Effects of Intensive Cognitive-Communication Rehabilitation In Young Adults With Acquired Brain Injury

2018 ◽  
Vol 99 (11) ◽  
pp. e134
Author(s):  
Lindsey Foo ◽  
Natalie Gilmore ◽  
Swathi Kiran
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Acquired Brain Injury

scholarly journals Participation Restrictions among Children and Young Adults with Acquired Brain Injury in a Pediatric Outpatient Rehabilitation Cohort: The Patients’ and Parents’ Perspective

2021 ◽  
Vol 18 (4) ◽  
pp. 1625
Author(s):  
Florian Allonsius ◽  
Arend de Kloet ◽  
Gary Bedell ◽  
Frederike van Markus-Doornbosch ◽  
Stefanie Rosema ◽  
...  
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Outpatient Rehabilitation ◽  
Rank Test ◽  
Limited Participation ◽  
Rehabilitation Treatment ◽  
Paired Samples ◽  
Participation Restrictions ◽  
Children And Young Adults

Improving participation is an important aim in outpatient rehabilitation treatment. Knowledge regarding participation restrictions in children and young adults with acquired brain injury (ABI) is scarce and little is known regarding the differences in perspectives between patients and parents in the outpatient rehabilitation setting. The aims are to describe participation restrictions among children/young adults (5–24 years) with ABI and investigating differences between patients’ and parents’ perspectives. At admission in 10 rehabilitation centers, patients and parents were asked to complete the Child and Adolescent Scale of Participation (CASP; score 0–100; lower score = more restrictions) and injury/patient/family-related questions. CASP scores were categorized (full/somewhat-limited/limited/very-limited participation). Patient/parent-reported outcomes were compared using the Wilcoxon signed-rank test. 223 patients and 245 parents participated (209 paired-samples). Median patients’ age was 14 years (IQR; 11–16), 135 were female (52%), 195 had traumatic brain injury (75%). The median CASP score reported by patients was 82.5 (IQR: 67.5–90) and by parents 91.3 (IQR: 80.0–97.5) (difference = p < 0.05). The score of 58 patients (26%) and 25 parents (10%) was classified as ‘very-limited’. Twenty-six percent of children and young adults referred for rehabilitation after ABI had “very-limited” participation. Overall, parents rated their child’s participation better than patients themselves. Quantifying participation restrictions after ABI and considering both perspectives is important for outpatient rehabilitation treatment.

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 Fatigue, Participation and Quality of Life in Adolescents and Young Adults with Acquired Brain Injury in an Outpatient Rehabilitation Cohort

2019 ◽  
Vol 23 (5) ◽  
pp. 328-335
Author(s):  
Frederike van Markus-Doornbosch ◽  
Menno van der Holst ◽  
Arend J. de Kloet ◽  
Thea P. M. Vliet Vlieland ◽  
Jorit J. L. Meesters
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Adolescents And Young Adults ◽  
Outpatient Rehabilitation

scholarly journals The Intensive Cognitive-Communication Rehabilitation Program for Young Adults With Acquired Brain Injury

2019 ◽  
Vol 28 (1S) ◽  
pp. 341-358 ◽  
Author(s):  
Natalie Gilmore ◽  
Katrina Ross ◽  
Swathi Kiran
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Classroom Behavior ◽  
Large Population ◽  
Acquired Brain Injury ◽  
Skills Training ◽  
Well Being ◽  
Individual Therapy ◽  
Cognitive Linguistic ◽  
Being There

PurposeThis study investigated the effects of an intensive cognitive-communication rehabilitation (ICCR) program for young individuals with chronic acquired brain injury.MethodICCR included classroom lectures; metacognitive instruction, modeling, and application; technology skills training; and individual cognitive–linguistic therapy. Four individuals participated in the intensive program (6 hr with 1-hr lunch break × 4 days × 12 weeks of treatment): 3 participants completed 3 consecutive semesters, and 1 participant completed 1 semester. Two controls did not receive treatment and completed assessments before and after the 12-week treatment interval only.ResultsAll 4 experimental participants demonstrated significant improvements on at least 1 standardized cognitive–linguistic measure, whereas controls did not. Furthermore, time point significantly predicted participants' scores on 2 of the 4 standardized outcome measures, indicating that as duration in ICCR increased, scores also increased. Participants who completed multiple semesters of ICCR also improved in their therapy and personal goals, classroom behavior, life participation, and quality of life.ConclusionAfter ICCR, participants showed gains in their cognitive–linguistic functioning, classroom participation, and individual therapy. They also demonstrated improvements outside the classroom and in their overall well-being. There is a gap between the large population of young adults with acquired brain injury who wish to return to higher education and a lack of rehabilitation programs supporting reentry into academic environments; ICCR is a first step in reducing that gap.

Intensive Cognitive Communication Rehabilitation (ICCR) Program for Young Adults With Acquired Brain Injury

2017 ◽  
Vol 98 (10) ◽  
pp. e76 ◽  
Author(s):  
Natalie Albrittain-Ross ◽  
Katrina Ross ◽  
Natalie Gilmore ◽  
Swathi Kiran
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Acquired Brain Injury

Prevalence and severity of fatigue in adolescents and young adults with acquired brain injury: A nationwide study

2017 ◽  
Vol 29 (7) ◽  
pp. 1113-1128 ◽  
Author(s):  
Anne Norup ◽  
Susanne Wulff Svendsen ◽  
Karoline Doser ◽  
Trine Okkerstrøm Ryttersgaard ◽  
Nicole Frandsen ◽  
...  
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Acquired Brain Injury ◽  
Adolescents And Young Adults ◽  
Nationwide Study

scholarly journals Feasibility and Acceptability of a Real-Time Telerehabilitation Intervention for Children and Young Adults with Acquired Brain Injury During the COVID-19 Pandemic: An Experience Report

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Maria Chiara Oprandi ◽  
Alessandra Bardoni ◽  
Luisa Corno ◽  
Agata Marchetti Guerrini ◽  
Luigi Molatore ◽  
...  
Keyword(s):  
Young Adults ◽  
Brain Injury ◽  
Real Time ◽  
Standard Care ◽  
High Stress ◽  
Acquired Brain Injury ◽  
Patient Centered ◽  
Technical Issues ◽  
Children And Young Adults

This study examined the feasibility and acceptability of a telerehabilitation intervention during the COVID-19 pandemic in a sample of children and young adults with Acquired Brain Injury (ABI). Thirteen patients and/or their families agreed to participate in the speech and neuropsychological telerehabilitation sessions. The treatment was synchronous, patient centered and aimed at improving specific abilities. Sessions were held twice a week over a 10-week period. Two questionnaires were completed both by parents and therapists to assess feasibility and acceptability. Neither technical issues nor clinical obstacles were found. The quality of the therapeutic relationship played a key role in the intervention. Synchronous telerehabilitation provided several advantages both for patients and therapists. Moreover, the patient centered intervention eased the burden of the caregivers at a time of high stress. The real-time telerehabilitation treatments were deemed suitable for children and young adults with ABI. Further studies are needed to support the use of telerehabilitation as an integral part of their standard care.

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