Skip to main content
. 2010 Jul-Sep;4(3):222–231. doi: 10.1590/S1980-57642010DN40300011

Table 2.

Description of the variables analyzed in the specific intervention studies.

Reference
Objective
Method Results
Sample Neuropsychological assessment Intervention
Study 33 (Buschkuehl et al., 2008) (a) Type and age: Healthy older adults, mean age of 80.1.
(b) Groups: Experimental group (WM training, n=13), control group (physical training, n=19).
(c) Inclusion criteria: absence of acute heart, psychiatric, or debilitating problems; arthrosis problems; independent and healthy elderly adults.
(a) Functions and abilities: WM, episodic memory.
(b) Frequency: Pre- and post-intervention, with 1 year follow-up; the same battery was administered.
(a) Design: single-case with multiple-baseline-across behavior with a control group.
(b) Type of rehabilitation: training of WM storage and processing components; specific cognitive retraining of the central executive and phonological loop.
(c) Theoretical framework: WM model (Baddeley, 1986, 1998).
(d) Procedures: Eight different tasks; [i] reconstruction of words from oral spelling, [ii] reconstruction of words from oral spelling with a letter omitted, [iii] oral spelling, [iv] odd or even number of letters in a word, [v] reconstitution of words from syllables, [vi] alphabetizing, [vii] word sorting in alphabetical order, [viii] acronyms.
(e) Duration: 6 months, 1 h training sessions three days per week
• Experimental group showed overall increased visual WM performance and, to a lesser degree, visual episodic memory performance.
• No differences between groups in the 1 year follow-up.
To investigate the effect of WM training on WM and episodic memory performance
Study 34 (Duval et al., 2008) (a) Type and age: A case of a 23-year-old, right-handed student, bilingual (French) at an academy of music.
(b) Deficits: WM impairment as a result of cerebral tumor surgery on his left temporal lobe.
a) Functions and abilities: memory, language, constructional praxis, intellectual abilities, attention, executive functions.
(b) Frequency: Four assessments with the same tests: pre-evaluation, intermediate, post-immediate, and post 3 months.
a) Design: case report, multiple baselines.
(b) Type of rehabilitation: cognitive program (training of three WM subcomponents; central executive) complemented by an ecological approach.
(c) Theoretical framework: non-passive storage by slave systems (Emerson and Miyake, 2003), complemented by an ecological approach (WM model; Baddeley, 1986).
d) Procedures: [i] cognitive rehabilitation (exercises divided into three subprograms: central executive, visual sketchpad, and phonological loop), [ii] ecological rehabilitation (analyses of scenarios and simulations of real-life situations).
(e) Duration: 6 months, 90 min sessions four times per week.
• Effectiveness for all three WM components.
• Generalization to everyday life, and effects were maintained after 3 months.
To describe and evaluate a program of neuropsychological rehabilitation.
Study 20 (Serino et al., 2007) (a) Type and age: Traumatic brain injury patients with severe WM deficits, with ages ranging from 16 to 57 years.
(b) Group: Experimental group, n=9.
(c) Inclusion criteria:≥6 months post-injury; no other neurological disease, no emotional or psychiatric disturbances or communication problems
(a) Functions and abilities: processing speed, sustained and divided attention, WM, long-term memory, executive functions, psychosocial abilities, everyday functioning.
(b) Frequency: Three assessments with different versions of the same instruments. One at admission, another after General Stimulation Training and the last at the end of WM training.
(a) Design: pilot study with pre and post-intervention assessment.
(b) Type of rehabilitation: General Stimulation Training (low executive demand) followed by WM training.
(c) Theoretical framework: WM model (Baddeley, 1986, 2003).
(d) Procedures: Three WM tasks; [i] repeated applications of the Paced Auditory Serial Addition Test (PASAT, central executive), and two other tasks from PASAT; [ii] months task ; and [iii] words task.
(e) Duration: 2 months (1 month for each intervention phase), four sessions per week.
• WM training was effective in recovering central executive impairments.
• Some cognitive functions dependent on the central executive improved.
• Everyday life functioning improved.
• Significant improvement in WM, divided attention, executive functions, and long-term memory, but not in processing speed or sustained attention.
To investigate the efficacy of a rehabilitation program (WM training) on WM and other cognitive functions dependent on this component system, such as divided attention, executive functions, and long-term memory; to verify whether the improvement generalizes to everyday activities.
Study 39 (Vallat et al., 2005) (a) Type and age: A case of a 53-year-old right-handed male high school graduate computer scientist.Control group: (n=10) that matched
the case's age and education background; this control group performed all therapy tasks with a ceiling effect.
(b) Deficits: aphasia and WM central executive and phonological loop impairment as a result of a stroke; complaints of difficulties in everyday tasks.
(a) Functions and abilities: oral language, attention, verbal and visual long-term memory.
(b) Frequency: Two pre- and one post-intervention assessment sessions, with similar outcome measures and parallel versions of some tests.
(a) Design: single-case with multiple-baseline-across-behavior with a control group.
(b) Type of rehabilitation: training of WM storage and processing components; specific cognitive retraining of the central executive and phonological loop.
(c) Theoretical framework: WM model (Baddeley, 1986, 1998).
(d) Procedures: Eight different tasks; [i] reconstruction of words from oral spelling, [ii] reconstruction of words from oral spelling with a letter omitted, [iii] oral spelling, [iv] odd or even number of letters in a word, [v] reconstitution of words from syllables, [vi] alphabetizing, [vii] word sorting in alphabetical order, [viii] acronyms.
(e) Duration: 6 months, 1 h training sessions three days per week
• Case's forward digit span improved significantly compared with matched controls.
• Central executive and phonological store components of WM significantly improved after rehabilitation.
• Significant decrease in daily difficulties; return to full-time job at same position as before stroke.
To assess the efficacy and specificity of WM rehabilitation, focusing mainly on central executive and phonological loop.
Study 23 (Westerberg et al., 2007) (a) Type and age: Stroke patients with ages ranging from 34 to 55 years.
(b) Groups: Experimental group (trained, n=9), control group (untrained, n=9).
(c) Inclusion criteria: time post-onset between 12 and 36 months; access to internet connection at home; self-reported deficits in attention.
(d) Exclusion criteria: IQ < 70, motor or perceptual handicap that would prevent use of computer, medication changes during the study period, major depression, known history of alcohol abuse or illicit drugs.
(a) Functions and abilities: WM, attention, reasoning and problem-solving, declarative memory, inhibition, learning.
(b) Frequency: Pre- and post-intervention sessions with the same assessment battery.
(a) Design: randomized pilot study.
(b) Type of rehabilitation: computerized training on various WM tasks.
(c) Theoretical framework: not reported.
(d) Procedures: complete training on a computer at home and daily internet report to a server at the hospital.
(e) Tasks employed: [i] reproducing a light sequence in a visuo-spatial grid, [ii] indicating numbers in reverse order, [ii] identifying letter positions in a sequence, [iv] identifying a letter sequence in pseudo words, [v] finding mismatched letters, [vi] reproducing a light sequence in a rotated grid, [vii] reproducing a light sequence in a three-dimensional visuo-spatial grid.
(f) Duration: 5 weeks, 40 min sessions 5 days per week, 90 trials per day.
• Statistically significant training effects on non-trained tests for WM and attention.
• Significant decrease in symptoms of cognitive problems in daily living.
• Some evidence that 1 to 3 years after stroke, intensive training can improve an individual's WM and attention performance.
To examine the effects of WM training in adult patients with stroke.