
[2]  Metzler-Baddeley, C., & Snowden, J.S. (2005). Brief report: Errorless versus errorful learning as a memory rehabilitation approach in Alzheimer’s disease. Journal of Clinical and Experimental Neuropsychology, 27, 1070-1079.
[3]  Hopper, T., Mahendra, N., Kim, E., Azuma, T., Bayles, K. A., Cleary, S.J. (2005) Evidence-based practice recommendations for working with individuals with dementia: Spaced-retrieval training. Journal of Medical Speech-Language Pathology, 13, 4.
[4]  Swanson, H.L., & Howell, M. (2001).Working memory, short-term memory, and speech rate as predictors of children’s reading performance at different ages. Journal of Educational Psychology, 93,720-734.
[5]  Lemoncello, R., Sohlberg, M.M. (2005). Practicing what the instructional research preaches: How do medical SLPs rate? Poster presentation at the annual convention of the American Speech-Language-Hearing Association: San Diego, CA, USA.
[6]  Gonzalez Rothi, L.J. (2001). Neurophysiologic basis of rehabilitation. Journal of Medical Speech-Language Pathology, 9, 2, 117-127.
[7]  Gonzalez-Rothi, L.( 2006).The power of experience dependent re-learning after brain injury: Hope offered to TBI rehabiliation by human rehabilitation studies in other pathophysiologic models. Paper presented at The Federate Interagency Conference on TBI, March, Bethesda, Maryland.
[8]  Laatsch, L.K., Thulborn, K.R., & Krisky, C.M.( 2004). Investigating the neurobiological basis of cognitive rehabilitation therapy with fMRI. Brain Injury, 18,957-974.
[9]  Ducharme, J.M., Spencer, T.F. (2001).Training brain injury rehabilitation therapists to use generalized teaching skills. Brain Injury, 15, 4, 333-347.
[10]  Sohlberg, M.M. (2006). Evidence-based instructional techniques for training procedures and knowledge in persons with severe memory impairment. Revista de Neuropsicologia, 1, 1, 14-19.
[11]  Kennedy, M.R., Avery, J., Coelho, C., Sohlberg, M., Turkstra, L., Ylvisaker, M. (2002). Evidence-based practice guidelines for cognitive-communication disorders after traumatic brain injury: Initial committee report. Journal of Medical Speech-Language Pathology, 10, 2.
[12]  Ylvisaker, M.M., Turkstra, L.M., Kennedy, M., Coelho, C., Yorkston, K.C., Sohlberg, M.M., Avery, J. (2007). Behavioral interventions for children and adults with behavior disorders after TBI: A systematic review of the evidence. Brain Injury, 21, 8, 769-804.
[13]  Sohlberg, M.M., Mateer, C.A. (2001). Cognitive rehabilitation: an integrative neuropsychological approach. New York: Guilford Press.
[14]  Turkstra, L.S., Bourgeois, M.S. (2005). Intervention for a modern day HM: Errorless learning of practical goals. Journal of Medical Speech Language Pathology, 13,3, 205-212.
[15]  Dou, Z.L., Man, W.K., Ou, H.N., Sheng, J.L., Tam, S.F. (2006). Computerized errorless learning-based memory rehabilitation for Chinese patients with brain injury: A preliminary quasi-experimental clinical design study. Brain Injury, 20, 219-225.
[16]  Haslam, C., Gilroy, D., Black, S., & Beesley, T.( 2006). How successful is errorless learning in supporting memory for high and low-level knowledge in dementia. Neuropsychological Rehabilitation, 16, 5, 505-536.
[17]  Glisky, E.L., Schacter, D.L., Tulving, E. (1986a) Learning and retention of computer related vocabulary in memory-impaired patients: Method of vanishing cues. Journal of Clinical and Experimental Neuropsychology, 8, 3, 292-312.
[18]  Glisky, E.L., Schacter, D.L., & Tulving, E. (1986b). Computer learning by memory-impaired patients: Acquisition and retention of complex knowledge. Neuropsychologia, 24, 3,313-328.
[19]  Zarghi, A., Zali, A., Ashrafi, F., Moazezi, M.( 2014). Neuro-cognitive Rehabilitation after Surgery through Music Therapy, 2, 2, 30-33.
[20]  Zarghi, A., Zali, A., Ashrafi, F., Moazezi, M. (2013). Neuroscience and Neuro-cognitive Rehabilitation. Basic Research Journal of Medicine and Clinical Sciences, 2, 8, 83-87.
[21]  Zarghi, A., Zali, A., Tehranidost, M., Ashrafi, F., Zarindast, M.R., Moazezi, M. Khodadadi, S.M.( 2012). Assessment of Selective Attention with CSCWT (Computerized Stroop Color-Word Test) Among Children and Adults. US-China Education Review A 1, 121-127.
[22]  Zarghi, A., Zali, A., Tehranidost, M., Zarindast, M.R., Ashrafi, F., Doroodgar, S. Khodadadi, S.M.( 2011) The Rela tionship between Age, Sex and Education Variables with Selective, Sustained Attention and Planning through Cognitive Tasks among Healthy Adults. Basic and Clinical Neuroscience, 2, 3, 58-67.
[23]  Zarghi, A., Zali, A., Tehranidost, M., Zarindast, M.R., Ashrafi, F., Khodadadi, M.S. (2012.( Comparative assessment of neuro-cognitive impairments among patients with brain tumor and healthy adults. Turkish Neurosurgery, 22, 3, 309-316.
[24]  Andrewes, D., Gielewski, E.( 1999). The work rehabilitation of a herpes simplex encephalitis patient with anterograde amnesia. Neuropsychological Rehabilitation., 9,1, 77-99.
[25]  Glisky, E.L., Schacter, D.L. (1989). Extending the limits of complex learning in organic amnesia: Computer training in a vocational domain. Neuropsychologia, 27, 1, 107-120.
[26]  Hunkin, N.M., Squires, E.J., Aldrich, F.L., Parkin, A.J.(). Errorless learning and the acquisition of word processing skills, Neuropsychological Rehabilitation, 1998, 8,4, 433-449.
[27]  Ruis, C., & Kessels, R.P.C.( 2005). Effects of errorless learning and errorful face–name associative learning in moderate–severe dementia, Aging Clinical and Experimental Research, 17, 6, 514-517.
[28]  Riley, G.,Heaton, S.( 2000). Guidelines for the selection of a method of fading cues. Neuropsychological Rehabilitation, 10,2, 133-149.
[29]  Riley, G.A., Sotirious, D., Jaspal, S. (2004). Which is more effective in promoting implicit and explicit memory: The method of vanishing cues or errorless learning without fading? Neuropsychological Rehabilitation, 14, 3, 257-283.
[30]  Komatsu, S., Mimura, M., Kato, M., Wakamatsu, N., & Kashima, H.( 2000). Errorless and effortful processes involved in the learning of face–name associations by patients with alcoholic Korsakoff’s Syndrome. Neuropsychological Rehabilitation, 10, 2, 113-132.
[31]  Tailby, R, & Haslam, C. (2003). An investigation of errorless learning in memory-impaired patients: Improve the technique and clarifying the theory. Neuropsychologia, 41, 1230-1240.
[32]  Glisky, E.L., & Schacter, D.L. (1987). Acquisition of domain-specific knowledge in organic amnesia: Training for computer-related work. Neuropsychologia, 25, 6, 893-906.
[33]  Stark, C., Stark, S., Gordon, B. (2005). New semantic learning and generalization in a patient with amnesia. Neuropsychology, 19, 2, 139-151.
[34]  Kalla, T., Downes, J.J.,van den Broeck, M.(2001).The pre-exposure technique: Enhancing effects of errorless learning in the acquisition of face–name associations. Neuropsychological Rehabilitation, 11, 1, 1-16.
[35]  Clare, L., Wilson, B.A., Carter, G., Breen, K., Gosses, A., & Hodges, J.R. (2000). Intervening with everyday memory problems in dementia of the Alzheimer type: An errorless learning approach. Journal of Clinical and Experimental Neuropsychology, 22, 1, 132-146.
[36]  Winter, J., Hunkin, N.M.( 1999). Relearning in Alzheimer’s Disease. International Journal of Geriatric Psychiatry, 14, 983-990.
[37]  Melton, A.K., Bourgeois, M.S. (2005). Training compensatory memory strategies via telephone for persons with TBI. Aphasiology, 19, 3-5, 353-364.
[38]  Ehlhardt, L., Sohlberg, M.M., Glang, A., Albin, R.. (2005). TEACH-M: A pilot study evaluating an instructional sequence for persons with impaired memory and executive functions.Brain Injury, 19, 8, 569-583.
[39]  Evans, J.J., Wilson, B.A., Schuri, U., Andrade, J., Baddeley, A., Bruna, O., Canavan, T., Sala, S.D., Green, R.., Laaksonen, R., Lorenzi, L., Taussik, I.( 2000). A comparison of “errorless” and “trial and error” learning methods for teaching individuals with acquired memory deficits. Neuropsychological Rehabilitation, 10, 1, 67-101.
[40]  Page, M., Wilson, B., Shiel, A., Carter, G., & Norris, D. (2006). What is the locus of the error less-learning advantage? Neuropsychologia, 44, 90-100.
[41]  Shipstead, Z., Redick, T.S., Engle, R.W.( 2010). “Does working memory training generalize?”. Psychologica Belgica, 50, 3&4, 245-276.
[42]  Alloway, T.P., Alloway, R.G.( 2010).”Investigating the predictive roles of working memory and IQ in academic attainment.” Journal of experimental child psychology, 20-29.
[43]  Baddeley, A., Wilson, B.A.(1994). When implicit learning fails: Amnesia and the problem of error elimination. Neuropsychologia., 32, 1, 53-68.
[44]  Landis, J., Hanten, G., Levin, H.S., Li, X., Ewing-Cobbs, L., Duron, J., & High, W. M. (2006).Evaluation of the errorless learning technique in children with traumatic brain injury, Archives of Physical Medicine and Rehabilitation., 87, 799-805.
[45]  Dunn, J, & Clare, L. Learning face–name associations in early-stage dementia: Comparing the effects of errorless learning and effortful processing. Neuropsychological Rehabilitation. 2007; 17, 735-754.
[46]  Kern, RS, Liberman, RP, Kopelowicz, A, Mintz, J, & Green, M.F. (2002). Applications of errorless learning for improving work performance in persons with schizophrenia. American Journal of Psychiatry, 159, 1921-1926.
[47]  Pope, J.W., Kern, R.S. (2006). An “errorful” learning deficit in schizophrenia? Journal of Clinical and Experimental Neuropsychology, 28, 101-110.
[48]  Young, D.A, Zakzanis, K.K, Campbell, Z., Freyslinger, M.G., Meichenbaum, D.H. (2002). Scaffolded instruction remediates Wisconsin Card Sorting Test deficits in schizophrenia: A comparison to other techniques. Neuropsychological Rehabilitation, 12, 3, 257-287.
[49]  Thoene, A.I.T., Glisky, E.( 1995). Learning name–face associations in memory impaired patients: A comparison of procedures. Journal of the International Neuropsychological Society, 1, 29-38.
[50]  Clare, L., Roth, I., Wilson, B., Carter, G., Hodges, J. (2002). Relearning face–name associations in early Alzheimer’s disease. Neuropsychology, 16, 4, 538-547.
[51]  Kim, A.B., Vaughn, S., Wanzek, J., & Shangjin, Wei, J. (2004). Graphic organizers and their effects on the reading comprehension of students with LD: A synthesis of research. Journal of Learning Disabilities, 37, 2, 105-119.