Integrated Cognitive and Neuromotor Rehabilitation in Multiple Sclerosis: A Pragmatic Study.

Few studies examined the effects of combined motor and cognitive rehabilitation in patients with multiple sclerosis (MS). The present prospective, multicenter, observational study aimed to determine the efficacy of an integrated cognitive and neuromotor rehabilitation program versus a traditional neuromotor training on walking, balance, cognition and emotional functioning in MS patients. Sixty three MS patients were selected and assigned either to the Integrated Treatment Group (ITG; = 32), receiving neuropsychological treatment (performed by ERICA software and paper-pencil tasks) complemented by conventional neuromotor rehabilitation, or to the Motor Treatment Group ( = 31) receiving neuromotor rehabilitation only.

On a peculiar environmental dependency syndrome in a case with frontal-temporal damage: Zelig-like syndrome.

We report on the case of a patient with frontal-temporal damage from cerebral hypoxia, affected by amnesic disturbances and behaviour disorder, who presented a peculiar phenomenon of environmental dependency. He assumed a different social role in keeping with different environmental circumstances by interpreting a character corresponding to the particular context. Three experiments were carried out in which the environmental variables were manipulated to verify the phenomenon in controlled conditions, and an investigation was conducted during the patient's spontaneous manifestations.