# Cognitive Remediation therapy options

This is a list of things i found to follow up on. Some are free some are pay.

## Rainbow Rehab

There is a bit of write up about tools to help with cognitive rehab. Its kind of long and relates to many areas of cognitive rehab including adults and kids. However scroll down the page and you will see this:

There is a list with links to many tools and pros and cons, areas addresed and other info. The link: [RainbowRehab](https://www.rainbowrehab.com/computer-assisted-cognitive-retraining/#)

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## CogSMART
Interactive over the web and was free when i signed up.
To use it click here:
on the [homepage](http://www.cogsmart.com/)

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## RehaCom
This is a very well developed system it seems. You can get an online license that you can pay as you go. Maybe insurance covers the cost? The software manufacturer is out of germany and the website describing the product explains alot.
The main website: 
[RehaCom](https://hasomed.de/en/products/rehacom/)

The software is distributed and sold in the US by pearson:
[pearson](https://www.pearsonassessments.com/store/usassessments/en/Store/Professional-Assessments/Behavior/RehaCom-for-Cognitive-Therapy-After-Stroke-or-TBI/p/100001914.html)
This is a link to the free trial: [free trial](https://www.pearsonassessments.com/forms/rehacom-free-trial.html)

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## Cognitive rehabilitation after stroke – an urgent plea for good research
[The Post](https://www.evidentlycochrane.net/cognitive-rehabilitation-after-stroke/)
This is a blog post that i found enlightening. It talks about therapy tools towards the bottom. This quote was interesting:
> It is estimated that attentional deficits affect one in two to four patients at the time of discharge from the hospital (Hydmann, 2008). A Cochrane Review of the cognitive rehabilitation of attention deficits (Loetscher et al., 2019) also reported no evidence for the efficacy of cognitive rehabilitation in treatment of attention dysfunction [the review was updated in 2019 with no changes]. This includes disruption in ability and readiness to respond and focus on specific stimuli, maintain attention after period of time and attend to all sides of the space.

> The same review found that training may improve performance in tests of divided attention, but is not transferable to improvement in daily functioning or long term test performance. Similar results were reported by another Cochrane Review (Bowen et al., 2013), which targeted a major symptom in post-stroke survivors – spatial neglect. Spatial neglect stands for a difficulty in attending to one side of space (visual, auditory or tactile) despite full sensory capacity. Authors also found insufficient evidence to confirm the efficacy of cognitive rehabilitation, apart from the immediate improvement on a neuropsychological test; which is not that meaningful in daily life.

###### tags: `notes` `cognitive rehabilitation`