Des interventions ciblant l’amélioration cognitive sont de plus en plus à l’intérêt dans nombreux domaines, y compris la neuropsychologie. Bien qu'il existe de nombreuses méthodes pour maximiser le potentiel cognitif de quelqu’un, ils sont rarement appuyé par la recherche scientifique. D’abord, ce mémoire examine brièvement l'état des interventions d'amélioration cognitives. Il décrit premièrement les faiblesses observées dans ces pratiques et par conséquent il établit un modèle standard contre lequel on pourrait et devrait évaluer les diverses techniques ciblant l'amélioration cognitive. Une étude de recherche est ensuite présenté qui considère un nouvel outil de l'amélioration cognitive, une tâche d’entrainement perceptivo-cognitive : 3-dimensional multiple object tracking (3D-MOT). Il examine les preuves actuelles pour le 3D-MOT auprès du modèle standard proposé. Les résultats de ce projet démontrent de l’augmentation dans les capacités d’attention, de mémoire de travail visuel et de vitesse de traitement d’information. Cette étude représente la première étape dans la démarche vers l’établissement du 3D-MOT comme un outil d’amélioration cognitive. / Cognitive enhancement is a domain of burgeoning interest in many domains including neuropsychology. While there are different methods that exist in order to achieve cognitive enhancement, there are few that are supported by research. The current work examines the state of cognitive enhancement interventions. It first outlines the weaknesses observed in these practices and then proposes a standard template for assessing cognitive enhancement tools. A research study is then presented that examines a novel cognitive enhancement tool, 3-dimensional multiple object tracking (3D-MOT), and weighs the current evidence for 3D-MOT against the proposed standard template. The results of the current work demonstrate that 3D-MOT is effective in enhancing attention, working memory and visual information processing speed, and represent a first step toward establishing 3D-MOT as a cognitive enhancement tool.

This thesis deals with the effectiveness of individual vs. group cognitive therapies in stroke patients by training sheets, and pencil-paper exercises. The thesis is divided into theoretical and practical part. The theoretical part of the thesis describes the issue of this disease and the current study of cognitive training. The main aim of the practical part is to compare the effectiveness of group and individual cognitive training by means of intensive cognitive training in patients after stroke (within a year after a stroke). Another aim of the study is to find out how patients were satisfied with cognitive function by using the Schwartz scale of therapy. The study included 20 patients who were selected based on predetermined entry criteria. Subsequently, they were divided into two groups of 10 patients. Group 1 underwent individual cognitive therapy and group 2 underwent group therapy. In both groups, cognitive therapy was performed three times a week for one month. The time of one therapy was always 35-40 minutes. Patients were examined at baseline with the Montreal Cognitive Test and Schwartz's scale of therapy evaluation was added to the test at the end of the test. The results showed comparable improvements in the Montreal cognitive test in both groups. Furthermore, they showed comparable...

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The past years have seen an incredible increase in the quality and success rates of treatments in pediatric medicine. One of the resulting major challenges refers to the management of primary or secondary residual executive function deficits in affected children. These deficits lead to problems in the ability to acquire, understand, and apply abstract and complex knowledge and to plan, direct, and control actions. Executive functions deficits are important to consider because they are highly predictive of functioning in social and academic aspects of daily life. We argue that current clinical practice does not sufficiently account for the complex cognitive processes in this population. This is because widely applied pharmacological interventions only rarely account for the complexity of the underlying neuronal mechanisms and do not fit well into possibly powerful “individualized medicine” approaches. Novel treatment approaches targeting deficits in executive functions in seriously ill children could focus on neuronal oscillations, as these have some specific relations to different aspects of executive function. Importantly, such treatment approaches can be individually tailored to the individuals’ deficits and can be transferred into home-treatment or e-health solutions. These approaches are easy-to-use, can be easily integrated into daily life, and are becoming increasingly cost-effective.

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Performance of cognitive abilities, like attention, memory, language and speech, planning, decision making or logical thinking, is the basic assumption for quality of life. There are many ways how to keep and improve them. This thesis deals with connection of information technologies and cognitive sciences with focus on memory support. At the beginning there is introduced an aim of thesis in detail, in the next chapter there are described memory systems and other cognitive functions. Third chapter is focused on short introduction of brain structures, neurotransmitters affecting memory activities and imaging methods that serve for observing memory activities. In the forth chapter there are described the most common memory deficits. In the fifth part there is description of several computer programs currently used for cognitive functions support. Within the scope of practical part there was tested one software from fifth chapter with focus on memory abilities of researched sample. The results of conducted experiment are described in detail at the very end of this thesis.

Ce travail de thèse présente une approche clinique et thérapeutique visant à fournir de nouvelles techniques de soins pour les patients atteints de troubles neurocognitifs et notamment de maladie d’Alzheimer. Les serious exergames sont des jeux vidéo sérieux intégrant une activité physique. Ils peuvent constituer des outils de production d’environnement enrichi pour les utilisateurs, en associant notamment exercice physique et entraînement cognitif. L’objectif de cette thèse est d’explorer en quoi les serious exergames peuvent contribuer à la prise en charge non médicamenteuse des troubles neurocognitifs. Dans ce travail, nous avons réalisé deux types de contribution. Les premières contributions sont générales, l’une présente notre approche clinique intégrative combinant exercice physique et entraînement cognitif via l’utilisation de serious exergames, et l’autre présente des recommandations concernant l’usage des serious games. Les secondes contributions sont de nature expérimentale. La première expérimentation vise à vérifier une des bases théoriques de notre approche clinique. Les deux expérimentations suivantes constituent une évaluation de la mise en œuvre de notre approche. / This thesis presents a clinical and therapeutic approach aiming to create new care for patients with neurocognitive disorder. Serious exergames are serious video games integrating physical activity. Serious exergames could be tools to product enriched environment associating physical exercise and cognitive training. The aim of this thesis is to investigate whether serious exergames can contribute to the non-pharmacological management of neurocognitive disorders. In this thesis we have made two types of contributions. The first type are general contributions. One presents our integrative clinical approach associating physical exercise and cognitive training using serious exergames. The other one presents recommendations concerning the use of serious exergames. The second type of contributions are experimental. The first one aims to confirm a theoretical base of our clinical approach. The two other experiments assess the implementation of our approached in a population of patients with neurocognitive disorder.

Objectives: The purpose of the current study was to evaluate whether a 12-week neuropsychological rehabilitation program has a positive effect on the improvement of cognitive functions and what methods can be used to measure this effect. Furthermore, this study intended to verify the effect of the chosen training plan on the resulting state of cognitive functions, in particular with regard to the frequency and duration of the plan. Methodology: Forty-three patients diagnosed with MS were randomized into an experimental condition or the control group. The experimental condition included 26 patients (22 women and 4 men), whole the control group consisted of 17 patients (12 women and 5 men). All of these patients had a cognitive defect that was assessed at the beginning of the study and monitored using the neuropsychological tests after the participation in the training program. Participants in the experimental group received their rehabilitation of cognitive functions using a PC training program, which they completed in their home environments (30 minutes/4 times per week, for 8 consecutive weeks). Overall, there were 32 training sessions on predetermined days with a specific detailed training plan. The control group received no training. The neuropsychological tests used at the beginning and the...

Plasticity is a central concept within the life-span approach of development and is defined as the ability of an individual to change and reorganize in response to environmental challenges (e.g., Baltes & Singer, 20019. Such intraindividual changes can be induced by systematic cognitive training. Recent studies suggest that substantial amounts of plasticity can be induced in executive control functions with a process-based training approach. These newer studies show that repeated practice on executive control tasks not only improved performance on these trained tasks, but also led to improvements in nontrained tasks (i.e., transfer; e.g., Jaeggi, Buschkuehl, Jonides, & Perrig, 2008; Karbach & Kray, 2009). Executive control processes are especially relevant from a developmental perspective because executive control is involved in a wide range of complex cognitive activities (e.g., van der Sluis, de Jong, & van der Leij, 2007) and is one of the most central areas of cognitive development (e.g., Craik & Bialystok, 2006). The current thesis aimed at elucidating several important questions concerning the plasticity of executive control functions induced by systematic cognitive training. Firstly, the amount, range, and stability of plasticity in adolescents and older adults were investigated. Secondly, studies explored if training design, age, and interindividual differences moderate the amount and range of plasticity. Furthermore, the current thesis aimed at exploring how process-based training specifically leads to transfer effects. To explore these questions, all studies employed a pretest-posttest-design comparing a group of participants that was trained with a process-based training approach to a group of control partici-pants that did not receive the training. Pretraining and posttraining sessions incorporated systematic assessment of transfer measures in different cognitive domains. The first study set out to investigate if executive control can be trained in adolescents with a task switching training. Additionally, the study explored what particular domains of executive control may underlie training and transfer effects, and if acute bouts of exercise directly prior to cognitive training enhance training effects. Analyses indicated substantial training effects for both training groups (with or without acute exercise) and near transfer to a similar switching task. Other findings of transfer were limited to a speed task and a tendency for faster reaction times in an updating task. Thus, findings indicate, for the first time, that executive control can be enhanced in adolescents through a short training. Furthermore, analyses suggest that updating may be of particular relevance for the effects of the task switching training. Analyses revealed no additional effects of the exercise intervention. The second study set out to explore, for the first time, the effects of a process-based training ap-proach in old-old age (above 80 years). After ten sessions of practice on working memory tasks, the training group improved in four of the five trained tasks, emphasizing the potential for plasticity even in old-old age. The gains in the training group were largely driven by individuals who started out with a low capacity in the training tasks. Thus, findings suggest that working memory can be improved with a short executive control training even in old-old age, particularly for low-capacity individuals. The absence of transfer effects in this study may point to the limits of plasticity in this age group. The third study aimed at further elucidating the mixed findings regarding the amounts of training and transfer effects induced by executive control training in older adults. For that purpose, a sample of older adults covering a wide range from young-old to old-old age (65 to 95 years) was either trained for nine sessions on a visuospatial and a verbal working memory as well as an executive control task; or served as controls. Analyses revealed significant training effects in all three trained tasks, as well as near transfer to verbal working memory and far transfer to a nonverbal reasoning task. Remarkably, all training effects and the transfer effect to verbal working memory were even stable at a nine-month follow-up. These findings suggest that cognitive plasticity is preserved over a large range of old age and that even a rather short training regimen can lead to (partly specific) training and transfer effects. However, analyses also revealed that there are a range of factors that may moderate the amount of plasticity, e.g., age and baseline performance in the training domain. To summarize, the current thesis explored effects of short executive control trainings on cognitive functions in adolescents and older adults. The findings suggest a high potential for intraindividual variability across the whole life-span. Plasticity was shown on the level of training and transfer tasks, as well as on the level of stability of effects. Furthermore, results support the notion that process-based training improves executive control processes that in turn lead to improvements in tasks that rely on these processes. The current thesis makes important contributions to the conceptual debate about the potentials and limits of training-induced plasticity across the life-span. It benefits the debate in that it specifically delineates factors that moderate the obtained effects.:Abstract ..............................................................................................1 1 General Introduction .....................................................................3 1.1 Plasticity of cognitive functions ...................................................5 1.2 Executive control functions .........................................................6 1.3 Cognitive training of executive control functions .......................9 2 Outline and Central Questions ......................................................19 2.1 What amount of plasticity does executive control training induce in different age groups? .........................................................................19 2.2 Do training and transfer effects of executive control training remain stable over time? ....................................................................20 2.3 Do training design, age, and baseline performance moderate the amount of plasticity? ...........................................................................20 2.4 Are changes in trained tasks specifically related to changes in transfer tasks? .................................................................................21 3 Study 1 - Effects of a Task Switching Training in Adolescents .......22 3.1 Introduction ..............................................................................22 3.2 Methods ....................................................................................27 3.3 Results ......................................................................................33 3.4 Discussion .................................................................................43 4 Study 2 - Effects of a Working Memory Training in Old-Old adults .48 4.1 Introduction ...............................................................................48 4.2 Methods .....................................................................................51 4.3 Results .......................................................................................54 4.4 Discussion ..................................................................................59 5 Study 3 - Factors Moderating Effects of Working Memory Training in Older Adults .......................................................................63 5.1 Introduction ................................................................................63 5.2 Methods ......................................................................................67 5.3 Results .........................................................................................71 5.4 Discussion ...................................................................................78 6 General Discussion .........................................................................83 6.1 Summary of empirical findings .....................................................83 6.2 Integration of the main empirical findings ...................................85 6.3 Conclusion and Outlook ...............................................................95 6.4 Summary ......................................................................................98 References ..........................................................................................99 Appendix ............................................................................................112

Deficits in working memory (WM) functions represent one of the main causes of limited participation in daily life and impaired recovery after brain injury. Based on promising research in clinically healthy individuals, which suggest that repetitive training may improve WM performance and other related cognitive functions, this thesis aimed at exploring the potential and limits of WM training in clinical populations. Existing research on WM training and relevant neuropsychological outcomes were examined with a special focus on individuals with acquired brain injury by means of a meta-analysis (study I). The findings indicated relevant impact of WM training on both behavioral performance and disease-related symptom reduction. To determine the primary outcome variable for the evaluation studies, the Corsi Block-Tapping Task was reviewed (study II). Due to the lack of an appropriate theory-based intervention tailored for the needs of individuals with low WM capacity, the program 'WOME' was developed (study III). Three randomized, double-blind, placebo-controlled trials were carried out to evaluate the efficacy of the new intervention and to provide valuable recommendations for its application in clinical practice (study IV, V and VI). Significant improvements in the trained tasks, moderate to large transfer effects in overall WM performance, and related benefits in daily life were demonstrated. The effects were short-termed with very limited evidence supporting transfer to other cognitive functions. In accordance with the results of the meta-analysis (study I), the number of sessions was identified as an important modulator of efficacy by comparing different training intensities and training tasks. The specific content, in contrast, seemed to be less relevant. Mediation analyses revealed that inter-individual differences influence the successful application of the intervention, in particular initial WM capacity. Implications for clinical application and WM training research are discussed.:1. Introduction 1.1. Definition of the working memory system 1.2. Functional neuroanatomy of working memory 1.3. Functional relevance of working memory 1.4. Training of working memory functions 1.5. Objectives of the current thesis 2. Experimental work 2.1. Study I: Can impaired working memory functioning be improved by training? A meta-analysis with a special focus on brain injured patients 2.2. Study II: „Was misst eigentlich die Blockspanne?“ — Der Gold-Standard im Fokus. 2.3. Study III: WOME working memory training — A new intervention for individuals with low WM capacity 2.4. Study IV: WOME: Theory-based working memory training — A placebo-controlled, double-blind evaluation in older adults 2.5. Study V: Effects of working memory training in patients with acquired brain injury: a double-blind randomized controlled trial. 2.6. Study VI: The effect of high vs. low intensity neuropsychological treatment on working memory in patients with acquired brain injury. 3. General discussion 3.1. Summary of the empirical findings 3.2. Implications for clinical practice 3.2.1. Benefits and limits of working memory training 3.2.2. The importance of training dose and its practical implementation 3.2.3. The influence of inter-individual differences on training efficacy 3.3. Implications for working memory training research 3.4. Critical comments and directions for future research 3.5. Conclusion 4. References 5. Summary 6. Zusammenfassung Appendices List of abbreviations List of Tables List of Figures Supplemental material Curriculum vitae List of publications Selbstständigkeitserklärung