Memory Rehabilitation Strategies in Nonsurgical Temporal Lobe Epilepsy

Alessandra Del Felice, Marzia Alderighi, Matteo Martinato, Davide Grisafi, Anna Bosco, Pamela J. Thompson, Josemir W. Sander, Stefano Masiero
2017 American Journal of Physical Medicine & Rehabilitation  
1 People with temporal lobe epilepsy (TLE) who have not undergone epilepsy surgery often 2 complain of memory deficits. Cognitive rehabilitation is employed as a remedial intervention 3 in clinical settings, but research is limited and findings have been inconsistent concerning 4 efficacy and the criteria for choosing different approaches. We aimed to appraise existing 5 evidence on memory rehabilitation in non-surgical individuals with TLE and to ascertain the 6 effectiveness of specific
more » ... gies. A scoping review was preferred over other type of reviews 7 given the heterogeneous nature of the interventions. A comprehensive literature search 8 using MEDLINE, EMBASE, CINAHL, AMED, Scholars Portal/PSYCHinfo, Proceedings First, and 9 ProQuest Dissertations and Theses identified articles published in English before February 10 2016. The search retrieved 372 abstracts. Out of 25 eligible studies, 6 were included in the 11 final review. None included pediatric populations. Strategies included cognitive training, 12 external memory aids, brain-training, and non-invasive brain stimulation. Selection criteria 13 tended to be general. Overall there was insufficient evidence to make definitive conclusions 14 regarding the efficacy of traditional memory rehabilitation strategies, brain training and non-15 invasive brain stimulation. The review suggests that cognitive rehabilitation in non-surgical 16 TLE is under-researched and that there is a need for a systematic evaluation in this population. 17 18
doi:10.1097/phm.0000000000000714 pmid:28628538 fatcat:24nvntbg5veqxlzsrvjss2374y