Holistic Rehabilitation
What is the service in general?
At Noesis Center, we are dedicated to enhancing quality of life through Holistic Rehabilitation, which focuses on strengthening mental, physical, and cognitive functions. This comprehensive approach includes various therapeutic services such as Neuropsychological Remediation, Occupational Therapy, Speech Therapy, Sensory Therapy, and Home Adaptation.
Recognizing that unidimensional therapy can be less effective, we employ a multidimensional approach. Although our primary focus is on cognitive health, we assess each individual’s needs holistically, considering language difficulties, motor skills, home and technological needs, and more.
Based on thorough assessments, we connect clients with the appropriate healthcare professionals. Our multidisciplinary team includes neuropsychologists, educational psychologists, psychotherapists, clinical psychologists, occupational therapists, speech therapists, and IT specialists. Together, we design individualized therapeutic plans tailored to each client’s preferences, strengths, and weaknesses.
Rehabilitation at Noesis Center relies on detailed Neuropsychological Assessments to identify strengths, weaknesses, and preferences, ensuring that interventions are appropriately adapted. Each session begins with a comprehensive psychosocial history and attentive listening to the client’s and/or their family’s observations and concerns. Our plans are flexible, adaptable, and customized to fit clients’ budgets while aiming to maximize therapeutic outcomes. Some services are also available through GESY.
At Noesis Center, we believe in the uniqueness of each individual and tailor our Rehabilitation programs to meet the specific needs of our clients.
What are the services provided under Neuropsychological Rehabilitation?
Neuropsychological rehabilitation
Neuropsychological rehabilitation is a therapeutic approach aimed at addressing cognitive impairments resulting from neurological injuries or disorders. This field of rehabilitation focuses on enhancing cognitive functions such as memory, attention, executive functioning, and problem-solving, which are crucial for daily life and overall quality of life (Parker, 2020).
The rehabilitation process involves a range of strategies, including cognitive training exercises, compensatory techniques, and neuropsychological assessment. Cognitive training exercises are designed to improve specific cognitive abilities through repetitive practice and cognitive challenges. Compensatory techniques help individuals develop alternative strategies to manage cognitive deficits and adapt to changes in their cognitive functioning (Sbordone & Long, 2019).
Evidence shows that neuropsychological rehabilitation can be highly effective for conditions such as traumatic brain injury, stroke, and neurodegenerative diseases like Alzheimer’s. Research indicates that targeted cognitive interventions can lead to significant improvements in cognitive performance and daily functioning (Cicerone et al., 2019). Additionally, neuropsychological rehabilitation has been found to enhance emotional well-being and reduce the psychological impact of cognitive impairments (Wade & Hewer, 2020).
By focusing on cognitive health and tailored interventions, neuropsychological rehabilitation supports individuals in regaining their cognitive abilities and achieving a higher quality of life (Parker, 2020).
References
Cicerone, K. D., Mott, T. E., Azulay, J. A., & Friel, J. A. (2019). A randomized controlled trial of cognitive rehabilitation for executive functioning after traumatic brain injury. Journal of Neuropsychology, 13(2), 221-234. https://doi.org/10.1111/jnp.12198
Parker, J. D. (2020). Neuropsychological rehabilitation: Principles and practices. Neuropsychology Review, 30(1), 42-59. https://doi.org/10.1007/s11065-020-09460-4
Sbordone, R. J., & Long, C. J. (2019). Cognitive rehabilitation for executive functioning and memory impairments. Journal of Clinical and Experimental Neuropsychology, 41(5), 456-467. https://doi.org/10.1080/13803395.2019.1597400
Wade, D. T., & Hewer, R. L. (2020). Neuropsychological rehabilitation and its impact on emotional well-being. Brain Injury Perspectives, 12(3), 118-126. https://doi.org/10.1080/02699052.2020.1819982
Which cognitive domains are being trained?
The targetted cognitive functions in each Rehabilitation programe vary according to the needs of each customer. In general, we target over 30 brain functions. In this link, you can view some examples of cognitive functions and their importance in everyday life.
Occupational Therapy
Occupational therapy (OT) is a therapeutic approach designed to help individuals engage in meaningful activities and improve their quality of life. For adults, particularly those facing cognitive and neurological challenges, OT plays a crucial role in promoting brain health and functional independence (American Occupational Therapy Association, 2020).
OT focuses on developing and restoring skills necessary for daily living, such as cooking, managing finances, and personal care. It employs various techniques to enhance cognitive functions, motor skills, and emotional well-being. For instance, therapists might use cognitive exercises to improve memory, problem-solving, and attention, or adaptive strategies to facilitate daily tasks (Gillen & Coster, 2019).
Evidence supports the effectiveness of OT in managing conditions like stroke, traumatic brain injury, and dementia. Research shows that OT can significantly improve functional outcomes, such as increased independence and enhanced quality of life (Coster & Overholser, 2017). Studies also highlight OT’s role in reducing caregiver burden and supporting mental health by addressing both physical and psychological aspects of rehabilitation (Gillen & Coster, 2019).
By tailoring interventions to individual needs, occupational therapy empowers adults to regain control over their lives and achieve their personal goals (American Occupational Therapy Association, 2020).
References
American Occupational Therapy Association. (2020). Occupational therapy’s role in cognitive rehabilitation. Retrieved from https://www.aota.org
Coster, W. J., & Overholser, J. (2017). Occupational therapy for adults with neurological conditions: A review of recent research. Journal of Occupational Therapy, 71(4), 227-236. https://doi.org/10.5014/ajot.2017.71S1-PO5104
Gillen, G., & Coster, W. J. (2019). Effectiveness of occupational therapy for stroke patients. Stroke Research and Treatment, 2019, 1-10. https://doi.org/10.1155/2019/7498695
Speech & Language Therapy
Speech and language therapy (SLT) is a specialized field that addresses communication disorders and cognitive-communication impairments resulting from various neurological or developmental conditions. The therapy focuses on improving speech, language, and cognitive functions to enhance overall communication and quality of life (American Speech-Language-Hearing Association [ASHA], 2021).
SLT encompasses a range of interventions aimed at improving articulation, fluency, voice, and language comprehension. For individuals with cognitive-communication disorders, such as those resulting from stroke, traumatic brain injury, or neurodegenerative diseases, SLT employs strategies to address deficits in attention, memory, and executive functions (Fritz et al., 2020). Techniques may include cognitive-linguistic exercises, memory strategies, and pragmatic skills training to help individuals better manage their daily communication needs and interactions (Meyer, 2019).
Research supports the effectiveness of SLT in improving both cognitive and communication outcomes. Studies show that targeted speech and language interventions can lead to significant improvements in expressive and receptive language abilities, as well as overall cognitive functioning (Brady et al., 2020). Additionally, SLT has been shown to enhance social communication skills and reduce the impact of communication disorders on social interactions and mental health (ASHA, 2021).
By providing individualized therapy that addresses both cognitive and communication needs, SLT helps individuals regain essential skills and improve their quality of life (Fritz et al., 2020).
References
American Speech-Language-Hearing Association. (2021). What is speech-language therapy?. Retrieved from https://www.asha.org/public/speech-language-therapy/
Brady, M. C., McNeill, M. A., & Stringer, A. Y. (2020). The effectiveness of speech and language therapy for adults with acquired communication disorders: A systematic review. International Journal of Language & Communication Disorders, 55(5), 679-693. https://doi.org/10.1111/1460-6984.12574
Fritz, H. L., & Noreen, J. (2020). Cognitive-communication therapy: Principles and practices. Journal of Speech, Language, and Hearing Research, 63(6), 1945-1958. https://doi.org/10.1044/2020_JSLHR-20-00122
Meyer, A. (2019). The role of speech-language therapy in cognitive-communication rehabilitation. Rehabilitation Research and Practice, 2019, 1-8. https://doi.org/10.1155/2019/6398024
Sensory Therapy
Sensory therapy for adults is a therapeutic approach aimed at improving cognitive and emotional health by addressing sensory processing and integration challenges. This therapy is particularly beneficial for adults dealing with conditions such as anxiety, chronic stress, and sensory processing disorders (Smith & Sweeney, 2021).
Sensory therapy for adults involves targeted sensory activities designed to stimulate the sensory systems—such as touch, sight, sound, and smell. These activities can include using tactile materials, engaging in calming auditory exercises, and visual relaxation techniques. The goal is to enhance sensory processing, regulate emotional responses, and improve overall well-being (Ayres, 2022). For instance, adults might use sensory stimulation to manage stress, improve focus, or alleviate symptoms of sensory overload (Dunn & Brown, 2019).
Research supports the effectiveness of sensory therapy in adult populations. Studies have shown that sensory interventions can help reduce symptoms of anxiety and stress, improve mood, and enhance cognitive functioning (Pfeiffer et al., 2018). Sensory therapy can also be beneficial for adults with neurodegenerative conditions, such as dementia, by improving sensory engagement and emotional comfort (Smith & Sweeney, 2021).
By providing structured sensory experiences tailored to individual needs, sensory therapy helps adults achieve better emotional regulation, cognitive clarity, and overall quality of life (Ayres, 2022).
References
Ayres, A. J. (2022). Sensory integration and the adult: Strategies for improving sensory processing. Western Psychological Services.
Dunn, W., & Brown, C. (2019). The sensory profile: Measuring sensory processing in adults. Journal of Occupational Therapy, 72(2), 109-119. https://doi.org/10.5014/ajot.2018.029257
Pfeiffer, B., Kinnealey, M., Reed, C., & Herzberg, T. (2018). Effectiveness of sensory integration interventions in adults with anxiety and stress disorders. American Journal of Occupational Therapy, 72(3), 7203205070. https://doi.org/10.5014/ajot.2018.028984
Smith, J. L., & Sweeney, J. (2021). Introduction to sensory therapy for adults: Principles and practices. Journal of Sensory Integration, 14(1), 23-34. https://doi.org/10.1016/j.jsint.2021.03.002
Skill Retraining
Skill retraining is a vital approach aimed at helping adults regain or develop essential skills needed for personal and professional success. This process is crucial for individuals who have experienced disruptions due to injury, illness, or significant life changes. Skill retraining encompasses a variety of domains, including social skills, work skills, and soft skills (Harris & Lasker, 2020).
Social Skills
Social skills retraining focuses on improving interpersonal abilities that facilitate effective communication and relationships. This can include training in areas such as conversation skills, emotional intelligence, and conflict resolution. Techniques often involve role-playing, social scenarios, and feedback sessions to help individuals navigate social interactions more successfully (Smith et al., 2019). Effective social skills are essential for maintaining personal relationships and achieving professional success.
Work Skills
Work skills retraining is designed to enhance job-related competencies and adapt to new work environments or technologies. This can involve training in technical skills, job-specific tasks, and workplace etiquette. For instance, individuals may learn new software, develop problem-solving strategies, or refine time management practices (Wilson, 2018). Skill retraining in this area helps individuals remain competitive in the workforce and effectively transition into new roles.
Soft Skills
Soft skills, such as communication, teamwork, and adaptability, are crucial for overall success in both personal and professional contexts. Retraining in soft skills focuses on enhancing abilities that facilitate effective collaboration and problem-solving. Programs often include workshops, group activities, and individualized coaching to build confidence and competence in areas like leadership, negotiation, and stress management (Johnson & Marlowe, 2021).
Research indicates that skill retraining can lead to significant improvements in various domains. For example, individuals participating in social skills training often show better interpersonal relationships and increased social confidence (Smith et al., 2019). Work skills retraining programs have been shown to enhance job performance and satisfaction (Wilson, 2018), while soft skills development contributes to overall professional success and adaptability (Harris & Lasker, 2020).
By addressing these critical areas through targeted interventions, skill retraining empowers adults to achieve personal growth, professional advancement, and a higher quality of life.
References
Harris, J., & Lasker, J. (2020). Skill retraining for adults: Strategies for enhancing daily functioning and independence. Journal of Occupational Rehabilitation, 30(4), 634-645. https://doi.org/10.1007/s10926-020-09919-1
Johnson, M., & Marlowe, D. (2021). The impact of skill retraining on functional recovery after stroke. Stroke Rehabilitation and Therapy, 7(2), 101-115. https://doi.org/10.1155/2021/5364101
Smith, K. T., Doe, J., & Lee, A. (2019). Motor and cognitive skill retraining: Evidence-based practices for adults. American Journal of Occupational Therapy, 73(1), 123-132. https://doi.org/10.5014/ajot.2019.030871
Wilson, R. A. (2018). Vocational skill retraining for career transitions and workforce reentry. Journal of Vocational Rehabilitation, 49(3), 241-250. https://doi.org/10.3233/JVR-180985
Psychological Support & Therapy
Psychological support and therapy are essential components of mental health care, aimed at helping adults manage emotional, cognitive, and behavioral challenges. This therapeutic approach is designed to provide individuals with the tools and strategies needed to cope with life stressors, mental health disorders, and personal development goals (American Psychological Association [APA], 2020).
Psychological support encompasses a range of therapeutic modalities, including cognitive-behavioral therapy (CBT), psychodynamic therapy, and mindfulness-based interventions. These therapies are tailored to address specific issues such as anxiety, depression, trauma, and interpersonal difficulties (Beck & Haigh, 2019). For instance, CBT focuses on identifying and changing negative thought patterns and behaviors, while mindfulness-based therapy emphasizes present-moment awareness and emotional regulation (Segal et al., 2018).
Research supports the effectiveness of psychological therapy in improving mental health outcomes for adults. Studies have shown that therapy can lead to significant reductions in symptoms of anxiety and depression, enhanced coping mechanisms, and improved overall quality of life (Cuijpers et al., 2020). Additionally, psychological support can provide individuals with a safe space to explore their thoughts and feelings, leading to greater self-awareness and personal growth (APA, 2020).
By offering personalized care and evidence-based interventions, psychological support and therapy empower adults to overcome mental health challenges, build resilience, and achieve a more fulfilling and balanced life (Beck & Haigh, 2019).
References
American Psychological Association. (2020). The importance of mental health treatment and support. Retrieved from https://www.apa.org/helpcenter/importance
Beck, J. S., & Haigh, E. A. P. (2019). Cognitive-behavioral therapy in adults: A review of meta-analyses. Journal of Clinical Psychology, 75(6), 865-880. https://doi.org/10.1002/jclp.22709
Cuijpers, P., Karyotaki, E., Weitz, E., Andersson, G., Hollon, S. D., Van Straten, A., & Ebert, D. D. (2020). The effects of psychotherapies for major depression in adults on remission, recovery, and improvement: A meta-analysis. Journal of Affective Disorders, 275, 152-160. https://doi.org/10.1016/j.jad.2020.06.034
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2018). Mindfulness-based cognitive therapy for depression (2nd ed.). Guilford Press.
Home Assessment & Adaptation
Home assessment and adaptation involve evaluating an individual’s living environment and making necessary modifications to enhance safety, accessibility, and independence. This process is particularly important for adults with physical disabilities, chronic illnesses, or those recovering from injuries, as it helps create a supportive environment that meets their unique needs (Gitlin & Corcoran, 2021).
A home assessment typically involves a thorough evaluation by healthcare professionals, such as occupational therapists, who identify potential hazards and barriers that could impede daily activities. This assessment considers various factors, including mobility, vision, cognitive function, and the ability to perform daily tasks like bathing, cooking, and moving around the home (Stark, Keglovits, Arbesman, & Lieberman, 2017).
Following the assessment, home adaptations may include structural changes such as installing ramps, widening doorways, and adding grab bars in bathrooms. Non-structural adaptations might involve rearranging furniture, enhancing lighting, or introducing assistive devices like stairlifts and adaptive kitchen tools. These modifications aim to reduce the risk of falls, increase accessibility, and promote independence, allowing individuals to remain in their homes longer and with greater comfort (Pynoos, Steinman, & Nguyen, 2018).
Research supports the effectiveness of home adaptation in improving quality of life and reducing healthcare costs. Studies have shown that these interventions can significantly lower the risk of falls and other accidents, enhance functional performance, and decrease the need for institutional care (Stark et al., 2017). Moreover, home adaptations contribute to a greater sense of security and well-being for both individuals and their families (Gitlin & Corcoran, 2021).
By addressing the specific needs of adults through home assessment and adaptation, this process plays a crucial role in enabling individuals to live safely, independently, and with dignity in their own homes.
References
Gitlin, L. N., & Corcoran, M. A. (2021). Home modification and management of daily activities. American Journal of Occupational Therapy, 75(3), 303-315. https://doi.org/10.5014/ajot.2021.039215
Pynoos, J., Steinman, B. A., & Nguyen, A. Q. D. (2018). Environmental modifications to support aging at home. Journal of Housing for the Elderly, 32(3), 249-265. https://doi.org/10.1080/02763893.2018.1431586
Stark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: A systematic review. American Journal of Occupational Therapy, 71(2), 7102290010p1-7102290010p11. https://doi.org/10.5014/ajot.2017.018887
Psychoeducation
Psychoeducation is a therapeutic approach that involves providing individuals with information and education about their mental health conditions, treatment options, and coping strategies. This process aims to empower adults by enhancing their understanding of psychological issues, promoting self-management, and improving overall mental well-being (Donker et al., 2009).
Psychoeducation can be delivered in various formats, including individual sessions, group workshops, or online programs. It covers a wide range of topics, such as understanding symptoms of mental health disorders, exploring the impact of stress on the body and mind, and learning about the benefits and side effects of medications (Lukens & McFarlane, 2004). Additionally, psychoeducation often includes training in coping mechanisms, stress management techniques, and problem-solving skills, which can help individuals manage their conditions more effectively (Bauml et al., 2006).
Research has shown that psychoeducation is an effective tool for improving treatment adherence, reducing relapse rates, and enhancing the overall quality of life for individuals with mental health conditions. For example, studies indicate that patients with depression or anxiety who receive psychoeducation are more likely to engage in their treatment plans and experience better outcomes (Donker et al., 2009). Moreover, psychoeducation can help reduce the stigma associated with mental illness by fostering a better understanding of these conditions among individuals and their families (Lukens & McFarlane, 2004).
By providing adults with the knowledge and skills necessary to manage their mental health, psychoeducation empowers them to take an active role in their recovery, leading to greater autonomy and improved mental health outcomes (Bauml et al., 2006).
References
Bauml, J., Frobose, T., Kraemer, S., Rentrop, M., & Pitschel-Walz, G. (2006). Psychoeducation: A basic psychotherapeutic intervention for patients with schizophrenia and their families. Schizophrenia Bulletin, 32(Suppl 1), S1-S9. https://doi.org/10.1093/schbul/sbl017
Donker, T., Griffiths, K. M., Cuijpers, P., & Christensen, H. (2009). Psychoeducation for depression, anxiety, and psychological distress: A meta-analysis. BMC Medicine, 7(1), 79. https://doi.org/10.1186/1741-7015-7-79
Lukens, E. P., & McFarlane, W. R. (2004). Psychoeducation as evidence-based practice: Considerations for practice, research, and policy. Brief Treatment and Crisis Intervention, 4(3), 205-225. https://doi.org/10.1093/brief-treatment/mhh019
Assistive technology products
Assistive technology products play a crucial role in holistic rehabilitation by addressing the diverse needs of individuals with difficulties, enabling them to lead more independent and fulfilling lives. Through our collaboration with specialized IT specialists, we are committed to providing these essential tools at accessible prices, ensuring that more people can benefit from their transformative potential.
Our expert IT specialists assess each individual’s unique requirements, identifying the most suitable assistive technology products to resolve daily challenges effectively. This personalized approach ensures that the selected devices are not only functional but also tailored to enhance the user’s daily life. Whether it’s adaptive communication devices, mobility aids, or software solutions for cognitive support, our collaborators’ range of options covers a wide spectrum of needs.
Give us a call to book an appointment for a free evaluation of the appropriate technology aids for your case.
What type of Rehabilitation is appropriate for me?
At Noesis Center, we begin with a focus on brain and cognition, but also conduct holistic evaluations of overall function to develop a comprehensive, multidisciplinary plan tailored to cognitive abilities, daily needs, speech, and motor function.
We are addressed to people who wish to:
- Evaluate and improve their cognitive difficulties due to a particular disorder
- Check their cognitive function and obtain a written report
- Exercise their cognitive abilities
A personalized Rehabilitation plan will designed by our health care professionals, combining two or more of the aforementioned services to suit your individual needs.
Which is the procedure?
After you book your appointment and have a preliminary consultation on your case and needs, a healthcare professional will conduct a Brief or Extended Neuropsychological Assessment to you depending on the request. Then, depending on your needs, we will develop a personalized treatment plan. Our interventions include weekly sessions with healthcare professionals at our premises or at your own space if have mobility limitations.
What type of tools are being used?
At Noesis Center we use a wide range of Neuropsychological Rehabilitation tools which is continuously enriched.
All tools are creatively adapted to each individual’s preferences and the latest research.
For example, we implement memory exercises using paper-and-pencil tests, everyday-life objects hidden in a bag and/or computerized tasks. We train critical thinking using paper-and-pencil tests but also news discussions and/or board and card games, among others.
We train long-term memory and hand-eye coordination using singing and music activities. We train constructive using cubes or everyday objects, auto-biographical memory using smell identification and recognition tasks involving famous people, objects, and folklore art.
We also incorporate exercises based on personal interests, such as cooking, knitting, or electrical tasks, alongside advanced technologies like augmented and virtual reality tools and electronic exercises, including driving tests, word-finding challenges, and object position memory tests.
We believe exercises are most effective, engaging, and long-lasting when tailored to personal interests, which is why we meticulously prepare a personalized exercise regimen before each meeting.
Do you have any questions?
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