کاردرمانی کرج در شهرک مهران | جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در کرج نو | جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در شهرک موحدین | جستجو گسترده در آدرس مراکز جامع کاردرمانی کرج در گلشهر | جستجو گسترده در آدرس مراکز جامع کاردرمانی
tional studies to slow cognitive decline, but a Cochrane review of three randomized controlled trials (Sydenham, Dangour, & Lim, 2012) did not demonstrate a significant benefit in terms of cognitive functioning in older people who did not have dementia.
Ginkgo, a well-known supplement, has also been recommended for brain
health and prevention of dementia in older adults (DeKosky et al., 2008; Mahadevan & Park, 2008). However, a 6-year trial in over 3,000 adults did not show consistent benefits in terms of cognitive stability of preventive indicators for stroke such as blood pressure maintenance and hyper-tension (DeKosky et al., 2008). Additional examples of herbs that have been exam¬ined for possible effectiveness in treating people with neurogenic communication disorders are given in Table 28-1. Note that the fact that certain herbs have been studied does not at all mean that their use is recommended.
It is difficult to characterize just which complementary and integrative approaches are most relevant to acquired disorders of cognition and language. Much of the research on such approaches carried out with people with stroke, TBI, and demen¬tia, for example, addresses overall health and well-being or specific aspects of health (e.g., insomnia, pain, or anxiety
relief), not specific aspects of cognition and language. Does this make it irrelevant to clinical aphasiologists? Certainly not, inasmuch as we are ideally team members helping to promote wellness; wellness is an essential concern in our work.
Let’s consider a particular goal of sev-eral types of complementary approaches: stress reduction. We know that stress re-duction is important for the overall health and well-being of all people, including people with acquired neurogenic disor¬ders and the people who care about them. People with acquired neurogenic disor¬ders and their caregivers tend to experi¬ence more stress than people in the gen¬eral population. Also, a strong body of research supports the notion that stress reduction is important for overall cere¬brovascular health and stroke prevention, and for coping with challenges to life par¬ticipation (see Chiesa & Serretti, 2010, for a review). So, certainly it makes sense that we as professionals would promote stress reduction. Important questions, though, include:
- Is it within our scope of practice to recommend specific treatments for stress reduction?