Pattern of neuropsychological functions

Macrofunction

Specific function Specification Environmental correlations For example

Orientation Spatial and Temporal Orientation

Ability to organize the self-perception in the space and in in the time

Orient oneself of “where and when” in specific situations What time is it? Where are you?

Attention Vigilance/Alertness Activations level of arousal Physiological quickness in stimulus responses

Atlete that wait the start in the race

Selectiv attention Sustained attention Divided attention

Selection of one attention target and inhibition of distractors To preserve attention in a long time Division of attentive resources between many simultaneous stimulus/tasks

Ability of to take the interested stimoulus out of contest and to ignore the distractors, in a span of time Pay attention to more informations or more tasks

Try to liste to a conversation while as other conversations are in progress Speak on the telephone while you are cooking

Memory Short Term Memory (MBT) and Working memory (WM)

Temporary retention system, elaboration and selection of visuo-spatial information, verbal and write, finalized to make a cognitive task

MBT: memory and recall of just presented informations WM: ability of keep in memory the informations for the all time necessary for finalize the task

Ability to repeat the last expression that you have hear For solve algebrical calculation, I must remember many prior changeovers

Long Term Memory (MLT)

Permanent or part time retention system, in the memory stock

Capacity to organize events, situation, learnings, in order to render available this informations if necessary

Serf-memory, memory of events, learning knowledges

Executive functions Planning Attention Control – To inhibit inappropriate responses Set Shifting – Cognitive flexibility Abstraction Motivation

Include this capacities To planning action’s strategies To inhibit automated behaviours To planning strategies for problem solving Abstaction and classification of stimulus and events Willingness to begin many actions

To be able to organize own actions and behaviours, in relation of the enviromental requests, social relations, even in non-ordinary situations

Write the shopping list: to planning what you want to buy. To find the motivation for leave home. Go in the supermarket, according to necessity, but having the flexibility to put down in the shopping trolley one economic product, for example. Go in checkout counter having patience, standing in line and having willingness to pay

Language Verbal production Oral comprehension

Ability to produce understandable verbal messages Ability to understand verbal messages

Ability to interact in the usual comunications To interact through the word and listening in a conversation between 2 or more persons

Visual perception Object Space

Ability to recognize the objects, through the visual channel Ability to elaborate the surronding space

To recognize the objects To recognize the places and environments

To distinguish between a pen and a pencil Distance between me and an object

Motion Executive – Strategical Patterns of finalized motor behaviour Programmation of motor actions, in relation of space into take place the action and in relation with the around subjects

To climb a mountain

   

Rehabilitation tasks

Exercise

Exercize’s description Involved Cognitive functions Hand over to the patient References and correlations with other exercises

Calendario

The patient must say the present day, looking through the calendar and circling the number of the real day

TEMPORAL ORIENTATION

“Looking through the calendar, you must circle the current day.”

Calendar – Planner

Map

The patient must show the present location, drawing the map and making a mark on the map

SPATIAL ORIENTATION

“Please, will you draw up the map and make a mark on the present location?”

Planisphere Google Maps

Puzzle

Selected one picture, the patient have to remember it and connect the pieces that match together, moving them Selected one picture, the patient must remember it and recompose it, selecting 2 pieces that interchange the place Selected one picture, the patient have to recompose it, draging the pieces from left to the right side

WM OBJECT PERCEPTION COGNITIVE FLEXIBILITY OBJECT PERCEPTION SELECTIVE ATTENTION OBJECT PERCEPTION REHA NEGLECT

“You must keep in mind the selected picture, then try to connect and crush the pieces that match together“ “You must remember the selected picture and try to reconstruct it, selecting 2 pieces that interchange the place” “Please, drag the scattered pieces from the left to the right side, to recompose the picture. When you locate the piece in his correct place, press to connect it”

http://www.ivana.it/sj/ Bee and flowers Hidden card

   

Bee and Flowers

The task consist in create the way for a bee, in order to reach all the flowers. The stretch of way change clicking on the selected square. At the end the “control” bee give permission to check the accuracy of way

INHIBITION OF INNAPROPRIATE RESPONSE VISUAL-SPATIAL PERCEPTION

“Your bee must pick the honey from all the blue flowers and reach at the last, the pink flower. Your task consist to create one way for the bee, selected the more appropriate stretch, in order that to reach all the flowers”

http://www.ivana.it/sj/ Hidden card Puzzle

Lights in sequence

The task consist to turn on all the light bulbs, switching correctly numbers and letters, in this order: 1-A-2-B-3-C...-R-17

PLANNING VISUAL-SPATIAL PERCEPTION DIVIDED ATTENTION

“You must try to touch in sequence the light bulbs, in order that after one number follow one letter. Numbers and letters must be touch in growing order”

http://www.retiaperte.it/eserciziperlamente/ Hanoi's Tower Matrix's Memory

Forms and logic

The task include the ability of comprehension , to integrate informations, to complete the lacking informations through a logical reasoning. Consist in flowing the correct forms in the 4 squares

COMPREHENSION FORM/VISUAL-SPATIAL PERCEPTION

“You must read the phrases that appaires in the left square and perform the content. You should be able to select the correct objects, that should be place in the squares”

http://www.retiaperte.it/eserciziperlamente/ Puzzle Hanoi's Tower

Hanoi's Tower

The task request a pianification and pronblem-solving ability. One tower must be moved from one pedestal to another, one step a time, without placing big pieces over small pieces

PLANNING WM

“You must move the left tower to the right pedestal, moving one piece at a time. You can’t put big pieces over the small one ”

http://www.retiaperte.it/eserciziperlamente/ Forms and Logic Lights in sequence

Hidden card

The task include the identification of one picture, watching only a few detail through a binoculars, that can be moved in all directions of the picture

VISUAL-SPATIAL PERCEPTION ABSTACTION

“Move the binoculars in all directions to discover the card and select the right one that you find on the right side of the screen ”

http://www.retiaperte.it/eserciziperlamente/ Puzzle Forms and Logic

Matrix's Memory

The task consist in memorize the collocation of the numbers that appears for few seconds in the scheme and than to click the corresponding squares, following the growing order

SHORT TERM MEMORY/WM INHIBITION OF INNAPROPRIATE RESPONSE

“In the table appears any numbers. You must memorize their position and than touch the corresponding squares, following the growing order of the numbers”

http://www.retiaperte.it/eserciziperlamente Lights in sequence

Labyrinth

The task consist to drive the mouse in the labyrinth, looking for the way that conduct to the cheese

VISUAL-SPATIAL PERCEPTION PLANNING

“You must to drive the mouse to get the cheese, trying to avoid the obstacles”

http://www.retiaperte.it/eserciziperlamente Bee and flowers Hanoi's Tower