Assessment of cognitive rehabilitation in adults with cerebral palsy

Mrs Rosemary LEROUXa, Mrs Mélanie BOUTONa, Dr Benoit NICOLASb, Dr Aurelie DURUFLEb, Mrs Amelie COLINc, Mrs Sophie ACHILLEc, Dr Philippe GALLIENb, Mr Cognipc GROUPEc

a Pole saint Hélier, b Pole St Helier, c Reseau BreizhPc

Objectives: To date, there is very little data available regarding cognitive functioning in adults with cerebral palsy. A research has been coordinated since 2012 by the network “Réseau Breizh Paralysie Cérébrale”. During its first phase, the research has established that the study population profile was characterized by a decreased processing speed, visuo-constructive problems and working memory impairment. The ongoing second phase aims at assessing the impact of a cognitive management on those disorders.

Methods: The research includes 18 ICP patients with reading and writing skills [lower secondary school; 2-year post-baccalaureat level], who expressed a cognitive complaint. The first phase of the assessment highlighted the neuropsychological profile of each patient. Among the 18 patients, with an average age of 28 years-old [18; 50], 10 participated in a 6-month cognitive intervention, aimed at the disorders which were previously identified. A comparative assessment was conducted 9 to 12 months after the first one, in all patients.

Results and discussion The patients mentioned a better functioning in their daily life (awareness of the disorders, etc.). The analysis shows that the performance improved in some areas. A comparative analysis was conducted between the patient group which participated at the cognitive intervention and the group which didn't.

Keywords : cerebral palsy, cognitive disorders, rehabilitation