References of "LEKEU, Françoise"
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See detailPROFINTEG: A TOOL FOR REAL-LIFE ASSESSMENT OF ACTIVITIES OF DAILY LIVING IN PATIENTS WITH COGNITIVE IMPAIRMENT
Anselme, Patrick ULg; Poncelet, Martine ULg; Bouwens, Sharon et al

in Psychologica Belgica (2013), 53(1), 3-22

Although there are many instruments for assessing activities of daily living (IADL) in brain injured patients, few instruments specifically target cognitive impairment and its impact on IADL. The present ... [more ▼]

Although there are many instruments for assessing activities of daily living (IADL) in brain injured patients, few instruments specifically target cognitive impairment and its impact on IADL. The present study presents the development of the Profinteg instrument, a tool for real-life assessment as well as rehabilitation of IADL in patients with cognitive impairment. This two-stage instrument covers over 90 activities. Psychometric properties of the different Profinteg measures were explored in twenty-five patients with mild to severe cognitive difficulties and twenty-five caregivers. The feasibility of the Profinteg rehabilitation procedure was explored in three patients. Excellent interrater reliability (r > 0.90, p < 0.01) was observed for all measures. Good sensitivity to changes in IADL disability over time was also observed (T = 2.37, p < 0.02). Significant improvement of IADL functioning was found after rehabilitation guided by Profinteg assessment. The Profinteg instrument detects with precision the difficulties patients encounter in their real-life setting via (1) assessment of a large number of activities and (2) detailed decomposition of activities into sub-activities. The Profinteg tool also provides promising results for guidance of IADL rehabilitation in the patient’s real-life environment. [less ▲]

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See detailVerbal learning in Alzheimer’s disease and mild cognitive impairment:fine-grained acquisition and short-delay consolidation performance and neural correlates
Genon, Sarah ULg; Collette, Fabienne ULg; Moulin, Chris et al

in Neurobiology of Aging (2013), 34

The aim of this study was to examine correlations between acquisition and short-delay consolidation and brain metabolism at rest measured by fluorodeoxyglucose positron emission tomography (FDG-PET) in 44 ... [more ▼]

The aim of this study was to examine correlations between acquisition and short-delay consolidation and brain metabolism at rest measured by fluorodeoxyglucose positron emission tomography (FDG-PET) in 44 Alzheimer’s disease (AD) patients, 16 patients with mild cognitive impairment (MCI) who progressed to dementia (MCI-AD), 15 MCI patients who remained stable (MCI-S, 4–8 years of follow-up), and 20 healthy older participants. Acquisition and short-delay consolidation were calculated respectively as mean gained (MG) and lost (ML) access to items of the California Verbal Learning Task. MG performance suggests that acquisition is impaired in AD patients even at predementia stage (MCI-AD). ML performance suggests that short-delay consolidation is deficient only in confirmed AD patients. Variations in acquisition performance in control participants are related to metabolic activity in the anterior parietal cortex, an area supporting task-positive attentional processes. In contrast, the acquisition deficit is related to decreased activity in the lateral temporal cortex, an area supporting semantic processes, in patients at an early stage of AD and is related to metabolic activity in the hippocampus, an area supporting associative processes, in confirmed AD patients. [less ▲]

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See detailMemory impairments in dementia: Which memory and how does it fail?
Salmon, Eric ULg; Collette, Fabienne ULg; Genon, Sarah ULg et al

in Frontiers in Human Neuroscience (2012)

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See detailNeural correlates of controlled memory processes in questionable Alzheimer’s disease
Bastin, Christine ULg; Kerrouche, Nacer; LEKEU, Françoise ULg et al

in Ashford, J. Wesson; Rosen, Allyson; Adamson, Maheen (Eds.) et al Advances in Alzheimer's Disease. Volume 2: Handbook of imaging the Alzheimer brain (2011)

Alzheimer’s disease (AD) is characterized by a progressive loss of controlled cognitive processes (processes requiring mental effort and attentional resources), and functional neuroimaging at early stages ... [more ▼]

Alzheimer’s disease (AD) is characterized by a progressive loss of controlled cognitive processes (processes requiring mental effort and attentional resources), and functional neuroimaging at early stages of AD provides an opportunity to tease out the neural correlates of controlled processes. Controlled and automatic memory performance was assessed with the Process Dissociation Procedure in 50 patients diagnosed with questionable Alzheimer’s disease (QAD). The patients’ brain glucose metabolism was measured using FDG-PET. After a follow-up period of 36 months, 27 patients had converted to AD, while 23 remained stable. Both groups showed a similar decrease in controlled memory processes but preserved automatic processes at entry into the study, suggesting that impairment of controlled memory would not be specific for AD. Patients who subsequently converted to Alzheimer type dementia showed significantly decreased brain metabolism at baseline compared to stable QAD in associative cortices known to be involved in AD (the left precuneus, the right inferior parietal lobule and bilateral middle temporal cortex).Voxel-based cognitive and metabolic correlations showed that a decrease in controlled memory processes was preferentially correlated with lower activity in the dorsomedial prefrontal and posterior cingulate cortices in very early AD patients. The dorsomedial prefrontal cortex would play a role in controlled memory processes as they relate to reflective and monitoring processes, while the posterior cingulate cortex is involved in the controlled access to previously encoded episodes. In stable QAD patients, reduced controlled performance in verbal memory correlated with impaired activity in the left anterior hippocampal structure, which would alter the reactivation of associations created at encoding. [less ▲]

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See detailControlled Memory Processes in Questionable Alzheimer's Disease: A View from Neuroimaging Research
Bastin, Christine ULg; Kerrouche N; Lekeu, Françoise ULg et al

in Journal of Alzheimer's Disease [=JAD] (2010), 20(2), 547-560

Alzheimer's disease (AD) is characterized by a progressive loss of controlled cognitive processes, and neuroimaging studies at early stages of AD provide an opportunity to tease out the neural correlates ... [more ▼]

Alzheimer's disease (AD) is characterized by a progressive loss of controlled cognitive processes, and neuroimaging studies at early stages of AD provide an opportunity to tease out the neural correlates of controlled processes. Accordingly, controlled and automatic memory performance was assessed with the Process Dissociation Procedure in 50 patients diagnosed with questionable Alzheimer's disease (QAD). The patients' brain glucose metabolism was measured using FDG-PET. After a follow-up period of 36 months, 27 patients had converted to AD, while 23 remained stable. Both groups showed a similar decrease in controlled memory processes but preserved automatic processes at entry into the study. Voxel-based cognitive and metabolic correlations showed that a decrease in controlled memory processes was preferentially correlated with lower activity in the dorsomedial prefrontal and posterior cingulate cortices in very early AD patients. In stable QAD patients, reduced controlled performance in verbal memory correlated with impaired activity in the left anterior hippocampal structure. The results demonstrated the central role of a medial frontal-posterior cingulate network for controlled processing of episodic memory in the early stages of AD. [less ▲]

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See detailGait analysis in elderly adult patients with mild cognitive impairment and patients with mild Alzheimer’s disease: simple versus dual task: A preliminary report
Maquet, Didier ULg; Lekeu, Françoise ULg; Warzee, Emmanuelle ULg et al

in Clinical Physiology & Functional Imaging (2010), 30(1), 51-56

Background ⁄ Aims: The aim of this study was to assess gait characteristics during simple and dual task in patients with mild cognitive impairment (MCI) and compare them with those of healthy elderly ... [more ▼]

Background ⁄ Aims: The aim of this study was to assess gait characteristics during simple and dual task in patients with mild cognitive impairment (MCI) and compare them with those of healthy elderly subjects and mild Alzheimer s disease (AD) patients. Methods: We proposed a gait analysis to appreciate walking (simple task and dual task) in 14 MCI, 14 controls and six AD subjects who walked at their preferred speed. A 20-second period of stabilized walking was used to calculated stride frequency, stride length, symmetry and regularity. Speed walking was measured by electrical photocells. Results: Variables measured during simple and dual tasks showed an alteration of motor function as well in mild AD patients as in MCI patients. Conclusion: At the end of this preliminary study, we defined a specific gait pattern for each cognitive profile. Further researches appear necessary to enlarge the study cohort. [less ▲]

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See detailA grid for a precise analysis of daily activities
Wojtasik, Vinciane ULg; Olivier, Catherine ULg; Lekeu, Françoise ULg et al

in Neuropsychological Rehabilitation (2010), 20

Assessment of daily living activities is essential in patients with Alzheimer's disease. Most current tools quantitatively assess overall ability but provide little qualitative information on individual ... [more ▼]

Assessment of daily living activities is essential in patients with Alzheimer's disease. Most current tools quantitatively assess overall ability but provide little qualitative information on individual difficulties. Only a few tools allow therapists to evaluate stereotyped activities and record different types of errors. We capitalised on the Kitchen Activity Assessment to design a widely applicable analysis grid that provides both qualitative and quantitative data on activity performance. A cooking activity was videotaped in 15 patients with dementia and assessed according to the different steps in the execution of the task. The evaluations obtained with our grid showed good correlations between raters, between versions of the grid and between sessions. Moreover, the degree of independence obtained with our analysis of the task correlated with the Kitchen Activity Assessment score and with a global score of cognitive functioning. We conclude that assessment of a daily living activity with this analysis grid is reproducible and relatively independent of the therapist, and thus provides quantitative and qualitative information useful for both evaluating and caring for demented patients. [less ▲]

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See detailThe California Verbal Learning Test and other standard clinical neuropsychological tests to predict conversion from mild memory impairment to dementia.
Lekeu, Françoise ULg; Magis, Delphine ULg; Marique, Patricia et al

in Journal of Clinical & Experimental Neuropsychology (2010), 20

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See detailVerbal Learning in Alzheimer’s disease and Mild Cognitive Impairment: neuroanatomic correlates of acquisition and consolidation performances
Genon, Sarah ULg; Collette, Fabienne ULg; Moulin, Christopher et al

in Proceedings of the Annual Meeting of the Belgian Association for Psychological Sciences (2010)

The aim of this study was to examine correlations between impaired memory acquisition/consolidation and brain metabolism at rest in Alzheimer’s disease. 44 confirmed Alzheimer patients (AD), 16 patients ... [more ▼]

The aim of this study was to examine correlations between impaired memory acquisition/consolidation and brain metabolism at rest in Alzheimer’s disease. 44 confirmed Alzheimer patients (AD), 16 patients with mild cognitive impairment (MCI) who converted to AD (MCI-C) (4-8 years of follow-up), 15 MCI patients who remained stable and 12 healthy elderly controls were administered the California Verbal Learning Task (CVLT) at entry. Acquisition and consolidation memory scores were calculated respectively as mean gained and total lost access across the 5 study-test trials (p = 0.05). Brain metabolism was measured by 18FDG-PET. Cognitive-metabolic correlations were performed with SPM8 (p<0.05 uncorrected). Mean gained access was significantly lower in the AD group than in the control and MCI-S group and was significantly lower in the MCI-C group than in the control group. Mean gained access was significantly correlated to metabolism in the left precentral gyrus and IPS fondus in the control group, in the left and right inferior parietal lobules in the MCI-S group and in the left hippocampus in the AD group. Total lost access was greater in AD patients compared to control participants. No significant correlation between total lost access and brain metabolism was found. The acquisition process is impaired in AD patients at a very early stage of the disease (MCI-C). This deficit is linked to metabolic changes in a frontoparieto-hippocampal learning network. In addition, consolidation process is specifically impaired in confirmed AD patients, while this deficit was not significantly correlated to brain metabolism in our participant groups. [less ▲]

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See detailIs there an interest to determine the gait’s profile of MCI subjects to predict the risk of Alzheimer disease?
Gillain, Sophie ULg; Lekeu, Françoise ULg; Wojtasik, Vinciane ULg et al

in Journal of Nutrition, Health & Aging (The) (2009, June), 13(Supp 1),

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See detailInterest of Locometrix to assess gait’s profile in specific old populations
Gillain, Sophie ULg; Warzee, Emmanuelle ULg; Lekeu, Françoise ULg et al

in Journal of Nutrition, Health & Aging (The) (2009, June), 13(Supp 1),

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See detailNeuropsychological analysis of gait disturbances during dual task in MCI patients
Lekeu, Françoise ULg; Gillain, Sophie ULg; Warzee, Emmanuelle ULg et al

in Journal of Nutrition, Health & Aging (The) (2009), 13(Supp 1),

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See detailInterest of Locometrix compared with others clinical tests to assess gait’s profile in some specific old populations
Gillain, Sophie ULg; Warzee, Emmanuelle ULg; Maquet, Didier ULg et al

in Journal of Nutrition, Health & Aging (The) (2009), 13(Supp 1),

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See detailLes corrélats neuronaux de l’acquisition et de la consolidation en mémoire dans la maladie d’Alzheimer et le trouble de mémoire isolé
Genon, Sarah ULg; Collette, Fabienne ULg; Moulin, Christopher et al

in Revue Neurologique (2009), 165

Introduction : Un déficit en mémoire épisodique est caractéristique dans la maladie d’Alzheimer (AD) et chez les patients âgés présentant une altération cognitive légère (MCI). Cette altération peut ... [more ▼]

Introduction : Un déficit en mémoire épisodique est caractéristique dans la maladie d’Alzheimer (AD) et chez les patients âgés présentant une altération cognitive légère (MCI). Cette altération peut s’expliquer par un déficit d’acquisition et/ou un déficit de consolidation. Toutefois, les modifications cérébrales responsables de ces déficits ne sont pas encore parfaitement élucidées. L’objectif de notre étude était de mettre en relation le profil d’apprentissage déficitaire de ces patients avec leur métabolisme cérébral au repos. Méthode : L’épreuve du California Verbal Learning Test (CVLT) a été administrée à 51 patients AD, 18 patients MCI qui sont restés stables (suivi longitudinal de 18 mois, MCI-S), 16 patients MCI qui ont développé la maladie d’Alzheimer (MCI-C) durant les 18 mois de suivi et 12 participants de contrôle. La mesure d’acquisition est la proportion moyenne de gain à travers les 5 essais d’apprentissage du CVLT. La mesure de consolidation est la proportion totale de pertes à travers ces 5 essais. La mesure du métabolisme cérébral au repos a été effectuée en tomographie par émission de positions (18FDG-TEP). Les mesures de corrélation cognitivo-métabolique ont été réalisées au moyen du logiciel SPM8 (p non-corrigé avec hypothèse a priori <0.001). Résultats : Les groupes AD et MCI-C ont un gain moyen moindre que les groupes MCI-S et contrôles. L’ampleur du gain inter-essais est positivement corrélée à l’activité métabolique au niveau de l’hippocampe postérieur chez les patients AD, à l’activité pariétale inférieure chez les patients MCI-S, et à l’activité frontale postérieure dans le groupe contrôle. Par ailleurs, le groupe AD présente plus de pertes inter-essais que les trois autres groupes. Toutefois, aucune corrélation significative n’apparait entre le total des pertes inter-essais et le métabolisme cérébral. Discussion : Ces données suggèrent que les patients AD, même à un stade très précoce (MCI-C) présentent un déficit d’acquisition de l’information. Ce déficit pourrait être sous-tendu par des perturbations métaboliques dans les réseaux d’apprentissage fronto-pariétaux et hippocampique. Il existe de plus un déficit de consolidation inter-essais spécifique aux patients AD mais ce déficit n’est corrélé à aucune région cérébrale au seuil statistique utilisé. [less ▲]

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See detailCombiner les mesures métaboliques cérébrales et neuropsychologiques permet une meilleure prédiction de la conversion vers une maladie d’Alzheimer chez les patients MCI
Bastin, Christine ULg; Adam, Stéphane ULg; LEKEU, Françoise ULg et al

in Revue Neurologique (2009), 165

Introduction. Une voie de recherche neurologique importante concerne la capacité de prédire sur base de l’évaluation initiale des patients avec Mild Cognitive Impairment (MCI) ceux qui vont développer une ... [more ▼]

Introduction. Une voie de recherche neurologique importante concerne la capacité de prédire sur base de l’évaluation initiale des patients avec Mild Cognitive Impairment (MCI) ceux qui vont développer une maladie d’Alzheimer (MA). Parmi les tests neuropsychologiques, le rappel indicé avec indiçage congruent lors de l’encodage et du rappel (RI48) apparaît comme le meilleur prédicteur du devenir des patients MCI (Ivanoiu et al., 2005). D’autre part, on a montré que les mesures métaboliques cérébrales (TEP-FDG), plus particulièrement l’hypométabolisme du cortex temporopariétal, prédit le déclin cognitif global dans le MCI mieux que des mesures neuropsychologiques (Chételat et al., 2005). Le but de notre étude était d’évaluer le pouvoir de prédiction pour la conversion du MCI vers une MA de deux prédicteurs robustes (performance au RI48 et métabolisme cérébral) pris soit isolément soit ensemble. Méthode. 50 patients MCI ont subi un examen en TEP-FDG au repos et ont réalisé le test de rappel indicé RI48 et le MMSE. Au terme d’un suivi neuropsychologique de 36 mois, 28 patients ont évolué vers une MA et 22 sont restés stables. Le métabolisme cérébral et les performances cognitives ont été comparés entre « convertisseurs » et MCI-stables. Des analyses discriminantes ont ensuite permis d’évaluer la capacité de classification de l’âge, du MMSE et des mesures métaboliques et mnésiques considérés individuellement ou selon diverses combinaisons. Résultat. Par comparaison avec les MCI-stables, les « convertisseurs » montraient un hypométabolisme du cortex temporal moyen bilatéralement, du cortex pariétal inférieur droit et du précuneus droit, et de plus faibles performances initiales au RI48. Prises individuellement, les différentes mesures permettaient le même taux de classification correcte (métabolisme cérébral = 76%, RI48 = 76%). L’âge et le MMSE étaient de faibles prédicteurs (exactitude de classification = 62% et 66% respectivement). Par contre, la combinaison des mesures métaboliques et des scores au RI48 prédisaient le mieux la progression vers la MA (88%). Conclusion. Les résultats suggèrent que la stratégie optimale pour identifier quels patients MCI ont plus de risque de développer une MA est de combiner les mesures métaboliques cérébrales et la performance à un test de mémoire très sensible. [less ▲]

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See detailOn the multivariate nature of brain metabolic impairment in Alzheimer’s disease
Salmon, Eric ULg; Kerrouche, Nacer; Perani, Daniela et al

in Neurobiology of Aging (2009), 30

We used principal component analysis to decompose functional images of patients with AD in orthogonal ensembles of brain regions with maximal metabolic covariance. Three principal components explained 38 ... [more ▼]

We used principal component analysis to decompose functional images of patients with AD in orthogonal ensembles of brain regions with maximal metabolic covariance. Three principal components explained 38% of the total variance in a large sample of FDG-PET images obtained in 225 AD patients. One functional ensemble (PC2) included limbic structures from Papez's circuit (medial temporal regions, posterior and anterior cingulate cortex, thalamus); its disruption in AD patients was related to episodic memory impairment. Another principal component (PC1) illustrated major metabolic variance in posterior cerebral cortices, and patients' scores were correlated to instrumental functions (language and visuospatial abilities). PC3 comprised frontal, parietal, temporal and posteromedial (posterior cingulate and precuneus) cortices, and patients' scores were related to executive dysfunction and global cognitive impairment. The three main metabolic covariance networks converged in the posterior cingulate area that showed complex relationships with medial temporal structures within each PC. Individual AD scores were distributed as a continuum along PC axes: an individual combination of scores would determine specific clinical symptoms in each patient. [less ▲]

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See detailRéadaptation cognitive d'activités de vie quotidienne dans la maladie d'Alzheimer
Wojtasik, Vinciane ULg; Lekeu, Françoise ULg; Quittre, Anne ULg et al

in Gérontologie et Société : Cahiers de la Fondation Nationale de Gérontologie (2009), 130

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See detailFunctional imaging of cognition in Alzheimer's disease using positron emission tomography
Salmon, Eric ULg; Lekeu, Françoise ULg; Garraux, Gaëtan ULg et al

in Neuropsychologia (2008), 46(6), 1613-1623

Positron emission tomography in Alzheimer's disease (AD) demonstrates a metabolic decrease, predominantly in associative posterior cortices (comprising the posterior cingulate cortex), and also involving ... [more ▼]

Positron emission tomography in Alzheimer's disease (AD) demonstrates a metabolic decrease, predominantly in associative posterior cortices (comprising the posterior cingulate cortex), and also involving medial temporal structures and frontal regions at a lesser degree. The level of activity in this wide network is roughly correlated with dementia severity, but several confounds (such as age, education or subcortical ischemic lesions) may influence the brain-behaviour relationship. Univariate analyses allow one to segregate brain regions that are particularly closely related to specific neuropsychological performances. For example, a relationship was established between the activity in lateral associative cortices and semantic performance in AD. The role of semantic capacities (subserved by temporal or parietal regions) in episodic memory tasks was also emphasized. The residual activity in medial temporal structures was related to episodic memory abilities, as measured by free recall performance, cued recall ability and recognition accuracy. More generally, AD patients' performance on episodic memory tasks was correlated with the metabolism in several structures of Papez's circuit (including the medial temporal and posterior cingulate regions). Multivariate analyses should provide complementary information on impaired metabolic covariance in functional networks of brain regions and the consequences for AD patients' cognitive performance. More longitudinal studies are being conducted that should tell us more about the prognostic value of initial metabolic impairment and the neural correlates of progressive deterioration of cognitive performance in AD. [less ▲]

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