scholarly journals Effects of Korean Computer-Based Cognitive Rehabilitation Program(CoTras) on Frontal-Executive Functions in Patients with Traumatic Brain Injury

2015 ◽  
Vol 16 (5) ◽  
pp. 3344-3352 ◽  
Author(s):  
Seung-Hyup Han ◽  
Eun-Ju Jo ◽  
Dong-hee Noh ◽  
Kyung-Yoon Kam
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Executive Functions ◽  
Cognitive Rehabilitation ◽  
Rehabilitation Program ◽  
Computer Based

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 Executive Function Training in Chronic Traumatic Brain Injury Patients: Study Protocol

2019 ◽  
Author(s):  
Daniel Krawczyk ◽  
Kihwan Han ◽  
David Martinez ◽  
Jelena Rakic ◽  
Matthew Kmiecik ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Working Memory ◽  
Executive Function ◽  
Brain Injury ◽  
Executive Functions ◽  
Inhibitory Control ◽  
Cognitive Rehabilitation ◽  
Daily Life ◽  
Chronic Phase ◽  
Post Injury

Abstract Background: Some individuals who sustain traumatic brain injuries (TBIs) continue to experience significant cognitive impairments chronically (months-to-years post-injury). Many tests of executive function are insensitive to these executive function impairments, as such impairments may only appear during complex daily life conditions. Daily life often requires us to divide our attention and focus on abstract goals. In the current study, we compare the effects of two one-month electronic cognitive rehabilitation programs for individuals with chronic TBI. The active program (Expedition: Strategic Advantage) focuses on improving goal-directed executive functions including working memory, planning, long-term memory, and inhibitory control by challenging participants to accomplish life-like cognitive simulations. The challenge level of the simulations increase in accordance with participant achievement. The control intervention (Expedition: Informational Advantage) is identical to the active; however, the cognitive demand level is capped preventing participants from advancing beyond a set level. We will evaluate these interventions with a military veteran TBI population. Methods: One hundred individuals will be enrolled in this double-blinded clinical trial (all participants and testers are blinded to condition). Each individual will be randomly assigned to one of two interventions. The primary anticipated outcomes are improvement of daily life cognitive function skills and daily life functions. These are measured by a daily life performance task, which tests cognitive skills, and a survey that evaluates daily life functions. Secondary outcomes are also predicted to include improvements in working memory, attention, planning, and inhibitory control as measured by a neuropsychological test battery. Lastly, neuroimaging measures will be used to evaluate changes in brain networks supporting cognition pre-intervention and post-intervention. Discussion: We will test whether electronically delivered cognitive rehabilitation aimed at improving daily life functional skills will provide cognitive and daily life functional improvements for individuals in the chronic phase of TBI recovery (greater than three months post-injury). We aim to better understand the cognitive processes involved in recovery and the characteristics of individuals most likely to benefit. This study will also address the potential to observe generalizability, or transfer, from a software-based cognitive training tool toward daily life improvement. Trial Registration: ClinicalTrials.gov Identifier: NCT03704116 (retrospectively registered) https://clinicaltrials.gov/ct2/show/NCT03704116?term=tbi+krawczyk&rank=1 Keywords: Cognitive rehabilitation, traumatic brain injury, executive functions, daily life functions, memory, attention, planning. Support: Joint Warfighter Program; U. S. Dept. of Defense W81XWH-16-1-0053

Further Directions in Cognitive Rehabilitation in Community- and Home-based Daily Trainings in Clients with Severe Traumatic Brain Injury

2010 ◽  
pp. 266-281
Author(s):  
Masako Fujii
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Executive Functions ◽  
Severe Traumatic Brain Injury ◽  
Cognitive Rehabilitation ◽  
Reading Abilities ◽  
Home Based ◽  
Severe Tbi ◽  
One Year ◽  
Paper Method

Community- and home-based daily intense cognitive rehabilitation (CR) of traumatic brain injury (TBI) clients was initiated on the basis on knowledge mentioned in Chapter 17. In the CR, statistically significant changes were demonstrated in attention and reading abilities in sixteen severe TBI clients by one-year daily CR. Improvement of memory and executive functions required more training periods as shown later. The temporary minimum scores of four neuropsychological tests required for social reentry, namely, 50 in TEA, 15 in RBMT, 80 in BADS and 40 in JART, were determined as a goal of our CR. In addition to the drill (pen and paper) method mainly using workbooks, a more advanced program for CR, particularly in clients who reached the required level, was developed together with the clients.

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 Computer-Based Cognitive Rehabilitation Interventions for Traumatic Brain Injury

2017 ◽  
Vol 49 (4) ◽  
pp. 235-240 ◽  
Author(s):  
Joseph Fetta ◽  
Angela Starkweather ◽  
Jessica M. Gill
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Computer Based

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 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

Computer-Based Cognitive Rehabilitation for Individuals With Traumatic Brain Injury: A Systematic Review

2016 ◽  
Vol 1 (2) ◽  
pp. 18-46 ◽  
Author(s):  
Adam M. Politis ◽  
Rocío S. Norman
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Communication Skills ◽  
Cognitive Rehabilitation ◽  
Class Iii ◽  
High Quality Research ◽  
Adolescents And Adults ◽  
Computer Based ◽  
Clinical Questions ◽  
American Academy Of Neurology

PurposeThe purpose of this review is to evaluate the efficacy of computer-based cognitive rehabilitation (CCR) for improving cognitive and cognitive-communication skills in individuals with traumatic brain injury (TBI).MethodA systematic search using key words related to CCR and TBI was conducted in 11 databases. Studies investigating CCR in children, adolescents, and adults with TBI were identified using a set of predetermined clinical questions, inclusion/exclusion criteria, and search parameters. Studies were evaluated for methodological quality according to American Academy of Neurology guidelines (AAN, 2011).ResultsThirteen studies were included in this review. One study was classified as AAN Class II and 12 were rated as AAN Class III. Results across studies were inconsistent. In addition, studies contained a range of limitations that reduced the confidence of the reported findings.ConclusionAt this time, there is insufficient evidence to support or refute the efficacy of CCR in improving the cognitive or cognitive-communication skills of individuals with TBI. Additional, high-quality research is needed to determine if individuals with TBI will benefit from CCR. Until this occurs, clinicians are encouraged to review existing expert recommendations and engage in practice-based evidence to determine if CCR is appropriate for their individual clients with TBI.

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