scholarly journals Predicting factors of driving abilities after acquired brain injury through combined neuropsychological and mediatester driving assessment

Psihologija ◽  
2020 ◽  
pp. 24-24
Author(s):  
Ursa Cizman-Staba ◽  
Tara Klun ◽  
Karmen Resnik-Robida
Keyword(s):  
Brain Injury ◽  
Cognitive Abilities ◽  
Composite Index ◽  
Medical Documentation ◽  
Light Reaction ◽  
Predicting Factors ◽  
Reaction Test ◽  
Trail Making ◽  
Comprehensive Trail Making Test ◽  
Ability To Drive

The objective of the study was to evaluate predictor variables stemming from different assessment approaches (medical documentation, neuropsychological assessment, and Mediatester driving assessment) on patient's ability to drive (passing the practical driving test with a qualified instructor) following a TBI (traumatic brain injury) or a stroke. The study included 63 participants (54 males), aged 20 to 80 years (M = 44.4; SD = 16.7). Majority of participants suffered a TBI and 18 participants were included after an ischemic stroke. Patients who passed a driving test had significantly higher composite index on Comprehensive Trail-Making Test (medium or large effect size) compared to those who did not pass a driving test, or those who passed the driving test with limitations. The results on the 18-light reaction test (18 LRT) suggest that the reaction time could also play a role in predicting the ability to drive. The model with these two predictors, along with Glasgow Coma Scale, successfully classified 90 % of participants in two respectful groups; passed vs. did not pass a driving test/passed the driving test with limitations. The results suggest that neuropsychological and driving assessments that measure a range of cognitive abilities are better predictors of regaining the ability to drive after a TBI or stroke than separate cognitive abilities.

Comprehensive Trail Making Test performance in children and adolescents with traumatic brain injury.

2012 ◽  
Vol 24 (3) ◽  
pp. 556-564 ◽  
Author(s):  
Daniel N. Allen ◽  
Nicholas S. Thaler ◽  
Erik N. Ringdahl ◽  
Sally J. Barney ◽  
Joan Mayfield
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Children And Adolescents ◽  
Test Performance ◽  
Trail Making Test ◽  
Trail Making ◽  
Comprehensive Trail Making Test

scholarly journals Differentiating Functional Cognitive Disorder from Early Neurodegeneration: A Clinic-Based Study

2021 ◽  
Vol 11 (6) ◽  
pp. 800
Author(s):  
Harriet A. Ball ◽  
Marta Swirski ◽  
Margaret Newson ◽  
Elizabeth J. Coulthard ◽  
Catherine M. Pennington
Keyword(s):  
Cognitive Abilities ◽  
Minnesota Multiphasic Personality Inventory ◽  
Verbal Learning ◽  
Cognitive Disorder ◽  
Control Group ◽  
Performance Validity ◽  
Immediate Recall ◽  
Trail Making ◽  
Learning Test ◽  
Validity Tests

Functional cognitive disorder (FCD) is a relatively common cause of cognitive symptoms, characterised by inconsistency between symptoms and observed or self-reported cognitive functioning. We aimed to improve the clinical characterisation of FCD, in particular its differentiation from early neurodegeneration. Two patient cohorts were recruited from a UK-based tertiary cognitive clinic, diagnosed following clinical assessment, investigation and expert multidisciplinary team review: FCD, (n = 21), and neurodegenerative Mild Cognitive Impairment (nMCI, n = 17). We separately recruited a healthy control group (n = 25). All participants completed an assessment battery including: Hopkins Verbal Learning Test-Revised (HVLT-R), Trail Making Test Part B (TMT-B); Depression Anxiety and Stress Scale (DASS) and Minnesota Multiphasic Personality Inventory (MMPI-2RF). In comparison to healthy controls, the FCD and nMCI groups were equally impaired on trail making, immediate recall, and recognition tasks; had equally elevated mood symptoms; showed similar aberration on a range of personality measures; and had similar difficulties on inbuilt performance validity tests. However, participants with FCD performed significantly better than nMCI on HVLT-R delayed free recall and retention (regression coefficient −10.34, p = 0.01). Mood, personality and certain cognitive abilities were similarly altered across nMCI and FCD groups. However, those with FCD displayed spared delayed recall and retention, in comparison to impaired immediate recall and recognition. This pattern, which is distinct from that seen in prodromal neurodegeneration, is a marker of internal inconsistency. Differentiating FCD from nMCI is challenging, and the identification of positive neuropsychometric features of FCD is an important contribution to this emerging area of cognitive neurology.

scholarly journals Contribution to the evaluation of language disturbances in subcortical lesions: a piloty study

2004 ◽  
Vol 62 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Márcia Radanovic ◽  
Letícia Lessa Mansur ◽  
Mariana Jardim Azambuja ◽  
Cláudia Sellitto Porto ◽  
Milberto Scaff
Keyword(s):  
Executive Functions ◽  
Cognitive Abilities ◽  
Wisconsin Card Sorting Test ◽  
Cognitive Networks ◽  
Vascular Lesions ◽  
Card Sorting ◽  
Subcortical Structures ◽  
Boston Naming Test ◽  
Language Abilities ◽  
Trail Making

Subcortical structures are in a strategic functional position within the cognitive networks and their lesion can interfere with a great number of functions. In this study, we describe fourteen subjects with exclusively subcortical vascular lesions (eight in the basal ganglia and six in the thalamus) and the interrelation between their language alterations and other cognitive abilities, as attention, memory and frontal executive functions. All patients were evaluated through the following batteries: Boston Diagnostic Aphasia Examination, Boston Naming Test, Token Test, Benton Visual Retention Test, Trail Making, Wisconsin Card Sorting Test and a frontal scripts task. All patients underwent MRI and twelve underwent SPECT. Results show that these patients present impairment in several cognitive domains, especially attention and executive functions. These alterations affect language abilities, and this fact must be considered in the rehabilitation efforts.

Abstract TP295: Stroke Prevention Surgery > Quality of Life and Cognitive Ability to Drive Are Maintained After Surgical Repair of Unruptured Intracranial Aneurysm

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Joan M ODonnell ◽  
Maurizio Manuguerra ◽  
Jemma L Hodge ◽  
Greg Savage ◽  
Michael K Morgan
Keyword(s):  
Quality Of Life ◽  
Intracranial Aneurysm ◽  
Surgical Management ◽  
Cognitive Abilities ◽  
Short Form ◽  
Unruptured Intracranial Aneurysm ◽  
Significant Difference ◽  
Ability To Drive

Background: Studies have questioned the effectiveness of surgery for the management of unruptured intracranial aneurysm (uIA). Few studies have examined the ability to drive and quality of life (QOL) after surgery for uIA. Objective: This study examined the effectiveness of surgical management of uIA by measuring patients’ perceived quality of life and their cognitive abilities related to driving. Methods: Between January 2011 and January 2016 patients with a uIA were assessed using the Quality Metric Short Form 36 (SF36) and the off-road driver screening instrument DriveSafeDriveAware. Reassessments were conducted at the 6-week post-operative follow-up for surgical patients and at 12-month follow-up for surgical and conservatively managed patients. Results: 175 patients enrolled in the study, of which 112(66%) had surgical management of their aneurysm. For the surgical cases who completed all assessments (N=74), there was a trend for the DriveSafe pre-operative mean score of 108 (SD 10.7) to be lower than the 6-week and 12-month post-operative mean scores (111 SD 9.7 and 112 SD 10.2 respectively)(p=0.05). There were no significant changes in DriveAware scores at any epoch or between patient groups nor in the MCS in the surgical group.. There was a significant decline in PCS scores at 6 weeks post-operatively which recovered at 12 months (52 SD 8.1, 46 SD 6.8 and 52 SD 7.1 respectively)( p <0.01). There was no significant difference in 12-month mRS scores between the surgical cases who completed with cases who did not complete all assessments. Conclusion: Surgery for uIA did not affect cognitive abilities for driving at 6 weeks or 12 months after surgery. There was a decline in the QOL in the first months after surgery, however QOL returned to pre-surgical status 12 months after surgery. If the risk of seizures is low and there are no post-operative complications, returning to driving can be recommended.

Interpreting the Trail Making Test Following Traumatic Brain Injury: Comparison of Traditional Time Scores and Derived Indices

2005 ◽  
Vol 27 (7) ◽  
pp. 897-906 ◽  
Author(s):  
Rael T. Lange ◽  
Grant L. Iverson ◽  
Martin J. Zakrzewski ◽  
Patrick E. Ethel-King ◽  
Michael D. Franzen
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Trail Making Test ◽  
Trail Making

A Mixed Methods Study of the Experience of Transition to the Community of Working-Aged People with Non-Traumatic Brain Injury

2012 ◽  
Vol 13 (1) ◽  
pp. 85-98 ◽  
Author(s):  
Alexandra Hall ◽  
Brooke Grohn ◽  
Emily Nalder ◽  
Linda Worrall ◽  
Jennifer Fleming
Keyword(s):  
Mixed Methods ◽  
Brain Injury ◽  
Cognitive Abilities ◽  
Qualitative Content Analysis ◽  
Transition Services ◽  
Post Injury ◽  
Aged People ◽  
Transition Experience ◽  
Working Age ◽  
Hospital To Home

Background and aims: The ‘transition’ phase from hospital to home following brain injury is well established as a critical period of adjustment for individuals and their families. There is, however, a lack of knowledge about the experience of transition following nontraumatic brain injury (e.g., stroke, aneurysm) for individuals of working age. The purpose of this study was to explore the transition experiences of individuals with nontraumatic brain injury using mixed methods approach.Methods: Six individuals with nontraumatic brain injury were recruited from a larger study using maximum variation sampling criteria. Individuals participated in semistructured interviews at 6-months postdischarge and completed quantitative measures of psychosocial outcomes predischarge and at 6-months postdischarge. Results: Qualitative content analysis of interviews identified three themes: (1) changes in role performance, (2) support and services and (3) coping with life after brain injury. The transition experience was characterised by loss of valued roles including driving and work, identified as major barriers to regaining independence postdischarge. Informal support provided by family and friends were relied on, while formal supports were accessed infrequently. Life post-injury presented a number of challenges including adjusting to changes in physical and cognitive abilities and a fear of reinjury. Qualitative data were supported by an overall trend of improved functioning on the quantitative measures over the 6 months.Conclusions: Key life circumstances of working age adults with nontraumatic brain injury influence the transition experience. Clinically, the findings support the need for individualised, structured transition services pre- and postdischarge for this group.

scholarly journals Electrophysiological Markers of Visuospatial Attention Recovery after Mild Traumatic Brain Injury

2019 ◽  
Vol 9 (12) ◽  
pp. 343 ◽  
Author(s):  
Julie Bolduc-Teasdale ◽  
Pierre Jolicoeur ◽  
Michelle McKerral
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Short Term Memory ◽  
Information Processing Speed ◽  
Visual Short Term Memory ◽  
Trail Making ◽  
Postconcussion Symptoms ◽  
Map Search ◽  
And Control

Objective: Attentional problems are amongst the most commonly reported complaints following mild traumatic brain injury (mTBI), including difficulties orienting and disengaging attention, sustaining it over time, and dividing attentional resources across multiple simultaneous demands. The objective of this study was to track, using a single novel electrophysiological task, various components associated with the deployment of visuospatial selective attention. Methods: A paradigm was designed to evoke earlier visual evoked potentials (VEPs), as well as attention-related and visuocognitive ERPs. Data from 36 individuals with mTBI (19 subacute, 17 chronic) and 22 uninjured controls are presented. Postconcussion symptoms (PCS), anxiety (BAI), depression (BDI-II) and visual attention (TEA Map Search, DKEFS Trail Making Test) were also assessed. Results: Earlier VEPs (P1, N1), as well as processes related to visuospatial orientation (N2pc) and encoding in visual short-term memory (SPCN), appear comparable in mTBI and control participants. However, there appears to be a disruption in the spatiotemporal dynamics of attention (N2pc-Ptc, P2) in subacute mTBI, which recovers within six months. This is also reflected in altered neuropsychological performance (information processing speed, attentional shifting). Furthermore, orientation of attention (P3a) and working memory processes (P3b) are also affected and remain as such in the chronic post-mTBI period, in co-occurrence with persisting postconcussion symptomatology. Conclusions: This study adds original findings indicating that such a sensitive and rigorous ERP task implemented at diagnostic and follow-up levels could allow for the identification of subtle but complex brain activation and connectivity deficits that can occur following mTBI.

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