Measurement of physical quantities in upper-limb tele-rehabilitation

2009 ◽  
Vol 15 (3) ◽  
pp. 153-155 ◽  
Author(s):  
Marco Rogante ◽  
Montserrat Bernabeu ◽  
Hermie J Hermens ◽  
Barbara Huijgen ◽  
Stephan Ilsbroukx ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Preliminary Analysis ◽  
Assessment Process ◽  
Rehabilitation Process ◽  
Rehabilitation Protocol ◽  
The One ◽  
Rehabilitation Exercises ◽  
Physical Quantities

A total of 50 patients (affected by traumatic brain injury, stroke or multiple sclerosis) were treated for one month using a rehabilitation protocol. Rehabilitation could be monitored using a Portable Unit (PU) which could be installed in a patient's home allowing the measurement of kinetic and kinematic variables during exercise. In a preliminary analysis, the variables related to four rehabilitation exercises were examined for two patients at baseline and at the end of the one-month treatment. The exercises involved movement of checkers, a pencil, a jar and a key. The results suggest that, even if the overall duration of exercise execution is an important aspect of the rehabilitation process, other variables acquired by the PU might deliver useful information for assessing the patient's status. In order to integrate such variables into the assessment process, further studies are needed to investigate their eventual correlation with traditional rehabilitation scales and variables.

scholarly journals A Game System for Cognitive Rehabilitation

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Azrulhizam Shapi’i ◽  
Nor Azan Mat Zin ◽  
Ahmed Mohammed Elaklouk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Conceptual Framework ◽  
Cognitive Rehabilitation ◽  
The Other ◽  
Rehabilitation Treatment ◽  
Other Hand ◽  
Rehabilitation Exercises

Brain injury such as traumatic brain injury (TBI) and stroke is the major cause of long-term disabilities in many countries. The increasing rate of brain damaged victims and the heterogeneity of impairments decrease rehabilitation effectiveness and competence resulting in higher cost of rehabilitation treatment. On the other hand, traditional rehabilitation exercises are boring, thus leading patients to neglect the prescribed exercises required for recovery. Therefore, we propose game-based approach to address these problems. This paper presents a rehabilitation gaming system (RGS) for cognitive rehabilitation. The RGS is developed based on a proposed conceptual framework which has also been presented in this paper.

Managing Traumatic Brain Injury: Appropriate Assessment and a Rationale for Using Neurofeedback and Biofeedback to Enhance Recovery in Postconcussion Syndrome

Biofeedback ◽  
2013 ◽  
Vol 41 (4) ◽  
pp. 158-173 ◽  
Author(s):  
Michael Thompson ◽  
Lynda Thompson ◽  
Andrea Reid-Chung ◽  
James Thompson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Single Channel ◽  
Urine Analysis ◽  
Neuropsychological Testing ◽  
Diffuse Axonal Injury ◽  
Assessment Process ◽  
Postconcussion Syndrome ◽  
Quantitative Electroencephalography ◽  
The Common

Impairments that may result from a mild traumatic brain injury (TBI) or concussion can be both severe and long-lasting. This article will list some of the common persisting symptoms that may occur and give a brief description of the neuropathological processes that can be triggered by TBI, including diffuse axonal injury and its effects on the mitochondrial Kreb's cycle and the production of adenosine triphosphate, the brain's source of energy. This is followed by a summary of a comprehensive assessment process that includes quantitative electroencephalography, evoked potentials, heart rate variability (HRV) measures, neuropsychological testing, and blood and urine analysis. Details concerning a neurophysiological approach to effective treatment are given. These include conventional single-channel neurofeedback (NFB), also called brain-computer interface training, low-resolution electromagnetic tomography z-score neurofeedback, HRV training, and counseling on diet, sleep, and exercise. The authors expand the discussion on their treatment approach to include a neuroanatomical explanation of why the practitioner should consider combining the NFB training with HRV training.

scholarly journals Neuroaxonal Regeneration is More Pronounced in Early Multiple Sclerosis than in Traumatic Brain Injury Lesions

2012 ◽  
Vol 23 (1) ◽  
pp. 2-12 ◽  
Author(s):  
Lucas Schirmer ◽  
Doron Merkler ◽  
Fatima B. König ◽  
Wolfgang Brück ◽  
Christine Stadelmann
Keyword(s):  
Multiple Sclerosis ◽  
Traumatic Brain Injury ◽  
Brain Injury

Defining and Diagnosing Involuntary Emotional Expression Disorder

CNS Spectrums ◽  
2006 ◽  
Vol 11 (S6) ◽  
pp. 1-11 ◽  
Author(s):  
Jeffrey L. Cummings ◽  
David B. Arciniegas ◽  
Benjamin R. Brooks ◽  
Robert M. Herndon ◽  
Edward C. Lauterbach ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Traumatic Brain Injury ◽  
Amyotrophic Lateral Sclerosis ◽  
Brain Injury ◽  
Diagnostic Criteria ◽  
Emotional Expression ◽  
Diagnosis And Treatment ◽  
Neurological Conditions ◽  
Lateral Sclerosis

AbstractUncontrollable episodes of emotional expression occur in a variety of neurological conditions. This emotional disinhibition syndrome is characterized by episodes of crying or laughing that are unrelated to or out of proportion to the eliciting stimulus. This syndrome is common among patients with amyotrophic lateral sclerosis, multiple sclerosis, stroke, and traumatic brain injury and a variety of terms and definitions have been used to describe it. The confusing nomenclature has been a barrier to understanding, diagnosis, and treatment of this disorder. The authors propose a unifying term, involuntary emotional expression disorder (IEED), and provide diagnostic criteria for this disorder.

scholarly journals Prospektív Emlékezet és Traumás Agysérülés: Szakirodalmi Áttekintés

2021 ◽  
Vol 75 (4) ◽  
pp. 639-666
Author(s):  
Lencsés Anita ◽  
Demeter Gyula
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Prospective Memory ◽  
Empirical Studies ◽  
Cognitive Disorders ◽  
Cognitive Disorder ◽  
Number Of Factors ◽  
Diffi Cult ◽  
The One ◽  
Time Since Injury

Jelen tanulmány tudomásunk szerint az első magyar nyelvű áttekintés a prospektív emlékezet (prospective memory, PM) témájában, melynek kettős célja van. Egyrészt összefoglalja a PM legfontosabb fogalmait, elméleteit, kísérleti és idegtudományi eredményeit, ismertetve a kutatások klinikai relevanciáját. A PM a jövőbeli szándékokra irányuló emlékezet, egy olyan összetett kognitív képesség, amely alapvető a mindennapi feladataink ellátása során. Működése a prefrontális kéreghez és kapcsolataihoz köthető, így számos, a frontostriatális rendszert érintő kórkép esetén sérülést mutat. Áttekintésünk fókuszában egy gyakori neurológiai kórkép, a traumás agysérülés áll. E személyek hétköznapjait a leginkább megnehezítő, gyakori és tartós kognitív zavar a PM sérülése. Ennek ellenére kevés kutatás foglalkozott a csökkent PM-működést meghatározó tényezőkkel ebben a betegcsoportban, az eredmények pedig ellentmondásosak.Tanulmányunk további célja, hogy összefoglalja a traumás agysérült személyek PM-teljesítményével kapcsolatos empirikus kutatásokat. Szakirodalmi áttekintésünkben 25 empirikus tanulmányt azonosítottunk, amelyekben traumás agysérült felnőtt személyek PM-teljesítményét hasonlították össze egészséges kontrollszemélyekével. Az eredmények alapján megállapítható, hogy traumás agysérülést követően jellemző a PM diszfunkciója. Azonban számtalan tényező befolyásolhatja a PM-teljesítményt ebben a populációban: a sérülés súlyossága, lokalizációja, a kómában és a poszttraumás amnéziában töltött idő, a sérülés óta eltelt idő, a hangulatzavarok és a komorbid kognitív zavarok; valamint az olyan feladatjellemzők, mint a mérőeszköz típusa, a PM összetevői, illetve a prospektív kulcsinger és a folyamatban lévő feladat jellegzetességei. Elgondolásunk szerint e kutatási eredmények nemcsak a PM működésének megértésével kapcsolatban szolgálnak fontos következtetésekkel, hanem támpontokat adhatnak a rehabilitációs, terápiás munkára nézve is, megteremtve egy jövőbeli hatékony, a PM-funkciókra fókuszáló kognitív tréning kidolgozását traumás agysérült személyek számára.To the best of our knowledge, the present paper is the fi rst review in Hungarian on the topic of prospective memory (PM), and it has a dual objective. On the one hand, it summarizes the most important concepts, theories, experimental and neuroscientifi c results of PM, describing the clinical relevance of the research. PM refers to the memory for future intentions, and it is a complex cognitive ability that is essential in performing our day-to-day tasks. PM function is related to the prefrontal cortex and its connections, and its dysfunction is well-documented in several diseases affecting the frontostriatal system. This review focuses on traumatic brain injury, a common neurological disorder. Patients with traumatic brain injury experience PM dysfunction, which is a common and persistent cognitive disorder making their everyday life the most diffi cult. Nevertheless, little research has investigated the factors contributing to decreased PM performance in this patient population, and the results are contradictory.Another goal of our study is to summarize empirical research on PM performance after traumatic brain injury. In this literature review, we identifi ed 25 empirical studies comparing the PM performance of adults with traumatic brain injury with those of healthy controls. Based on these empirical results, PM dysfunction is a common fi nding after traumatic brain injury. However, a number of factors can affect PM performance in this population: the severity and localization of injury, time spent in coma, length of posttraumatic amnesia, time since injury, mood disorders and comorbid cognitive disorders, and task characteristics, such as the type of measurement, the components of the PM task, and features of the PM cue and the ongoing task. In our opinion, these fi ndings not only provide essential conclusions about understanding the functioning of PM, but they can also establish the foundation for rehabilitation and therapeutic work, and contribute to the creation of an effective cognitive training focused on PM for traumatic brain injury patients.

scholarly journals Prevalence of traumatic brain injury in children of Russian Federation: epidemiology and economic aspects

2015 ◽  
Vol 96 (4) ◽  
pp. 581-587 ◽  
Author(s):  
S A Valiullina ◽  
E A Sharova
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Medical Care ◽  
Russian Federation ◽  
Admission Rate ◽  
Economic Losses ◽  
Pediatric Traumatic Brain Injury ◽  
Epidemiological Features ◽  
The One ◽  
Indirect Economic Losses

Aim. To define epidemiological features of traumatic brain injury in children and to assess economic losses caused by this condition. Methods. The prevalence of traumatic brain injury in children for the period of 2003-2012 in Russia according to State Statistical Database. Direct and indirect economic losses (overall and per patient) were calculated for 2012. Results. The study revealed an increase of traumatic brain injury prevalence in children for the analyzed period, with the domestic traumatism prevailing among all brain trauma injuries, especially in girls. The amount of economic losses due to traumatic brain injury in children of Russian Federation in 2012 was about 4 milliard roubles. However, this figure is considerably underestimated, because the amount of expenses per one patient with traumatic brain injury is a quarter less compared to the standard sum per one case traumatic brain injury according to the standards of obligatory health insurance. On the one hand, it may be explained by high admission rate in children with minor head injury. On the other hand, it may be a result of insufficient healthcare funding as well as unaccounted expenses for medical care and drug coverage, especially in children with severe traumatic brain injury. Conclusion. The reduction of economic losses due to pediatric traumatic brain injury is possible not only by preventing new cases of traumatic brain injury but also by optimizing medical care.

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