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@ARTICLE{Petrelli:172664,
author = {Petrelli and Kaesberg, S. and Barbe, Michael and
Timmermann, L. and Rosen, J. and Fink, G. R. and Kessler, J.
and Kalbe, E.},
title = {{C}ognitive training in {P}arkinson’s disease reduces
cognitive decline in the long-term.},
journal = {European journal of neurology},
volume = {22},
number = {4},
issn = {1351-5101},
address = {Oxford [u.a.]},
publisher = {Wiley-Blackwell},
reportid = {FZJ-2014-06118},
pages = {640–647},
year = {2015},
abstract = {Background and purposePatients with Parkinson's disease
(PD) are at high risk for cognitive dysfunction.
Non-pharmacological interventions have attracted increasing
interest for enhancing PD patients' cognitive
functions.MethodsOne-year follow-up data (T2) of a
randomized controlled trial evaluating two 6-week cognitive
trainings – a structured (NEUROvitalis, NV) and an
unstructured (mentally fit, MF) program − compared with a
waiting list control group (CG) in non-demented PD patients
(Hoehn and Yahr I–III) are presented. Forty-seven PD
patients were examined at T2. Effects on overall cognitive
functions (Mini-Mental State Examination and DemTect) were
compared between all groups with repeated measurement
analyses of variance. A combined score of the percentage
change value from baseline (T0) to T2 was calculated to
identify patients who retained or improved their cognitive
state (responders). The risk of developing mild cognitive
impairment (MCI) was analyzed.ResultsSignificant time ×
treatment effects on overall cognitive functions were found
for both training groups, each compared separately to the CG
(DemTect, P < 0.05). Nine patients $(56.3\%)$ of the NV
group, seven $(41.2\%)$ of the MF group and three $(21.4\%)$
of the CG were responders. Comparing NV to CG the odds ratio
was 4.7 $[95\%$ confidence interval (0.8; 33.3)], and
comparing MF to CG it was 2.6 $[95\%$ confidence interval
(0.4; 17.4)]. MCI risk for patients without prior MCI was
$40.0\%$ in CG, $18.2\%$ in MF and $18.2\%$ in NV. The odds
ratio was 3 comparing NV to CG, MF to CG.DiscussionThis
study gives evidence that cognitive training may be
effective to prevent cognitive decline and onset of MCI in
PD patients.},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
UT = {WOS:000351398900008},
pubmed = {pmid:25534579},
doi = {10.1111/ene.12621},
url = {https://juser.fz-juelich.de/record/172664},
}