Effectiveness of a Multimodal Cognitive Rehabilitation Program in Older Adults With Traumatic Brain Injury

2014 ◽  
Vol 95 (10) ◽  
pp. e57
Author(s):  
Eduardo N.M.N. Cisneros ◽  
Sylvie Belleville ◽  
Élaine de Guise ◽  
Michelle McKerral
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program

scholarly journals Cognitive rehabilitation effectiveness for severe to moderate traumatic brain injury: case series

2021 ◽  
Vol 8 (7) ◽  
pp. 437-441
Author(s):  
Ahlam Ibrahim Hamami
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Case Series ◽  
Holistic Approach ◽  
Rehabilitation Program ◽  
Computer Assisted ◽  
Neuropsychological Rehabilitation ◽  
Case Series Study ◽  
Series Study

Objective: This case series study aimed to investigate the effectiveness of a holistic approach of a computer-assisted and traditional neuropsychological rehabilitation program in improving some cognitive functions in patients who sustained a traumatic brain injury (TBI). Methods: The case series study followed a single-case design, with an A-B-A-B design and was conducted in the rehabilitation center at King Fahad Medical City-Saudi Arabia between Aug 2015 and March 2016. Participants comprised 5 males with moderate-to-severe TBI and persistent cognitive impairments. The computerized model included known software programs for cognitive rehabilitation to improve this rehabilitation process. The program period was six weeks for each case, all focusing on executive functions, memory, and attention. Results: three out of the five cases improved remarkably in their attentional, executive, and related memory functions; with one showing moderate improvement and the five-case showing little improvement. Conclusion: The holistic approach of the neuropsychological rehabilitation program is effective for some TBI cases in improving their cognitive and psychosocial functioning, alongside vocational outcomes, as reported in the follow-up interviews of the patients and their families. More research is required to contribute to the current literature and for the study's findings to be further analyzed for these interventions.

scholarly journals The Participants’ Perspective on a Cognitive Rehabilitation Program Following Traumatic Brain Injury

2016 ◽  
Vol 10 (11) ◽  
pp. 217
Author(s):  
Alexandra Vakili ◽  
Robyn Langdon
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Video Game ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program ◽  
Treatment Practice ◽  
Action Video Game ◽  
Rehabilitation Programs ◽  
Group Members ◽  
Compensatory Skills

Given the recommendations for evidence-based treatment practice, rehabilitation programs are typically evaluated using standardized objective measures of pre- and post-treatment performance. However, the potentially informative opinions and perspectives of the participants themselves are not reported. This paper sought to redress this imbalance by using a semi-structured telephone interview to gather feedback from 19 participants who had undergone a group-based eight-week cognitive rehabilitation program to improve attentional impairment following traumatic brain injury (TBI). The program incorporated cognitive training using an action video game and psycho-education, including a workbook for developing compensatory skills. Findings indicated that the majority of participants found the program to be a positive experience, resulting in self-perceived skill development that generalized beyond the training context. Participants particularly valued the social aspects of the rehabilitation program and reported benefiting from their interactions with the other group members. Most enjoyed the action video game playing, although for some, the opportunity to select between a set of different games rather than playing the single game that featured in the program would have been more appropriate. The majority of participants also found the workbook helpful. Other useful suggestions included extending the program to 10-12 weeks, increasing group size, developing more of a ‘take away’ aspect of the program to be administered at home, and formalizing the ‘mentoring’ roles that emerged in the group.

scholarly journals Effects of Systematic Categorization Training on Cognitive Performance in Healthy Older Adults and in Adults with Traumatic Brain Injury

2019 ◽  
Vol 2019 ◽  
pp. 1-17
Author(s):  
Fofi Constantinidou
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Young Adults ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Neuropsychological Testing ◽  
Cognitive Learning ◽  
Cognitive Stimulation ◽  
Future Research ◽  
Control Group

This study investigated the effects of hierarchical cognitive training using the categorization program (CP), designed initially for adults with cognitive deficits associated with traumatic brain injury (TBI). Fifty-eight participants were included: a group of fifteen young adults with TBI (ages 18-48), another group of fifteen noninjured young adults (ages 18-50), and two groups of adults over 60 randomly assigned into the experimental group (n=14) or the control group (n=14). Following neuropsychological testing, the two young adult groups and the experimental older adult group received the CP training for 10-12 weeks. The CP training consisted of 8 levels targeting concept formation, object categorization, and decision-making abilities. Two CP tests (administered before and after the training) and three probe tasks (administered at specified intervals during the training) assessed skills relating to categorization. All treated groups showed significant improvement in their categorization performance, although younger participants (with or without TBI) demonstrated greater gains. Gains on the categorization measures were maintained by a subgroup of older adults up to four months posttraining. Implications of these findings in terms of adult cognitive learning and directions for future research on adult cognitive rehabilitation and cognitive stimulation programs are discussed.

scholarly journals Feasibility of a cognitive rehabilitation program for individuals with mild-to-moderate traumatic brain injury: Participants’ engagement and satisfaction

2019 ◽  
Vol 6 (1) ◽  
pp. 1565614 ◽  
Author(s):  
Emilie Isager Howe ◽  
Marianne Løvstad ◽  
Knut-Petter S. Langlo ◽  
Torgeir Hellstrøm ◽  
Øystein Spjelkavik ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program ◽  
Moderate Traumatic Brain Injury

The impact of multimodal cognitive rehabilitation on executive functions in older adults with traumatic brain injury

2021 ◽  
Vol 64 (5) ◽  
pp. 101559
Author(s):  
Eduardo Cisneros ◽  
Véronique Beauséjour ◽  
Elaine de Guise ◽  
Sylvie Belleville ◽  
Michelle McKerral
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Executive Functions ◽  
Cognitive Rehabilitation ◽  
The Impact

scholarly journals The impact of multimodal cognitive rehabilitation on executive functions in older adults with traumatic brain injury (TBI)

2020 ◽  
Author(s):  
Eduardo Cisneros ◽  
Véronique Beauséjour ◽  
Elaine de Guise ◽  
Sylvie Belleville ◽  
Michelle McKerral
Keyword(s):  
Older Adults ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Active Control ◽  
Cognitive Rehabilitation ◽  
Daily Life ◽  
Control Group ◽  
Active Control Group ◽  
Daily Life Activities ◽  
The Impact

AbstractObjectivesThis study evaluated the impact of a multimodal cognitive rehabilitation intervention, the Cognitive Enrichment Program (CEP), on executive functioning (EF) and resumption of daily activities following traumatic brain injury (TBI) in older individuals, in comparison to an active control group having received holistic rehabilitation as usual care.MethodsThe CEP’sexecutive function module included planning, problem solving, and goal management training, as well as strategies focusing on self-awareness. Effectiveness was evaluated by psychometric tests (Modified Six Elements Task-adapted – MSET-A, D-KEFS Sorting test and Stroop four-color version), while generalization was measured through self-reported questionnaires about daily functioning (Dysexecutive Functioning Questionnaire – DEX, Forsaken daily life activities). Measures were obtained before and after intervention, and six months later.ResultsANCOVA results showed significant group-by-time interactions on Tackling the 6 subtasks and Avoiding rule-breaking measures of the MSET-A, with moderate effect sizes. Despite improvements in Sorting and Stroop scores, there were no group-by-time interaction on these measures. DEX generalization measure showed a significant reduction in patient/significant other difference on the Executive Cognition subscale. There was a reduction in the number of Forsaken daily life activities in the experimental group compared to controls which was not significant immediately after CEP, but that was significant six months later.ConclusionsOur study shows that older adults with TBI can improve their executive functioning with a positive impact on everyday activities after receiving multimodal cognitive training compared to an active control group.

Cognitive control constrains memory attributions

2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Control

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.

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