Investigating music-based cognitive rehabilitation for individuals with moderate to severe chronic acquired brain injury: A feasibility experiment

2021 ◽  
pp. 1-12
Author(s):  
Cheryl Jones ◽  
Nicole Richard ◽  
Michael Thaut
Keyword(s):  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Brain Injuries ◽  
Acquired Brain Injury ◽  
Preliminary Evidence ◽  
Control Group ◽  
Digit Symbol ◽  
Significant Difference ◽  
Post Test ◽  
Attention Process Training

BACKGROUND: Acquired brain injuries often cause cognitive impairment, significantly impacting participation in rehabilitation and activities of daily living. Music can influence brain function, and thus may serve as a uniquely powerful cognitive rehabilitation intervention. OBJECTIVE: This feasibility study investigated the potential effectiveness of music-based cognitive rehabilitation for adults with chronic acquired brain injury. METHODS: The control group participated in three Attention Process Training (APT) sessions, while the experimental group participated in three Music Attention Control Training (MACT) sessions. Pre-and post- testing used the Trail Making A & B, Digit Symbol, and Brown-Peterson Task as neuropsychological tests. RESULTS: ANOVA analyses showed no significant difference between groups for Trail A Test, Digit Symbol, and Brown-Peterson Task. Trail B showed significant differences at post-test favouring MACT over APT. The mean difference time between pre-and post-tests for the Trail B Test was also significantly different between APT and MACT in favour of MACT using a two-sample t-test as well as a follow-up nonparametric Mann Whitney U-test. CONCLUSIONS: The group differences found in the Trail B tests provided preliminary evidence for the efficacy of MACT to arouse and engage attention in adults with acquired brain injury.

scholarly journals The Use of Therapeutic Music Training to Remediate Cognitive Impairment Following an Acquired Brain Injury: The Theoretical Basis and a Case Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 327
Author(s):  
Cheryl Jones
Keyword(s):  
Cognitive Impairment ◽  
Brain Injury ◽  
Cognitive Control ◽  
Cognitive Rehabilitation ◽  
Normative Data ◽  
Acquired Brain Injury ◽  
Digit Symbol ◽  
Music Training ◽  
Trail Making

Cognitive impairment is the most common sequelae following an acquired brain injury (ABI) and can have profound impact on the life and rehabilitation potential for the individual. The literature demonstrates that music training results in a musician’s increased cognitive control, attention, and executive functioning when compared to non-musicians. Therapeutic Music Training (TMT) is a music therapy model which uses the learning to play an instrument, specifically the piano, to engage and place demands on cognitive networks in order to remediate and improve these processes following an acquired brain injury. The underlying theory for the efficacy of TMT as a cognitive rehabilitation intervention is grounded in the literature of cognition, neuroplasticity, and of the increased attention and cognitive control of musicians. This single-subject case study is an investigation into the potential cognitive benefit of TMT and can be used to inform a future more rigorous study. The participant was an adult male diagnosed with cognitive impairment as a result of a severe brain injury following an automobile accident. Pre- and post-tests used standardized neuropsychological measures of attention: Trail Making A and B, Digit Symbol, and the Brown– Peterson Task. The treatment period was twelve months. The results of Trail Making Test reveal improved attention with a large decrease in test time on both Trail Making A (−26.88 s) and Trail Making B (−20.33 s) when compared to normative data on Trail Making A (−0.96 s) and Trail Making B (−3.86 s). Digit Symbol results did not reveal any gains and indicated a reduction (−2) in free recall of symbols. The results of the Brown–Peterson Task reveal improved attention with large increases in the correct number of responses in the 18-s delay (+6) and the 36-s delay (+7) when compared with normative data for the 18-s delay (+0.44) and the 36-s delay (−0.1). There is sparse literature regarding music based cognitive rehabilitation and a gap in the literature between experimental research and clinical work. The purpose of this paper is to present the theory for Therapeutic Music Training (TMT) and to provide a pilot case study investigating the potential efficacy of TMT to remediate cognitive impairment following an ABI.

scholarly journals The Role of Dietitian in Improving Energy and Protein Intake in Traumatic Brain Injury Patients Admitted to the Neurosurgical Intensive Care Unit

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 109-116
Author(s):  
Fatemeh Ramezani Kapourchali ◽  
◽  
Ali Malekshahi Moghadam ◽  
Anoush Dehnadi Moghadam ◽  
Shahrokh Yousefzadeh-Chabok ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Mechanical Ventilation ◽  
Brain Injury ◽  
Protein Intake ◽  
Brain Injuries ◽  
Average Energy ◽  
Nutritional Intervention ◽  
Traumatic Brain Injuries ◽  
Control Group ◽  
Significant Difference

Introduction:Early and sufficient nutritional support is vital to improve outcomes in patients with traumatic brain injury. This study aims to determine the effects of dietitian involvementin the nutritional and clinical outcomes inpatients with traumatic brain injuries admitted tothe neurosurgical ICU. Materials &Methods: Forty-eight male patients with traumatic brain injuries admitted to Poursina Hospital neurosurgical ICU were studied, retrospectively. Patients were divided to either receive dietitian intervention or without any nutritional recommendation(control). Demographic information, Glasgow Coma Scale and Acute Physiology and Chronic Health Evaluation II (APACHE II) scores, the timing of initial enteral feeding, the amount of energy and protein intakeon day 4, the duration of mechanical ventilation and ICU length of stay were recorded. Results:Patients under the dietitian recommendation had significantly lower timing of initial enteral nutrition compared to the other cases (P=0.02). The average energy or protein intake and the percentage of target energy or protein intake on day4 appeared to be significantly lower in the subjects in the control group than in those with nutritional intervention(P≤0.001). There was no statistically significant difference in the duration of mechanical ventilation and ICU length of staybetween different groups of patients. Conclusions:Instead of occasional consultations for exclusive cases, the daily attendance of dietitians during multidisciplinary rounds of ICU is required to assess the nutritional needs of patients.

scholarly journals A-132 MMPI-2 Clinical Scales Relation to Acquired Brain Injury

2020 ◽  
Vol 35 (6) ◽  
pp. 925-925
Author(s):  
Stebbins L ◽  
Trinidad B ◽  
Garcia J ◽  
Golden C
Keyword(s):  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Acquired Brain Injury ◽  
Individual Therapy ◽  
Control Group ◽  
Neurocognitive Deficits ◽  
Clinical Scales ◽  
Persistent Symptoms ◽  
Scale 8 ◽  
The Impact

Abstract Objective To determine whether MMPI-2 clinical scales are related to Acquired Brain Injury(ABI) compared to Healthy individuals. Methods Participants were selected by DSM-IV diagnoses from a de-identified, archival database. The sample(n = 75) included an ABI group(n = 34, Mage = 43, Medu = 13.4, 58.8% Males, 64.7% Cau.) that have had long-term chronic traumatic brain injury(TBI) and a control group(n = 41, Mage = 33, Medu = 14.2, 63.4% Males, 58.5% Cau.). Results Independent samples t-test analysis determined statistically significant differences between groups(p ≤ .01). Results revealed increases on clinical scale-1 (hypochondriasis; t(1,73) = 2.839, p = .006), scale-2 (depression; t(1,73) = 2.628, p = .01), and scale-8 (schizophrenia; t(1,73) = 2.570, p = .01) in ABI group compared to control group. No other significant differences were found. Conclusion Research has shown that TBI’s can create neurological and emotional dysfunction. The current elevations may be residual symptoms from the TBI. Research shows as a result of having a TBI, individuals suffer from depression, anxiety, PTSD, and substance abuse, which is analogous to current findings. For instance, scale-2 relates to symptoms of depression and worry and scale-1 to somatic and health complaints. These can be indirect symptoms of a TBI, in which individuals can have persistent symptoms related to physical health leading to problems with daily functioning and ultimately producing emotional distress. Additionally, research shows that individuals with persistent TBI often present with neurocognitive deficits in attention regulation, executive functioning, and memory. This can create increases in scale-8 that shows concerns related to impaired concentration/memory, impulse control, and motor/sensory complaints. Treatment of ABI’s should not only include cognitive rehabilitation, but also individual therapy due to the impact of traumatic injury on emotional functioning.

THE EFFECT OF THE ATTITUDE TOWARD BREASTFEEDING CONCEPT BASED COMIC ON THE ADOLESCENCE'S ATTITUDE TOWARD EXCLUSIVE BREASTFEEDING

2017 ◽  
Vol 1 (2) ◽  
pp. 138
Author(s):  
Mekar Dwi Anggraeni ◽  
Lutfatul Latifah ◽  
Aprilia Kartikasari ◽  
Ima Rismawati
Keyword(s):  
Exclusive Breastfeeding ◽  
Nuclear Family ◽  
T Test ◽  
Breastfeeding Duration ◽  
Control Group ◽  
Marriage Age ◽  
First Marriage ◽  
Significant Difference ◽  
Post Test ◽  
And Control

Background and purpose: The earlier development of the attitude toward exclusive breastfeeding produces the longer exclusive breastfeeding duration. Considering the first marriage age among Indonesian, the attitude toward exclusive breastfeeding should be developed at the adolescence age. The purpose of this study was to examine the effect of the attitude toward breastfeeding concept based comic on the adolescent's attitude toward exclusive breastfeeding. Method: This was a quasy experimental posttest only with control group study. The respondents were provided an comic. The respondent's attitude toward exclusive breastfeeding was measured using The Breastfeeding Attitude Questionnaire. Data were analyzed using independent and dependent t test. Results: The majority of respondents were aged 17 years old in both intervention (70%) and control grup (63%), first child in both intervention (23,3%) and control grup (26,7%), and had a nuclear family in both intervention (80%) and control grup (90%). The independent t test showed that there was a significant difference between post-test scores among the intervention and control groups (t = 5,602, p < 0,01). Conclusion and recommendation: Nurses may use the Attitude Toward Breastfeeding based comic to increase the Adolescence's attitude toward breastfeeding.Keywords: Comic, Attitudes Toward Exclusive Breastfeeding, Adolescence

The Effect of Using Students Peer Teaching on Iraqi EFL Students' Achievement in the Course of Library and Research Work

2019 ◽  
Vol 1 (33) ◽  
pp. 693-714
Author(s):  
. Muntaha Sabbar Jebur
Keyword(s):  
Basic Education ◽  
Teaching Method ◽  
Research Work ◽  
Peer Teaching ◽  
Control Group ◽  
College Of Basic Education ◽  
Significant Difference ◽  
Post Test ◽  
Efl Students ◽  
Experimental Group

          Peer teaching is a strategy that allows the students to teach the new content to each other, and they must be accurately guided by instructors.     The researcher proposes that the use of students peer teaching  may promote students' achievement  and ensure the engagement of all the students in the learning process. Therefore, the researcher employs it as a teaching method aiming at investigating its  effect on Iraqi EFL students' achievement in the course of Library and Research Work .      The study hypothesizes that there is no significant difference between the students' achievement who are taught library and research work by students peer teaching  and that of the students taught by the traditional way. The experimental design of the study is Parallel Groups, Random Assignment, posttest. Each group consists of 35 students, chosen randomly from the Third Year Students at the Department of English in the College of Basic Education. Both groups were matched in terms of their age and parents' education. The experiment was fulfilled in the first course for 15 weeks during the academic year 2016-2017.       The same materials were presented to both groups. This included   units from Writing Research Paper by Lester D. . Post-test was constructed and exposed  The t-test for  independent samples was used to analyze the results and it is found out that there is a statistical difference between the two groups in their achievement because the calculated t- value 2.635 is bigger than the tabulated t- value which is 2.000, and also shown the superiority of the experimental group. The results indicate that the experimental group, who was taught Library and Research Work by peer teaching   was better than the control group, who was taught according to the traditional way. So, the null hypothesis is rejected. Finally, some recommendations and suggestions are presented in the light of the study findings. to a jury of experts to verify its validity and it was administered to both groups.

EFFECT OF WEB BASED INSTRUCTIONS ON ACHIEVEMENT IN SOCIAL STUDIES

2017 ◽  
Vol 4 (24) ◽  
Author(s):  
Rajwinder Kaur
Keyword(s):  
Social Studies ◽  
Conventional Method ◽  
Traditional Method ◽  
Statistical Techniques ◽  
Control Group ◽  
Web Based ◽  
Significant Difference ◽  
Post Test ◽  
Based Instruction ◽  
Experimental Group

The purpose of the study was to study the Effect of Web based instructions on achievement in Social Studies. The sample consisted of 100 students from Grade 8th of schools affiliated to C.B.S.E of Ferozepur and were randomly split into two groups-control (taught by traditional method) and experimental (taught by Web based instruction) groups. Firstly pre-test was administered on both the groups; then the students in the control group were taught by conventional method while experimental group was taught by Web based instructions. Then post-test was administrated on both the groups. The Statistical techniques were then employed to data collected and analysis and interpretation of the data was done. The result of the study implied that there exists significant difference in achievement in Social Studies based on Web based instructions and conventional method. The study also revealed that there exist significant gender differences in achievement in Social Studies with Web based instructions.

Effects of PETTLEP imagery technique on precision skills: a study on drag flick in Pakistan hockey

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Shamsa Hashmi ◽  
Tanveer Akhtar ◽  
Maniha Hashmi
Keyword(s):  
Control Group ◽  
Imagery Ability ◽  
Physical Practice ◽  
Test Analysis ◽  
Skill Levels ◽  
Substantial Impact ◽  
Significant Difference ◽  
Post Test ◽  
Imagery Scripts ◽  
Complex Motor Skills

AbstractPresent study was aimed at investigating the role of Physical, Environmental, Task, Timing, Learning, Emotion and Perspective (PETTLEP) Imagery technique in the improvement of skill precision level of hockey drag flickers. For this purpose, both male (83) and female (38) hockey drag flickers (n=121) of age ranged between 17 and 27 years were selected from different hockey teams belonging to clubs, colleges, universities, departments, regional and national academies of Pakistan. Participants were made to undergo a Pretest-Intervention-Posttest research design consisted of 20 drag flicks and filling of SIAQ questionnaire. Drag Flick Precision Measurement Test (DFPMT) along with Sports Imagery Ability Questionnaire (SIAQ) were used to measure their skill precision levels and their imagery ability. The participants were classified into three categories as per their skill precision levels (Point-based), ranging from 48 Novice (upto12 points), 42 Intermediate (13–18 points) and 31 Elite (19 points and above), and were randomly assigned to one of four intervention groups; Physical Practice (PP), PETTLEP Imagery Practice (IP), Physical Practice+PETTLEP Imagery Practice Combination (CP), and No Practice (NP) Control group. Each group performed their respective tasks for 10 weeks through specially designed physical training programs aided by Imagery scripts. Paired sample t test analysis showed that all groups improved significantly (p<0.05) from pre- to post-test, and the CP group improved more with average improvement value of 8.32 for DFPMT and 5.39 for SIAQ (p<0.05) than the IP, PP and NP groups. However, there was no significant difference found between the PP (Sig. 0.73) and NP (Sig. 0.44) groups in SIAQ. Result extend prior research findings and suggests that PETTLEP Imagery practice used in combination with Physical practice has substantial impact on improving performance of complex motor skills, Present findings showed that PETTLEP imagery model was found to improve player’s precision skill levels, especially when it was combined with physical practice. However, further studies in this connection are needed.

scholarly journals Physical Activity and Sport for Acquired Brain Injury (PASABI): A Non-Randomized Controlled Trial

Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 122
Author(s):  
Marta Pérez-Rodríguez ◽  
Saleky García-Gómez ◽  
Javier Coterón ◽  
Juan José García-Hernández ◽  
Javier Pérez-Tejero
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Brain Injury ◽  
Functional Capacity ◽  
Intervention Group ◽  
Chronic Phase ◽  
Acquired Brain Injury ◽  
Control Group ◽  
Wide Range

Background and objectives: Acquired brain injury (ABI) is the first cause of disability and physical activity (PA) is a key element in functional recovery and health-related quality of life (HRQoL) during the subacute and chronic phases. However, it is necessary to develop PA programs that respond to the heterogeneity and needs of this population. The aim of this study was to assess the effectiveness of a PA program on the HRQoL in this population. Materials and Methods: With regard to recruitment, after baseline evaluations, participants were assigned to either the intervention group (IG, n = 38) or the control group (CG, n = 35). Functional capacity, mood, quality of life and depression were measured pre- and post-intervention. The IG underwent the “Physical Activity and Sport for Acquired Brain Injury” (PASABI) program, which was designed to improve HRQoL (1-h sessions, two to four sessions/week for 18 weeks). The CG underwent a standard rehabilitation program without PA. Results: Results for the IG indicated significant differences and large effect sizes for the physical and mental dimensions of quality of life, as well as mood and functional capacity, indicating an increase in HRQoL. No significant differences were found for the CG across any variables. Conclusions: The PASABI program was feasible and beneficial for improving physiological and functionality variables in the IG. The wide range of the activities of the PASABI program allow its application to a large number of people with ABI, promoting health through PA, especially in the chronic phase.

scholarly journals The effect of nutrition and reproductive health education of pregnant women in Indonesia using quasi experimental study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Pregnant Women ◽  
Intervention Group ◽  
Control Group ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
Reproductive Health Education ◽  
Post Test ◽  
Knowledge Attitudes And Practices

Abstract Background Almost one-third of children under 5 years old in Indonesia suffer from stunting. Stunting can be prevented optimally during pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition and reproductive health education of pregnant women in Bogor Regency, Indonesia. Methods A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from four different villages in Bogor Regency. The intervention group (n = 97) received 2 h of nutrition and reproductive health education in small groups (four or five mothers per group) every 2 weeks for 3 consecutive months. This interactive education was given by facilitators using techniques such as lectures, role-playing, simulation, and games. The control group (n = 97) received regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analysed using t-test and chi-square analysis. Results Pregnant women in the intervention group indicated a significant increase in knowledge, attitudes, and practices regarding nutrition and reproductive health after receiving education. The pre-test and post-test mean scores in the intervention group were 55.1 and 83.1 for overall knowledge, 40.2 and 49.0 for attitudes, and 36.2 and 40.2 for practices, respectively. In the control group, there was no significant difference between the pre-test and post-test mean scores for these three variables. There was a significant difference (P < 0.001) in the post-test mean between the intervention group and the control group, but the difference was not significant (P > 0.05) in the pre-test. Conclusion Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed for large-scale implementation by optimising collaboration between government, non-governmental organizations, and maternal and child health service providers.

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