scholarly journals Dysexecutive symptoms and carer strain following acquired brain injury: Changes measured before and after holistic neuropsychological rehabilitation

2016 ◽  
Vol 39 (1) ◽  
pp. 53-64 ◽  
Author(s):  
Rachel A. Goodwin ◽  
Nadina B. Lincoln ◽  
Andrew Bateman
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Neuropsychological Rehabilitation ◽  
Before And After

scholarly journals Kinetic Gait Changes after Robotic Exoskeleton Training in Adolescents and Young Adults with Acquired Brain Injury

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Kiran K. Karunakaran ◽  
Naphtaly Ehrenberg ◽  
JenFu Cheng ◽  
Katherine Bentley ◽  
Karen J. Nolan
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Therapeutic Effect ◽  
Acquired Brain Injury ◽  
Step Length ◽  
Gait Training ◽  
Adolescents And Young Adults ◽  
Motor Deficits ◽  
High Dose ◽  
Before And After

Background. Acquired brain injury (ABI) is one of the leading causes of motor deficits in children and adults and often results in motor control and balance impairments. Motor deficits include abnormal loading and unloading, increased double support time, decreased walking speed, control, and coordination. These deficits lead to diminished functional ambulation and reduced quality of life. Robotic exoskeletons (RE) for motor rehabilitation can provide the user with consistent, symmetrical, goal-directed repetition of movement, as well as balance and stability. Purpose. The goal of this preliminary prospective before and after study is to evaluate the therapeutic effect of RE training on the loading/unloading and spatial-temporal characteristics in adolescents and young adults with chronic ABI. Method. Seven participants diagnosed with ABI between the ages of 14 and 27 years participated in the study. All participants received twelve 45 minute sessions of RE gait training. The bilateral loading (linearity of loading and rate of loading), speed, step length, swing time, stance time, and total time were collected using Zeno™ walkway (ProtoKinetics, Havertown, PA, USA) before and after RE training. Results. Results from the study showed improved step length, speed, and an overall progression towards healthy bilateral loading, with linearity of loading showing a significant therapeutic effect ( p < 0.05 ). Conclusion. These preliminary results suggest that high dose, repetitive, consistent gait training using RE has the potential to induce recovery of function in adolescents and young adults diagnosed with ABI.

scholarly journals “Concurrent Ropes and Ladders”: Mapping and Conceptualizing the Emotional Loss Experience of Parents Following Pediatric Acquired Brain Injury

2021 ◽  
pp. 104973232110123
Author(s):  
Einat Yehene ◽  
Pnina Steinberg ◽  
Maya Gerner ◽  
Amichai Brezner ◽  
Jana Landa
Keyword(s):  
Grounded Theory ◽  
Brain Injury ◽  
Lived Experiences ◽  
Acquired Brain Injury ◽  
Structured Interviews ◽  
Chronic Stage ◽  
Emotional Coping ◽  
Before And After ◽  
Loss Experience

This grounded theory study aims to map, conceptualize, and theorize the emotional loss experienced by parents following their child’s pediatric acquired brain injury (pABI). Data were obtained from 47 semi-structured interviews conducted with parents (72% mothers) at least 1 year following pABI. The study’s theory of “concurrent ropes and ladders” emerged from a process of initial in vivo coding followed by focused and thematic coding. Codes were consolidated into five thematic categories capturing parents’ emotional continuous loss experience: (a) comparing life before and after, (b) struggling to construct new realities, (c) recognizing instability and permanency, (d) adjusting and readjusting, and (e) grieving as an emotional shadow. These categories are at work simultaneously in parents’ accounts, thus supporting a model of dynamic concurrency within and across their lived experiences. Recommendations for practitioners were derived from the theory to support parents’ emotional coping with living loss throughout the chronic stage.

scholarly journals Systematic Review of Neuropsychological Rehabilitation for Prospective Memory Deficits as a Consequence of Acquired Brain Injury

2017 ◽  
Vol 23 (3) ◽  
pp. 254-265 ◽  
Author(s):  
Steven Mahan ◽  
Rebecca Rous ◽  
Anna Adlam
Keyword(s):  
Brain Injury ◽  
Prospective Memory ◽  
Relevant Literature ◽  
Acquired Brain Injury ◽  
Cochrane Library ◽  
Self Monitoring ◽  
Neuropsychological Rehabilitation ◽  
Remediation Strategies ◽  
And Performance ◽  
The Cochrane Library

AbstractObjectives: Prospective memory (PM) impairments are common following acquired brain injury (ABI). PM is the ability to keep a goal in mind for future action and interventions have the potential to increase independence. This review aimed to evaluate studies examining PM rehabilitation approaches in adults and children with ABI. Methods:Relevant literature was identified using PsycARTICLES (1894 to present), PsycINFO (1880 to present), the Cochrane Library (1972 to present), MEDLINE PubMed, reference lists from relevant journal articles, and searches of key journals. Literature searches were conducted using variants of the terms brain injury, stroke, encephalitis, meningitis, and tumor, combined with variants of the terms rehabilitation and prospective memory.Results: Of the 435 papers identified, 11 were included in the review. Findings demonstrated a variety of interventions to alleviate PM deficits, including compensatory strategies (e.g., external memory aids) that provide either content-specific or content-free cueing, and remediation strategies (e.g., meta-cognitive training programs) aimed at improving the self-monitoring of personal goals. Risk of bias for individual studies was considered and the strengths and limitations of each of the included studies and the review itself were discussed. Conclusions: Interventions used with adults can be effective; PM abilities can be improved by using simple reminder systems and performance can be generalized to facilitate everyday PM functioning. There is, however, a lack of research of PM interventions conducted with children with ABI, and pediatric interventions need to consider on-going cognitive maturation. (JINS, 2017, 23, 254–265)

scholarly journals Changes in impaired self-awareness after acquired brain injury in patients following intensive neuropsychological rehabilitation

2015 ◽  
Vol 27 (1) ◽  
pp. 116-132 ◽  
Author(s):  
Sanne M. J. Smeets ◽  
Martie Vink ◽  
Rudolf W. H. M. Ponds ◽  
Ieke Winkens ◽  
Caroline M. van Heugten
Keyword(s):  
Brain Injury ◽  
Acquired Brain Injury ◽  
Self Awareness ◽  
Neuropsychological Rehabilitation

scholarly journals Motor Improvement in Adolescents Affected by Ataxia Secondary to Acquired Brain Injury: A Pilot Study

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Elisabetta Peri ◽  
Daniele Panzeri ◽  
Elena Beretta ◽  
Gianluigi Reni ◽  
Sandra Strazzer ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Brain Injury ◽  
Three Dimensional ◽  
Acquired Brain Injury ◽  
Study Data ◽  
Immersive Virtual Reality ◽  
Ataxic Gait ◽  
Real Time Analysis ◽  
Before And After ◽  
Motor Improvement

Aim. To assess changes in locomotion and balance in adolescents affected by ataxia secondary to acquired brain injury after a rehabilitation treatment with physiotherapy and the Gait Real-time Analysis Interactive Lab (GRAIL), an immersive virtual reality platform. Methods. 11 ataxic adolescents (16(5) years old, 4.7(6.7) years from injury) underwent 20 45-minute sessions with GRAIL plus 20 45-minute sessions of physiotherapy in one month. Patients were assessed before and after rehabilitation with functional scales and three-dimensional multiple-step gait analysis. Results. Results showed significant improvements in ataxia score assessed by the Scale for the Assessment and Rating of Ataxia, in dimension D and E of Gross Motor Function Measure, in walking endurance and in balance abilities. Moreover, the training fostered significant changes at hip, knee, and ankle joints, and the decrease of gait variability, toward healthy references. Interpretation. In spite of the pilot nature of the study, data suggest that training with immersive virtual reality and physiotherapy is a promising approach for ataxic gait rehabilitation, even in chronic conditions.

scholarly journals How local context influences access to neuropsychological rehabilitation after acquired brain injury in South Africa

2019 ◽  
Vol 4 (Suppl 10) ◽  
pp. e001353
Author(s):  
Noorjehan Joosub
Keyword(s):  
South Africa ◽  
Brain Injury ◽  
Low Income ◽  
Resource Constraints ◽  
Acquired Brain Injury ◽  
Local Context ◽  
Contextual Influences ◽  
Healthcare Resources ◽  
Middle Income ◽  
Neuropsychological Rehabilitation

The numbers of acquired brain injury (ABI) survivors in South Africa are increasing; however, facilities to provide neuropsychological rehabilitation are limited due to a lack of healthcare resources. The updated International Classification of Health, Functioning, and Disability (ICF) from the WHO emphasises how the context of an impairment influences the patient’s activity limitations and participation restrictions. This analysis examined South African contextual influences on the accessibility, quality and efficiency of neuropsychological rehabilitation interventions after ABI in South Africa. Three main contextual influences were identified, namely, socioeconomic disparities, sociocultural influences and discharge to underprepared communities. Systems thinking and inclusive models of healthcare are needed in low-income and middle-income countries, such as South Africa, where resource constraints necessitate creative and ecological forms of rehabilitation interventions after ABI. Contextual influences are vital to consider when designing neuropsychological rehabilitation interventions in order to improve the accessibility and relevance of these interventions and to ensure the effective utilisation of scarce healthcare resources.

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