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Neuropsychological rehabilitation of higher cortical functions after brain damage 

Neuropsychological rehabilitation of higher cortical functions after brain damage
Chapter:
Neuropsychological rehabilitation of higher cortical functions after brain damage
Author(s):

Radek Ptak

and Armin Schnider

DOI:
10.1093/med/9780199673711.003.0022

May 26, 2016: This chapter has been re-evaluated and remains up-to-date. No changes have been necessary.

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date: 27 February 2020

Neuropsychological interventions for impairments of higher cognitive functions can be divided into four approaches:�restoration of function, compensation, physiological stimulations, and metacognitive strategies. Training that aims to restore an impaired function or to increase processing speed or capacity is repetitive and highly stereotyped. For some cognitive domains (such as memory), restoration of function is mostly impossible; consequently, training mainly relies on compensatory strategies. A�third type of approach is applied in neglect rehabilitation and uses physiological stimulations to bias attention and sensory representations or decrease interhemispheric inhibition. Finally, the fourth approach is to structure behaviour and to enhance metacognitive abilities, and is applied in the rehabilitation of complex problem-solving skills and impaired emotional regulation. Although it is difficult to control experimental biases in intervention studies targeting cognitive and behavioural disturbances, an increasing number of controlled clinical trials provide evidence for the efficacy of each of the four therapeutic approaches.

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