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. 2018 May 6;2018:2651918. doi: 10.1155/2018/2651918

Table 2.

Summary of randomized controlled trials in assessing brain changes related to cognitive rehabilitation programs in PD.

Authors MRI sample H&Y Cognitive rehabilitation program MRI acquisition/preprocessing/analysis MRI statistical analysis MRI results Correlation with cognitive measures Limitations/risk of bias
Cerasa et al. [33] 15 PD
8 CR
7 ACG
1–3 RehaCom computer program
Training:
(i) Attention
(ii) Information processing
Resting-state fMRI/ICA in FSL/FC analysis ANOVA (group × time)
Region of interests
Dorsolateral PFC
Ventrolateral PFC
ACC
Sup + inf parietal left
Caudate
Cerebellum
Increased functional activity:
(i) Left dorsolateral PFC
(executive network)
(ii) Superior parietal left
(attention network)
Small sample size
Only one type of MRI acquisition

Díez-Cirarda et al. [38] (cognitive results in [31]) 30 PD
15 CR
15 ACG
1–3 “REHACOP” program
Training:
(i) Attention
(ii) Memory
(iii) Language
(iv) EF
(v) Social cognition
Resting-state fMRI/ROI-to-ROI approach in CONN toolbox ANOVA (group × time)
Paired t-test
Whole brain
Increased FC between BA9L-BA20L and BA9R-BA20L Yes Small sample size and reduced at long-term follow-up
Memory fMRI paradigm results at FWE uncorrected
Memory fMRI paradigm/model-based approach in SPM Increased brain activation
Learning task: left frontal inferior lobe
Increased brain activation
Memory task: left middle temporal lobe
Diffusion weighted/TBSS in FSL
T1 weighted/VBM in FSL

ACC = anterior cingulate cortex; ACG = active control group; BA = Brodmann area; CR = cognitive rehabilitation; EF = executive functions; FC = functional connectivity; fMRI = functional magnetic resonance imaging; FSL = FMRIB Software Library; H&Y = Hoehn and Yahr; ICA = independent component analysis; MRI = magnetic resonance image; PD = Parkinson's disease; PFC = prefrontal cortex; TBSS = tract-based spatial statistics; VBM = voxel-based morphometry.