scholarly journals Cognitive retraining in traumatic brain injury

2012 ◽  
Author(s):  
Diya Nangia ◽  
Keshav Kumar
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Functioning ◽  
Cognitive Deficits ◽  
Single Case ◽  
Cognitive Impairments ◽  
Cognitive Retraining ◽  
The Family ◽  
History Of ◽  
Post Traumatic

Traumatic brain injury (TBI) is often associated with cognitive impairments. The psychological sequelae of cognitive deficits and emotional problems contribute significantly to the disability in the patient and to the distress of the family. The study aimed to develop a cognitive retraining programme to enhance cognitive functioning in TBI. 25 years old male presenting with history of left temporal hemorrhagic contusion with cerebral edema underwent 2 months of a cognitive retaining programme, addressing executive functions impairment. A single case experimental design with pre- and postassessment was adopted to evaluate changes in the patient in response to the intervention. Improvements were found in cognitive functioning, and in symptom reduction and behaviour. The 2 months hospital based cognitive retraining programme was found to be efficacious in ameliorating symptoms and improving cognitive, social and occupational functioning post traumatic brain injury.

scholarly journals Blue-wavelength light therapy for post-traumatic brain injury sleepiness, sleep disturbance, depression, and fatigue: A systematic review and network meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246172
Author(s):  
Karan Srisurapanont ◽  
Yanisa Samakarn ◽  
Boonyasit Kamklong ◽  
Phichayakan Siratrairat ◽  
Arina Bumiputra ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Disturbance ◽  
Meta Analysis ◽  
Light Therapy ◽  
Blue Wavelength ◽  
History Of ◽  
Post Traumatic ◽  
Wavelength Light ◽  
Quality Evidence

Objective This review aimed to determine the efficacy of blue-wavelength light therapy (BWLT) for post-traumatic brain injury (TBI) sleepiness, sleep disturbance, depression, and fatigue. Methods Pubmed, Scopus, Web of Science, Cochrane Library, Academic Search Complete, and CINAHL. Included trials were randomized controlled trials (RCTs) of BWLT in adults with a history of TBI. Outcomes of interest included sleepiness, sleep disturbance, depression, or fatigue. Two reviewers independently screened the searched items, selected the trials, extracted the data, and rating the quality of trials. We aggregated the data using a random-effect, frequentist network meta-analysis (NMA). Results We searched the databases on July 4, 2020. This review included four RCTs of 117 patients with a history of TBI who were randomized to received BWLT, amber light therapy (ALT), or no light therapy (NLT). Moderate-quality evidence revealed that: i) BWLT was significantly superior to NLT in reducing depression (SMD = 0.81, 95% CI = 0.20 to 1.43) ii) BWLT reduced fatigue at a significantly greater extent than NLT (SMD = 1.09, 95% CI = 0.41 to 1.76) and ALT (SMD = 1.00, 95% CI = 0.14 to 1.86). Low-quality evidence suggested that BWLT reduced depression at a greater extent than ALT (SMD = 0.57, 95% CI = 0.04 to 1.10). Low-quality evidence found that the dropout rates of those receiving BWLT and ALT were not significantly different (RR = 3.72, 95% CI = 0.65 to 21.34). Conclusion Moderate-quality evidence suggests that BWLT may be useful for post-TBI depression and fatigue.

Cognitive Functioning Among Individuals With Traumatic Brain Injury, Alzheimer??s Disease, and No Cognitive Impairments

2008 ◽  
Vol 23 (3) ◽  
pp. 149-157 ◽  
Author(s):  
Sabrina Breed ◽  
Amanda Sacks ◽  
Teresa A. Ashman ◽  
Wayne A. Gordon ◽  
Karen Dahlman ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Functioning ◽  
Cognitive Impairments

Economies of Post-Traumatic Stress Disorder and Traumatic Brain Injury

2018 ◽  
pp. 137-177
Author(s):  
Rebecca A. Adelman
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Combat Trauma ◽  
Post Traumatic Stress ◽  
Charitable Organizations ◽  
Domestic Spaces ◽  
Non Fiction ◽  
The People ◽  
History Of ◽  
Post Traumatic

This chapter explores the mediation of combat trauma and the reshaping of the people who have experienced it into receptacles for gratitude, pity, and anger. Building from a brief history of PTSD and TBI as diagnostic categories and objects of administrative calculation, the chapter explores how these conditions have become sites of affective investment. Reflecting on the ubiquitous mandate to ‘say thank you to the troops,’ the chapter historicizes the militarization of gratitude. This informs the subsequent analysis of the work of various charitable organizations for veterans. The chapter then analyzes the exacting standards by which the Department of Defense awards Purple Hearts for Traumatic Brain Injury (but refuses them for PTSD). In contrast to the DoD’s decidedly unsympathetic approach to PTSD, David Finkel’s bestselling non-fiction account Thank You for Your Service tracks how PTSD plays out, often violently, in domestic spaces. That book makes PTSD visible through intensely emotional scenes, while research efforts to make TBI clinically legible search for specific signs of the injury on posthumously donated brain tissue. The concluding section offers a different vantage on TBI, reflecting on veterans’ own efforts to make their brains visible to others.

The Role of Pain Catastrophizing in Cognitive Functioning Among Veterans With a History of Mild Traumatic Brain Injury

2019 ◽  
Vol 34 (4) ◽  
pp. E61-E66
Author(s):  
Samantha N. Hoffman ◽  
Matthew S. Herbert ◽  
Laura D. Crocker ◽  
Nicole E. DeFord ◽  
Amber V. Keller ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Functioning ◽  
Mild Traumatic Brain Injury ◽  
Pain Catastrophizing ◽  
History Of

scholarly journals Computer-based cognitive stimulation for posttraumatic cognitive impairment: a clinical case

2020 ◽  
Vol 12 (6) ◽  
pp. 131-136
Author(s):  
E. M. Zubritskaya ◽  
S. V. Prokopenko ◽  
E. Yu. Mozheyko ◽  
V. A. Gurevich
Keyword(s):  
Traumatic Brain Injury ◽  
Cognitive Impairment ◽  
Brain Injury ◽  
Cognitive Deficits ◽  
Clinical Case ◽  
Positive Impact ◽  
Cognitive Stimulation ◽  
Moderate Cognitive Impairment ◽  
Computer Based ◽  
Post Traumatic

The paper describes a clinical case of applying a set of computer-based stimulation programs for cognitive impairment arising from severe open traumatic brain injury (TBI). It demonstrates the rehabilitation capabilities of a set of «Neurotechnology+» stimulation programs for correction of cognitive deficits in patients with dysregulated moderate cognitive impairment resulting from experienced severe open TBI. It is noted that the use of a set of the programs contributed to the improvement of impaired regulatory and neurodynamic functions, the expansion of phonemic and semantic speech activity, and the improvement of memory processes. The described case suggests that computer-based cognitive training has a positive impact on cognitive recovery after post-traumatic brain injury.

Cognitive Deficits Post-Traumatic Brain Injury and Their Association with Injury Severity and Gray Matter Volumes

2017 ◽  
Vol 34 (7) ◽  
pp. 1466-1472 ◽  
Author(s):  
Abigail Livny ◽  
Anat Biegon ◽  
Tammar Kushnir ◽  
Sagi Harnof ◽  
Chen Hoffmann ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Gray Matter ◽  
Cognitive Deficits ◽  
Injury Severity ◽  
Post Traumatic ◽  
Gray Matter Volumes

scholarly journals Mild Traumatic Brain Injury Burden Moderates the Relationship Between Cognitive Functioning and Suicidality in Iraq/Afghanistan-Era Veterans

2018 ◽  
Vol 25 (1) ◽  
pp. 79-89 ◽  
Author(s):  
Laura D. Crocker ◽  
Amber V. Keller ◽  
Sarah M. Jurick ◽  
Jessica Bomyea ◽  
Chelsea C. Hays ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Suicidal Ideation ◽  
Cognitive Functioning ◽  
Mild Traumatic Brain Injury ◽  
Processing Speed ◽  
Neuropsychological Functioning ◽  
Postconcussive Symptoms ◽  
Increased Risk ◽  
History Of

AbstractObjectives:Suicidal ideation (SI) is highly prevalent in Iraq/Afghanistan-era veterans with a history of mild traumatic brain injury (mTBI), and multiple mTBIs impart even greater risk for poorer neuropsychological functioning and suicidality. However, little is known about the cognitive mechanisms that may confer increased risk of suicidality in this population. Thus, we examined relationships between neuropsychological functioning and suicidality and specifically whether lifetime mTBI burden would moderate relationships between cognitive functioning and suicidal ideation.Methods:Iraq/Afghanistan-era Veterans with a history of mTBI seeking outpatient services (N= 282) completed a clinical neuropsychological assessment and psychiatric and postconcussive symptom questionnaires.Results:Individuals who endorsed SI reported more severe post-traumatic stress disorder (PTSD), depression, and postconcussive symptoms and exhibited significantly worse memory performance compared to those who denied SI. Furthermore, mTBI burden interacted with both attention/processing speed and memory, such that poorer performance in these domains was associated with greater likelihood of SI in individuals with a history of three or more mTBIs. The pattern of results remained consistent when controlling for PTSD, depression, and postconcussive symptoms.Conclusions:Slowed processing speed and/or memory difficulties may make it challenging to access and use past experiences to solve current problems and imagine future outcomes, leading to increases in hopelessness and SI in veterans with three or more mTBIs. Results have the potential to better inform treatment decisions for veterans with history of multiple mTBIs. (JINS, 2019, 25, 79–89)

scholarly journals Increased Behavioral Deficits and Inflammation in a Mouse Model of Co-Morbid Traumatic Brain Injury and Post-Traumatic Stress Disorder

ASN NEURO ◽  
2020 ◽  
Vol 12 ◽  
pp. 175909142097956
Author(s):  
Arman Fesharaki-Zadeh ◽  
Jeremy T. Miyauchi ◽  
Karrah St. Laurent-Arriot ◽  
Stella E. Tsirka ◽  
Peter J. Bergold
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Deficits ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Barnes Maze ◽  
Post Traumatic Stress ◽  
Place Avoidance ◽  
Post Traumatic

Comorbid post-traumatic stress disorder with traumatic brain injury (TBI) produce more severe affective and cognitive deficits than PTSD or TBI alone. Both PTSD and TBI produce long-lasting neuroinflammation, which may be a key underlying mechanism of the deficits observed in co-morbid TBI/PTSD. We developed a model of co-morbid TBI/PTSD by combining the closed head (CHI) model of TBI with the chronic variable stress (CVS) model of PTSD and examined multiple behavioral and neuroinflammatory outcomes. Male C57/Bl6 mice received sham treatment, CHI, CVS, CHI then CVS (CHI → CVS) or CVS then CHI (CVS → CHI). The CVS → CHI group had deficits in Barnes maze or active place avoidance not seen in the other groups. The CVS → CHI, CVS and CHI → CVS groups displayed increased basal anxiety level, based on performance on elevated plus maze. The CVS → CHI had impaired performance on Barnes Maze, and Active Place Avoidance. These performance deficits were strongly correlated with increased hippocampal Iba-1 level an indication of activated MP/MG. These data suggest that greater cognitive deficits in the CVS → CHI group were due to increased inflammation. The increased deficits and neuroinflammation in the CVS → CHI group suggest that the order by which a subject experiences TBI and PTSD is a major determinant of the outcome of brain injury in co-morbid TBI/PTSD.

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