scholarly journals The Relationship Between the Recovery of Balance and Cognitive Functions During Physiotherapy in Patients with Traumatic Brain Injury

2019 ◽  
Vol 22 (77) ◽  
pp. 174-182
Author(s):  
E. Lendraitienė ◽  
U. Buraitytė ◽  
D. Petruševičienė ◽  
L. Varžaitytė

Background. There is growing evidence that cognitive and motor functions after traumatic brain injury (TBI) are actually related. However, we failed to find any concrete evidence proving the interrelationship between balance and cognitive functions therefore the effects of TBI on cognitive and motor functions remain not fully evaluated. Objective. The aim of the study was to evaluate the relationship between the recovery of balance and cognitive functions during physiotherapy in patients with TBI. The methods of the study. The study included 25 individuals who had sustained TBI. The subjects were distributed into two groups: Group 1 consisted of 15 subjects with moderate TBI, and Group 2 – of 10 subjects with severe TBI. The cognitive functions were evaluated using the Mini Mental State Examination, the level of cognitive functioning (consciousness) was evaluated using the Rancho Los Amigos scale, and balance was assessed with the help of the Fullerton Advanced Balance Scale. Results and conclusions. After physiotherapy, improvement was observed in the balance of subjects with moderate and severe TBI. Physiotherapy improved cognitive functions in subjects with moderate and severe TBI. The search for correlations between individual items of the Fullerton Advanced Balance Scale and Mini Mental State Examination revealed relationship between some items in both groups.

Brain Injury ◽  
2013 ◽  
Vol 27 (12) ◽  
pp. 1428-1434 ◽  
Author(s):  
Elaine de Guise ◽  
Joanne LeBlanc ◽  
Marie-Claude Champoux ◽  
Céline Couturier ◽  
Abdulrahman Yaqub Alturki ◽  
...  

2021 ◽  
pp. 1-8
Author(s):  
Yun. Cheng ◽  
Yong-Zheng. Wang ◽  
Yi. Zhang ◽  
Ya. Wang ◽  
Fan. Xie ◽  
...  

BACKGROUND: Rowland Universal Dementia Assessment Scale (RUDAS) has demonstrated usefulness in cognitive assessment. Studies supporting the use of RUDAS as an evaluation tool in traumatic brain injury (TBI) patients remain limited. This study examined whether the Chinese version of RUDAS can be effectively applied to the cognitive assessment of TBI patients in China. OBJECTIVE: To compare the performance of Mini-Mental State Examination (MMSE) and the Chinese version of RUDAS in the cognitive assessment of Chinese patients with TBI so as to provide reference for clinical use. METHODS: 86 inpatients with TBI in a hospital were selected from July 2019 to July 2020 and were enrolled as the TBI group, while another 40 healthy individuals matched with age, sex and education level were selected as the control group. All subjects were assessed by trained rehabilitation physicians with MMSE and RUDAS. RESULTS: (1) Compared with the control group, the scores of MMSE and RUDAS in the TBI group decreased significantly; (2) The results of MMSE and RUDAS in the TBI group were positively correlated (r = 0.611, P <  0.001); (3) Linear correlation suggested that age was negatively correlated with MMSE (r = –0.344, P = 0.001) and RUDAS (r = –0.407, P <  0.001), while education years were positively correlated with MMSE (r = 0.367, P = 0.001) and RUDAS (r = 0.375, P <  0.001). However, according to the multiple linear regression, the results of RUDAS were not affected by the years of education; (4) Receiver operating curve analysis showed that there was no significant difference in the areas under the curve between MMSE and RUDAS. The best cut-off values of MMSE and RUDAS were 27.5 and 24.5, respectively. CONCLUSIONS: MMSE and RUDAS have similar diagnostic efficacy in evaluating cognitive impairment of patients with TBI. Since the Chinese version of RUDAS is not affected by the education level, it is more suitable for TBI patients in China.


2011 ◽  
Vol 18 (3) ◽  
pp. 179-190 ◽  
Author(s):  
Elaine de Guise ◽  
Nadia Gosselin ◽  
Joanne LeBlanc ◽  
Marie-Claude Champoux ◽  
Céline Couturier ◽  
...  

2020 ◽  
Vol 8 (B) ◽  
pp. 1180-1184
Author(s):  
Achmad Adam ◽  
Christian Ariono ◽  
Muhammad Z. Arifin ◽  
Ahmad Faried

BACKGROUND: Progress has been made in developing systems of care that strives to minimize traumatic brain injury (TBI)-related morbidity and mortality. As the TBI survivors, one’s might be experienced cognitive function disorders that affect their quality of life. AIM: We sought to investigate the changes of cognitive function in patients with mild or moderate TBI. METHODS: This was a prospective study on 80 patients with mild and moderate TBI who had undergone surgery; 79 patients included in the study and one patient excluded due to incompletion of cognitive tasks. We assessed the cognitive function using a combination of mini-mental state examination (MMSE), digit span (DS), and constructional praxis (CP) tests. The correlations between clinical variables and neuropsychological tests were analyzed. RESULTS: In this study, majority of the patients were male (77.2%) with the mean of age 28.4 years, ranging from 15 to 74 years, predominantly was a young adult (15–20 years, 32.9%). In this series, majority of the patients had moderate TBI (69.6%). Most of the patients (55.7%) had 12 or more education years. MMSE examination revealed that 6.3% and 2.5% of patients had mild- and moderate-cognitive disturbances, respectively, significantly correlated with age (p = 0.049) and educational level (p = 0.008). From DS tests, 13.9% patients had attention disorders and significantly correlated with age (p = 0.015), educational level (p = 0.000), and the severity of TBI (p = 0.018). From CP tests, 24.1% and 5.1% had mild- and moderate-disturbances, respectively, significantly correlated with the severity of TBI (p = 0.025) and the type of intracranial lesion (p = 0.009). CONCLUSIONS: We found (using a combination of MMP, DS, and CP test) cognitive impairment more frequently in patients with moderate TBI, older age, and low education level, hence, emphasized the importance of holistic neuropsychological assessments and neurological rehabilitation for adequate management of patients with TBI.


Author(s):  
Tiffany Tong ◽  
Jacqueline Urakami ◽  
Mark Chignell ◽  
Mary C. Tierney ◽  
Jacques S. Lee

We are developing whack-a-mole games for cognitive assessment. In prior research, we have shown that variants of the game assess cognitive speed and executive functioning (response inhibition), and can be used to screen for delirium in emergency departments. We have also found that whack-a-mole game performance is significantly correlated with overall Mini-Mental State Examination (MMSE) scores. In this paper, we report the results of a study that assessed the relationship of our serious game for cognitive assessment with specific components of the MMSE. We found that game performance is correlated most strongly with the orientation to time items component of MMSE and that the combination of three elements of the MMSE (attention and calculation; orientation to time; repetition) accounted for almost half of the variance in game performance in our sample.


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