1
|
Effects of mobile phone App-based continuing nursing care on self-efficacy, quality of life, and motor function of stroke patients in the community. Acta Neurol Belg 2023; 123:107-114. [PMID: 33728581 DOI: 10.1007/s13760-021-01628-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Accepted: 02/09/2021] [Indexed: 12/19/2022]
Abstract
To explore the effects of mobile phone application (App)-based continuing nursing care on the self-efficacy (SE), quality of life (QOF), and motor function (MF) of stroke patients in the community. A total of 101 stroke patients in the community recruited in this study for retrospective analysis were divided into a control group (CG) and an observation group (OG) based on the means of intervention. In total, 50 patients in the CG received routine community health education, based on which a mobile phone App-based continuing nursing mode was applied to the 51 patients in the OG. Changes in physiological indicators, including homocysteine (Hcy), high-density lipoprotein (HDL-C), and total cholesterol (TC), were evaluated before and after intervention. Moreover, MF [determined using the Fugal-Meyer motor function assessment (FMA)], SE (determined using stroke self-efficacy questionnaire), QOF, and satisfaction toward nursing were evaluated. (1) Hcy and TC levels in the OG were lower after intervention; however, HDL-C levels were higher than those in the CG, with statistically significant differences (P < 0.05). (2) The FMA MF of the upper and lower limb (FMA-U and FMA-L) scores and the total scores in the OG after the intervention were significantly improved compared with those in the CG (P < 0.05). (3) Patients in the OG showed significantly higher SE scores than those in the CG (P < 0.05). (4) Scores of emotional health, emotional function, social function, energy, general health status, body pain, physiological function, and physiological features were significantly higher in the OG than those in the CG after the intervention (P < 0.05). (5) Patients in the OG expressed more positive satisfaction toward nursing than those in the CG, with statistically significant differences (P < 0.05). Mobile phone App-based continuing nursing care may significantly improve the SE, quality of life, and satisfaction toward nursing as well as promote the improvement of biological markers and MF of stroke patients.
Collapse
|
2
|
Nikravesh M, Aghajanzadeh M, Maroufizadeh S, Saffarian A, Jafari Z. Working memory training in post-stroke aphasia: Near and far transfer effects. JOURNAL OF COMMUNICATION DISORDERS 2021; 89:106077. [PMID: 33388697 DOI: 10.1016/j.jcomdis.2020.106077] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 11/21/2020] [Accepted: 11/24/2020] [Indexed: 06/12/2023]
Abstract
PURPOSE Individuals with aphasia (IWA) show various impairments in speech, language, and cognitive functions. Working memory (WM), a cognitive system that functions to hold and manipulate information in support of complex, goal-directed behaviors, is one of the impaired cognitive domains in aphasia. The present study intended to examine the effects of a WM training program on both memory and language performance in IWA. METHOD This quasi-experimental study with an active control group was performed on 25 people with mild or moderate Broca's aphasia aged 29-61 years resulting from left hemisphere damage following ischemic stroke. Participants were assigned into two groups, including a training group (n = 13) and a control group (n = 12). The treatment and control groups received WM training and routine speech therapy, respectively. Two separate lists of WM tests, including one list for both pre-training assessment and training program and a second list for the post-training assessment, were used in this study. RESULTS The treatment group showed significant improvements in both trained and non-trained WM tasks (near transfer effect) and language performance (far transfer effect) compared to the control group. CONCLUSION Given the good generalizability of the WM training program on both WM and language performance, WM training is suggested as part of the rehabilitation program in aphasia.
Collapse
Affiliation(s)
- Maryam Nikravesh
- Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Mahshid Aghajanzadeh
- Department of Speech and Language Pathology, School of Rehabilitation Sciences, Tehran University of Medical Sciences (TUMS), Tehran, Iran
| | - Saman Maroufizadeh
- School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Arezoo Saffarian
- Department of Speech and Language Pathology, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran
| | - Zahra Jafari
- Department of Neuroscience, Canadian Center for Behavioral Neuroscience (CCBN), University of Lethbridge, Lethbridge, AB, Canada; Department of Basic Sciences in Rehabilitation, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
| |
Collapse
|
3
|
Pralus A, Belfi A, Hirel C, Lévêque Y, Fornoni L, Bigand E, Jung J, Tranel D, Nighoghossian N, Tillmann B, Caclin A. Recognition of musical emotions and their perceived intensity after unilateral brain damage. Cortex 2020; 130:78-93. [PMID: 32645502 DOI: 10.1016/j.cortex.2020.05.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 05/27/2020] [Accepted: 05/29/2020] [Indexed: 10/24/2022]
Abstract
For the hemispheric laterality of emotion processing in the brain, two competing hypotheses are currently still debated. The first hypothesis suggests a greater involvement of the right hemisphere in emotion perception whereas the second hypothesis suggests different involvements of each hemisphere as a function of the valence of the emotion. These hypotheses are based on findings for facial and prosodic emotion perception. Investigating emotion perception for other stimuli, such as music, should provide further insight and potentially help to disentangle between these two hypotheses. The present study investigated musical emotion perception in patients with unilateral right brain damage (RBD, n = 16) or left brain damage (LBD, n = 16), as well as in matched healthy comparison participants (n = 28). The experimental task required explicit recognition of musical emotions as well as ratings on the perceived intensity of the emotion. Compared to matched comparison participants, musical emotion recognition was impaired only in LBD participants, suggesting a potential specificity of the left hemisphere for explicit emotion recognition in musical material. In contrast, intensity ratings of musical emotions revealed that RBD patients underestimated the intensity of negative emotions compared to positive emotions, while LBD patients and comparisons did not show this pattern. To control for a potential generalized emotion deficit for other types of stimuli, we also tested facial emotion recognition in the same patients and their matched healthy comparisons. This revealed that emotion recognition after brain damage might depend on the stimulus category or modality used. These results are in line with the hypothesis of a deficit of emotion perception depending on lesion laterality and valence in brain-damaged participants. The present findings provide critical information to disentangle the currently debated competing hypotheses and thus allow for a better characterization of the involvement of each hemisphere for explicit emotion recognition and their perceived intensity.
Collapse
Affiliation(s)
- Agathe Pralus
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France.
| | - Amy Belfi
- Department of Psychological Science, Missouri University of Science and Technology, Rolla, MO, USA
| | - Catherine Hirel
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France; Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Bron, France
| | - Yohana Lévêque
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France
| | - Lesly Fornoni
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France
| | - Emmanuel Bigand
- LEAD, CNRS, UMR 5022, University of Bourgogne, Dijon, France
| | - Julien Jung
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France; Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Bron, France
| | - Daniel Tranel
- Department of Neurology, University of Iowa, Iowa City, IA, USA
| | - Norbert Nighoghossian
- University Lyon 1, Lyon, France; Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Bron, France; CREATIS, CNRS, UMR5220, INSERM, U1044, University Lyon 1, France
| | - Barbara Tillmann
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France
| | - Anne Caclin
- Lyon Neuroscience Research Center; CNRS, UMR5292; INSERM, U1028; Lyon, France; University Lyon 1, Lyon, France
| |
Collapse
|
4
|
Sihvonen AJ, Särkämö T, Rodríguez-Fornells A, Ripollés P, Münte TF, Soinila S. Neural architectures of music - Insights from acquired amusia. Neurosci Biobehav Rev 2019; 107:104-114. [PMID: 31479663 DOI: 10.1016/j.neubiorev.2019.08.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 08/27/2019] [Accepted: 08/29/2019] [Indexed: 12/27/2022]
Abstract
The ability to perceive and produce music is a quintessential element of human life, present in all known cultures. Modern functional neuroimaging has revealed that music listening activates a large-scale bilateral network of cortical and subcortical regions in the healthy brain. Even the most accurate structural studies do not reveal which brain areas are critical and causally linked to music processing. Such questions may be answered by analysing the effects of focal brain lesions in patients´ ability to perceive music. In this sense, acquired amusia after stroke provides a unique opportunity to investigate the neural architectures crucial for normal music processing. Based on the first large-scale longitudinal studies on stroke-induced amusia using modern multi-modal magnetic resonance imaging (MRI) techniques, such as advanced lesion-symptom mapping, grey and white matter morphometry, tractography and functional connectivity, we discuss neural structures critical for music processing, consider music processing in light of the dual-stream model in the right hemisphere, and propose a neural model for acquired amusia.
Collapse
Affiliation(s)
- Aleksi J Sihvonen
- Department of Neurosciences, University of Helsinki, Finland; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Finland.
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Finland
| | - Antoni Rodríguez-Fornells
- Department of Cognition, University of Barcelona, Cognition & Brain Plasticity Unit, Bellvitge Biomedical Research Institute (IDIBELL), Institució Catalana de recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Pablo Ripollés
- Department of Psychology, New York University and Music and Audio Research Laboratory, New York University, USA
| | - Thomas F Münte
- Department of Neurology and Institute of Psychology II, University of Lübeck, Germany
| | - Seppo Soinila
- Division of Clinical Neurosciences, Turku University Hospital, Department of Neurology, University of Turku, Finland
| |
Collapse
|
5
|
Adams AG, Schweitzer D, Molenberghs P, Henry JD. A meta-analytic review of social cognitive function following stroke. Neurosci Biobehav Rev 2019; 102:400-416. [DOI: 10.1016/j.neubiorev.2019.03.011] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 02/14/2019] [Accepted: 03/14/2019] [Indexed: 01/20/2023]
|
6
|
Saffarian A, Shavaki YA, Shahidi GA, Jafari Z. Effect of Parkinson Disease on Emotion Perception Using the Persian Affective Voices Test. J Voice 2019; 33:580.e1-580.e9. [DOI: 10.1016/j.jvoice.2018.01.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 01/16/2018] [Indexed: 12/01/2022]
|
7
|
Tracting the neural basis of music: Deficient structural connectivity underlying acquired amusia. Cortex 2017; 97:255-273. [DOI: 10.1016/j.cortex.2017.09.028] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 06/08/2017] [Accepted: 09/29/2017] [Indexed: 11/17/2022]
|
8
|
Sihvonen AJ, Särkämö T, Ripollés P, Leo V, Saunavaara J, Parkkola R, Rodríguez-Fornells A, Soinila S. Functional neural changes associated with acquired amusia across different stages of recovery after stroke. Sci Rep 2017; 7:11390. [PMID: 28900231 PMCID: PMC5595783 DOI: 10.1038/s41598-017-11841-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Accepted: 08/30/2017] [Indexed: 11/09/2022] Open
Abstract
Brain damage causing acquired amusia disrupts the functional music processing system, creating a unique opportunity to investigate the critical neural architectures of musical processing in the brain. In this longitudinal fMRI study of stroke patients (N = 41) with a 6-month follow-up, we used natural vocal music (sung with lyrics) and instrumental music stimuli to uncover brain activation and functional network connectivity changes associated with acquired amusia and its recovery. In the acute stage, amusic patients exhibited decreased activation in right superior temporal areas compared to non-amusic patients during instrumental music listening. During the follow-up, the activation deficits expanded to comprise a wide-spread bilateral frontal, temporal, and parietal network. The amusics showed less activation deficits to vocal music, suggesting preserved processing of singing in the amusic brain. Compared to non-recovered amusics, recovered amusics showed increased activation to instrumental music in bilateral frontoparietal areas at 3 months and in right middle and inferior frontal areas at 6 months. Amusia recovery was also associated with increased functional connectivity in right and left frontoparietal attention networks to instrumental music. Overall, our findings reveal the dynamic nature of deficient activation and connectivity patterns in acquired amusia and highlight the role of dorsal networks in amusia recovery.
Collapse
Affiliation(s)
- Aleksi J Sihvonen
- Faculty of Medicine, University of Turku, 20520, Turku, Finland. .,Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, 00014, Helsinki, Finland.
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, 00014, Helsinki, Finland
| | - Pablo Ripollés
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907, Barcelona, Spain.,Department of Cognition, Development and Education Psychology, University of Barcelona, 08035, Barcelona, Spain.,Poeppel Lab, Department of Psychology, New York University, 10003, NY, USA
| | - Vera Leo
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, 00014, Helsinki, Finland
| | - Jani Saunavaara
- Department of Medical Physics, Turku University Hospital, 20521, Turku, Finland
| | - Riitta Parkkola
- Department of Radiology, Turku University and Turku University Hospital, 20521, Turku, Finland
| | - Antoni Rodríguez-Fornells
- Cognition and Brain Plasticity Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, 08907, Barcelona, Spain.,Department of Cognition, Development and Education Psychology, University of Barcelona, 08035, Barcelona, Spain.,Catalan Institution for Research and Advanced Studies, ICREA, Barcelona, Spain
| | - Seppo Soinila
- Division of Clinical Neurosciences, Turku University Hospital and Department of Neurology, University of Turku, 20521, Turku, Finland
| |
Collapse
|