scholarly journals National Guidelines for Cognitive Assessment and Rehabilitation of Iranian Traumatic Brain Injury Patients

2020 ◽  
Vol 23 (12) ◽  
pp. 813-820
Author(s):  
Heshmatollah Ghawami ◽  
Seyed Behnam Jazayeri ◽  
Azad Sabeti Nowsud ◽  
Mahdi Sharif-Alhoseini ◽  
Armin Shirvani ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Assessment ◽  
Cognitive Rehabilitation ◽  
Selection Process ◽  
Real Life ◽  
Rehabilitation Service ◽  
Final Decision ◽  
National Guidelines ◽  
Clinical Scenarios

Background: Individuals with moderate to severe traumatic brain injury (TBI) often have prolonged cognitive impairments, resulting in long-term problems with their real-life activities. Given the urgent need for evidence-based recommendations for neuropsychological management of Iranian TBI patients, the current work aimed to adapt eligible international guidelines for cognitive assessment and rehabilitation of the TBI patients in Iran. Methods: The project was led by an executive committee, under the supervision of the Iranian Ministry of Health and Medical Education (MOHME). Following a systematic literature search and selection process, four guidelines were included for adaptation. Clinical recommendations of the source guidelines were tabulated as possible clinical scenarios for 90 PICO clinical questions covering all relevant phases of care. After summing up the scenarios, our initial list of recommendations was drafted according to the Iranian patients’ conditions. The final decision-making, with the contribution of a national interdisciplinary panel of 37 experts from across the country, was conducted in two rounds using online and offline survey forms (Round 1), and face-to-face and telephone meetings (Round 2). Results: A total of 63 recommendations in six sections were included in the final list of recommendations, among which 24 were considered as key recommendations. In addition, some of the recommendations were identified as fundamental, meaning that proper implementation of the other recommendations is largely dependent on their implementation. Conclusion: Iranian health policy makers and rehabilitation program managers are recommended to address some fundamental issues to provide the necessary infrastructure to set up an efficient cognitive rehabilitation service system.

scholarly journals Cognitive rehabilitation following traumatic brain injury

2011 ◽  
Vol 5 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Fabio Rios Freire ◽  
Fernanda Coelho ◽  
Juliana Rhein Lacerda ◽  
Marcio Fernando da Silva ◽  
Vanessa Tome Gonçalves ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Rehabilitation ◽  
Injury Severity ◽  
Motor Vehicle ◽  
Leisure Activities ◽  
Relevant Information ◽  
Cerebral Injury ◽  
Rehabilitation Service ◽  
Study Results

Abstract Annually, some 500,000 people are hospitalized with brain lesions acquired after traumatic brain injury (TBI) in Brazil. Between 75,000 and 100,000 individuals die within hours of the event and 70,000 to 90,000 evolve to irreversible loss of some neurological function. The principal causes of TBI include motor vehicle accidents (50%), falls (21%), assaults and robberies (12%) and accidents during leisure activities (10%). Within this context, cognitive rehabilitation, a clinical area encompassing interdisciplinary action aimed at recovery as well as compensation of cognitive functions altered as a result of cerebral injury, is extremely important for these individuals. Therefore, the aim of this study was to review the basic concepts related to TBI, including mechanisms of injury, severity levels of TBI, the most common findings in moderate and severe TBI survivors, and the most frequent cognitive impairments following TBI, and also to discuss the strategies used to handle patients post-TBI. The study results yielded relevant information on a structured cognitive rehabilitation service, representing an alternative for patients and families afflicted by TBI, enabling the generation of multiple research protocols.

‘I’ve got to row the boat on my own, more or less’: aboriginal australian experiences of traumatic brain injury

2019 ◽  
Vol 20 (2) ◽  
pp. 120-136 ◽  
Author(s):  
Elizabeth Armstrong ◽  
Juli Coffin ◽  
Meaghan McAllister ◽  
Deborah Hersh ◽  
Judith M. Katzenellenbogen ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Rural Areas ◽  
Cultural Context ◽  
Case Reports ◽  
Real Life ◽  
Communication Disorders ◽  
Service Planning ◽  
Rehabilitation Service

ABSTRACTBackground:The overarching cultural context of the brain injury survivor, particularly that related to minority peoples with a history of colonisation and discrimination, has rarely been referred to in the research literature, despite profoundly influencing a person’s recovery journey in significant ways, including access to services. This study highlights issues faced by Australian Aboriginal traumatic brain injury (TBI) survivors in terms of real-life consequences of the high incidence of TBI in this population, current treatment and long-term challenges.Method:A case study approach utilised qualitative interview and file review data related to five male Aboriginal TBI survivors diagnosed with acquired communication disorders. The five TBI survivors were from diverse areas of rural and remote Western Australia, aged between 19 and 48 years at the time of injury, with a range of severity.Case Reports:Common themes included: significant long-term life changes; short-term and long-term dislocation from family and country as medical intervention and rehabilitation were undertaken away from the person’s rural/remote home; family adjustments to the TBI including permanent re-location to a metropolitan area to be with their family member in residential care; challenges related to lack of formal rehabilitation services in rural areas; poor communication channels; poor cultural security of services; and lack of consistent follow-up.Discussion and Conclusion:These case reports represent some of the first documented stories of Aboriginal Australian TBI survivors. They supplement available epidemiological data and highlight different contexts for Aboriginal people after TBI, contributing to an overall profile that is relevant for rehabilitation service planning.

scholarly journals BPSD following traumatic brain injury

2013 ◽  
Vol 7 (3) ◽  
pp. 269-277
Author(s):  
Renato Anghinah ◽  
Fabio Rios Freire ◽  
Fernanda Coelho ◽  
Juliana Rhein Lacerda ◽  
Magali Taino Schmidt ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Behavioral Problems ◽  
Cognitive Rehabilitation ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Relevant Information ◽  
Rehabilitation Service ◽  
Severe Tbi ◽  
The University

ABSTRACT Annually, 700,000 people are hospitalized with brain injury acquired after traumatic brain injury (TBI) in Brazil. Objective: We aim to review the basic concepts related to TBI, and the most common Behavioral and Psychological Symptoms of Dementia (BPSD) findings in moderate and severe TBI survivors. We also discussed our strategies used to manage such patients in the post-acute period. Methods: Fifteen TBI outpatients followed at the Center for Cognitive Rehabilitation Post-TBI of the Clinicas Hospital of the University of São Paulo were submitted to a neurological, neuropsychological, speech and occupational therapy evaluation, including the Mini-Mental State Examination. Rehabilitation strategies will then be developed, together with the interdisciplinary team, for each patient individually. Where necessary, the pharmacological approach will be adopted. Results: Our study will discuss options of pharmacologic treatment choices for cognitive, behavioral, or affective disorders following TBI, providing relevant information related to a structured cognitive rehabilitation service and certainly will offer an alternative for patients and families afflicted by TBI. Conclusion: Traumatic brain injury can cause a variety of potentially disabling psychiatric symptoms and syndromes. Combined behavioral and pharmacological strategies, in the treatment of a set of highly challenging behavioral problems, appears to be essential for good patient recovery.

Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury

1998 ◽  
Vol 79 (8) ◽  
pp. 888-892 ◽  
Author(s):  
Charles Christiansen ◽  
Beatriz Abreu ◽  
Kenneth Ottenbacher ◽  
Kenneth Huffman ◽  
Brent Masel ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Virtual Environments ◽  
Task Performance ◽  
Cognitive Rehabilitation

scholarly journals A Game System for Cognitive Rehabilitation

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Azrulhizam Shapi’i ◽  
Nor Azan Mat Zin ◽  
Ahmed Mohammed Elaklouk
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Conceptual Framework ◽  
Cognitive Rehabilitation ◽  
The Other ◽  
Rehabilitation Treatment ◽  
Other Hand ◽  
Rehabilitation Exercises

Brain injury such as traumatic brain injury (TBI) and stroke is the major cause of long-term disabilities in many countries. The increasing rate of brain damaged victims and the heterogeneity of impairments decrease rehabilitation effectiveness and competence resulting in higher cost of rehabilitation treatment. On the other hand, traditional rehabilitation exercises are boring, thus leading patients to neglect the prescribed exercises required for recovery. Therefore, we propose game-based approach to address these problems. This paper presents a rehabilitation gaming system (RGS) for cognitive rehabilitation. The RGS is developed based on a proposed conceptual framework which has also been presented in this paper.

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.

Cognitive Rehabilitation for Military Service Members With Mild Traumatic Brain Injury

2017 ◽  
Vol 32 (3) ◽  
pp. E1-E15 ◽  
Author(s):  
Douglas B. Cooper ◽  
Amy O. Bowles ◽  
Jan E. Kennedy ◽  
Glenn Curtiss ◽  
Louis M. French ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Military Service ◽  
Cognitive Rehabilitation ◽  
Service Members ◽  
Military Service Members
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