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Systematic instruction for individuals with acquired brain injury: Results of a randomized controlled trial

Powell, Laurie Ehlhardt; Glang, Ann; Ettel, Deborah; Todis, Bonnie; Sohlberg, McKay; Albin, Richard
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/2012 EN
Relevância na Pesquisa
66.06%
The goal of this study was to experimentally evaluate systematic instruction compared with trial-and-error learning (conventional instruction) applied to assistive technology for cognition (ATC), in a double blind, pretest-posttest, randomized controlled trial. Twenty-nine persons with moderate-severe cognitive impairments due to acquired brain injury (15 in systematic instruction group; 14 in conventional instruction) completed the study. Both groups received 12, 45-minute individual training sessions targeting selected skills on the Palm Tungsten E2 personal digital assistant (PDA). A criterion-based assessment of PDA skills was used to evaluate accuracy, fluency/efficiency, maintenance, and generalization of skills. There were no significant differences between groups at immediate posttest with regard to accuracy and fluency. However, significant differences emerged at 30-day follow-up in favor of systematic instruction. Furthermore, systematic instruction participants performed significantly better at immediate posttest generalizing trained PDA skills when interacting with people other than the instructor. These results demonstrate that systematic instruction applied to ATC results in better skill maintenance and generalization than trial-and-error learning for individuals with moderate-severe cognitive impairments due to acquired brain injury. Implications...

Measuring Oxygen Cost During Level Walking in Individuals with Acquired Brain Injury in the Clinical Setting

Dawes, Helen; Collett, Johnathen; Ramsbottom, Roger; Howells, Ken; Sackley, Cath; Wade, Derick
Fonte: Asist Group Publicador: Asist Group
Tipo: Artigo de Revista Científica
Publicado em 01/06/2004 EN
Relevância na Pesquisa
66.06%
This study examined the test-retest reliability of oxygen cost (ml·kg-1·min-1) during level walking in individuals with acquired brain injury (ABI). Ten individuals with ABI (5 men, 5 women) (Traumatic brain injury, 1, central pontine myelinolysis, 1, stroke 8) and 21 healthy controls (11 men, 10 women). Measurements of gross and net (walking minus resting) oxygen consumption (ml·kg-1·min-1), and oxygen cost (ml·kg-1·min-1) during level walking at self-selected speeds. Measurements were taken on two occasions within one week. Oxygen cost was significantly lower (p < 0.05) in individuals with ABI on the second test versus the first test. Percentage variability in oxygen cost from test to re-test ranged from 14.7 to 17.3% in the control group and from 17.4 to 20.8% in the brain injury group. Clinical populations may demonstrate a significant decrease in oxygen cost between testing occasions. Individuals require at least one period of familiarisation if oxygen cost is used as an outcome measure during level walking in clinical groups. The amount of familiarisation has yet to be investigated in individuals with ABI.

Challenges in understanding the epidemiology of acquired brain injury in India

Kamalakannan, Suresh Kumar; Gudlavalleti, Aashrai S.V.; Murthy Gudlavalleti, Venkata S.; Goenka, Shifalika; Kuper, Hannah
Fonte: Medknow Publications & Media Pvt Ltd Publicador: Medknow Publications & Media Pvt Ltd
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
66.18%
An acquired brain injury (ABI) is an injury to the brain, which is not hereditary, congenital, degenerative, or induced by birth trauma. In India, rapid urbanization, economic growth and changes in lifestyle have led to a tremendous increase in the incidence of ABI, so much so that it is being referred to as a ‘silent epidemic’. Unlike developed countries, there is no well-established system for collecting and managing information on various diseases in India. Thus it is a daunting task to obtain reliable information about acquired brain injury. In the course of conducting a systematic review on the epidemiology of ABI in India, we recognized several challenges which hampered our effort. Inadequate case definition, lack of centralized reporting mechanisms, lack of population based studies, absence of standardized survey protocols and inadequate mortality statistics are some of the major obstacles. Following a standard case definition, linking multiple hospital-based registries, initiating a state or nationwide population-based registry, conducting population-based studies that are methodologically robust and introducing centralized, standard reporting mechanisms for ABI, are some of the strategies that could help facilitate a thorough investigation into the epidemiology and understanding of ABI. This may help improve policies on prevention and management of acquired brain injury in India.

Cognitive Impairment in Acquired Brain Injury: A Predictor of Rehabilitation Outcomes and an Opportunity for Novel Interventions

Whyte, Ellen; Skidmore, Elizabeth; Aizenstein, Howard; Ricker, Joseph; Butters, Meryl
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /06/2011 EN
Relevância na Pesquisa
66.06%
Cognitive impairment is a common sequela in acquired brain injury and one that predicts rehabilitation outcomes. There is emerging evidence that impairments in cognitive functions can be manipulated by both pharmacologic and nonpharmacologic interventions to improve rehabilitation outcomes. By using stroke as a model for acquired brain injury, we review the evidence that links cognitive impairment to poor rehabilitation outcomes and discuss possible mechanisms to explain this association. Furthermore, we examine nascent promising research that suggests that interventions that target cognitive impairments can lead to better rehabilitation outcomes.

Post-traumatic growth following acquired brain injury: a systematic review and meta-analysis

Grace, Jenny J.; Kinsella, Elaine L.; Muldoon, Orla T.; Fortune, Dónal G.
Fonte: Frontiers Media S.A. Publicador: Frontiers Media S.A.
Tipo: Artigo de Revista Científica
Publicado em 14/08/2015 EN
Relevância na Pesquisa
66.07%
The idea that acquired brain injury (ABI) caused by stroke, hemorrhage, infection or traumatic insult to the brain can result in post-traumatic growth (PTG) for individuals is increasingly attracting psychological attention. However, PTG also attracts controversy as a result of ambiguous empirical findings. The extent that demographic variables, injury factors, subjective beliefs, and psychological health are associated with PTG following ABI is not clear. Consequently, this systematic review and meta-analysis explores the correlates of variables within these four broad areas and PTG. From a total of 744 published studies addressing PTG in people with ABI, eight studies met inclusion criteria for detailed examination. Meta-analysis of these studies indicated that growth was related to employment, longer education, subjective beliefs about change post-injury, relationship status, older age, longer time since injury, and lower levels of depression. Results from homogeneity analyses indicated significant inter-study heterogeneity across variables. There is general support for the idea that people with ABI can experience growth, and that various demographics, injury-related variables, subjective beliefs and psychological health are related to growth. The contribution of social integration and the forming of new identities post-ABI to the experience of PTG is explored. These meta-analytic findings are however constrained by methodological limitations prevalent in the literature. Clinical and research implications are discussed with specific reference to community and collective factors that enable PTG.

A postal survey of data in general practice on the prevalence of Acquired Brain Injury (ABI) in patients aged 18–65 in one county in the west of Ireland

Finnerty, Fionnuala; Glynn, Liam G.; Dineen, Brendan; Colfer, Finbarr; MacFarlane, Anne
Fonte: BioMed Central Publicador: BioMed Central
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
96.06%
peer-reviewed; Background: Very little is known about the prevalence of acquired brain injury (ABI) in Ireland. ABI prevalence has previously been obtained from Belgian general practitioners using a postal survey. We attempted to ascertain the prevalence of ABI in County Mayo through a postal survey of all general practitioners in the county. The specific objectives of this project were to: 1. identify whether general practitioners are a. aware of patients with ABI aged 18–65 in their practices b. able to provide prevalence data on ABI in patients aged 18–65 c. able to provide data on age, gender and patient diagnosis 2. analyse prevalence of ABI from any available data from general practitioners. Methods: A pilot postal survey was performed initially in order to assess the feasibility of the study. It was established that general practitioners did have the necessary information required to complete the questionnaire. A main postal survey was then undertaken. A postal questionnaire was administered to all general practices in County Mayo in the west of Ireland (n = 59). The response rate was 32.2% (n = 19). Results: General practitioners who replied on behalf of their practice could provide data on patient age, gender and diagnosis. In the nineteen practices...

"Passengering my way around": An exploratory study of the lived experiences of driving cessation consequent to acquired brain injury in an Irish population under the age of sixty years - perspectives of ex-drivers and their spouses.

Gavin, Aideen
Fonte: University of Limerick Publicador: University of Limerick
Tipo: Master thesis (Taught); all_ul_research; ul_theses_dissertations
ENG
Relevância na Pesquisa
86.16%
non-peer-reviewed; Driving is an enabler of occupation, facilitating us to independently access our communities and to engage in meaningful occupations outside of the home. Such occupations can have many functions including productivity, social participation, recreation and care of others. This exploratory study examines the narratives of people under the age of sixty who were obliged to relinquish their role as a driver as a result of an acquired brain injury, through exploring how it affects them and their family members. Participants were recruited through Brí, an Irish organisation providing support, information and advocacy for people with brain injuries. Employing a phenomenological methodology, eight people were interviewed using semi-structured questions; five ex-drivers and three spouses. Four themes emerged: occupational identity; emotional effect; community mobility; and separating the driving from the brain injury. This study examines the experiences of a population who were working pre-morbidly. The experiences of this demographic group within the population of acquired brain injury survivors have not yet been acknowledged in Irish literature, a gap which this research seeks to address. It is anticipated that this small scale study will help inform current practice by raising awareness among occupational therapists about the mobility needs of people following driving cessation.

‘It’s just everyone understands’: How adults with an acquired brain injury navigate stigma to create meaningful relationships in their communities

Brennan, Joanne
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_theses_dissertations
ENG
Relevância na Pesquisa
96.06%
non-peer-reviewed; Background: Individuals with an Acquired Brain Injury (ABI), a leading cause of disability, are particularly vulnerable to mental health difficulties and frequently experience stigma. This places them at high risk of social exclusion. Social relations are a key indicator of quality of life after an ABI yet current literature fails to identify successful strategies to navigate stigma. Objectives: 1.) To discover what factors enhance relationship maintenance and formation post ABI. 2.) To understand how positive relationships promote wellness by acting as a buffer to the effects of stigmatisation. Methods: Semi-structured interviews with two male participants were completed and transcribed. An Interpretive Phenomenological Analysis (IPA) was conducted. Analysis of an initial descriptive layer of what participant is saying is enriched by an additional layer of the deeper interpretative work of the researcher. The themes emerged from this commentary. Results: IPA produced three themes. ‘Everyday interactions’ outlined the stigma experienced in daily encounters which led to avoidance strategies. ‘Re-negotiating relationships’ emphasised the complexity of maintaining pre-morbid relationships. ‘The shared experience’ revealed that engagement with others with a similar disability experience...

A social identity approach to acquired brain injury (ABI)

Walsh, Stephen R
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/doctoralThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
96.09%
peer-reviewed; The central argument put forward in this thesis is that, in the context of acquired brain injury (ABI) social identity matters. The first article is a theoretical paper which reviews an emerging literature that is trying to draw together social psychology and neuropsychology in the study of ABI. This article argues that the social identity approach is an appropriate vehicle for such integration and introduces the concept of identity sub-types based on belonging and based on participation in activities. Social support is recognized as an important factor in rehabilitation following ABI. The second paper is an empirical study which employs the concepts of affiliative and self as doer identities to explore reciprocal relationships between social identity, social support, and emotional status following ABI. Results support a hypothesised model indicating that affiliative identities have a significant indirect relationship with emotional status via social support and self as doer identification. Evidence supports an ‘upward spiral’ between social identity and social support such that affiliative identity makes social support possible and social support drives self as doer identities. The third paper examines relationships between cause of ABI...

Functional outcomes of community-based brain injury rehabilitation clients

Curran, C.; Dorstyn, D.; Polychronis, C.; Denson, L.
Fonte: Informa Healthcare Publicador: Informa Healthcare
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
75.92%
BACKGROUND: Community-based rehabilitation can help to maximize function following acquired brain injury (ABI); however, data on treatment outcome is limited in quantity. OBJECTIVE: To describe and evaluate client outcomes of an outpatient programme for adults with moderate-to-severe traumatic and non-traumatic ABI. METHODS: Two phase design involving retrospective and longitudinal study of programme completers with ABI (n  = 47). Changes in functioning were measured with the Mayo-Portland Inventory (MPAI-4), administered pre- and immediately post-rehabilitation and at 3 years follow-up. Self-ratings were supplemented with MPAI-4 data from significant others (n = 32) and staff (n = 32). RESULTS: Injured individuals and informants reported improved physical and psychosocial functioning immediately following the completion of community rehabilitation, with medium-to-large and significant treatment gains noted on the MPAI-4 ability, adjustment and participation sub-scales (Cohen’s d range = 0.31–1.10). A deterioration in individuals’ adjustment was further reported at follow-up, although this was based on limited data. Issues with longer-term rehabilitation service provision were additionally noted. CONCLUSIONS: The data support the need for continuity of care...

Development of novel pharmacological treatments for intracranial pressure using appropriate experimental models of traumatic brain injury.

Gabrielian, Levon A.
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado
Publicado em //2013
Relevância na Pesquisa
66.05%
Traumatic brain injury (TBI) is the leading cause of death in the population below 40 years of age. Patients who survive TBI suffer from ongoing physical disabilities as well as mental and emotional deficits that significantly impact their quality of life. While a number of factors have been implicated in the brain injury cascade that is initiated by TBI, increased intracranial pressure (ICP) has been identified as one factor that is strongly associated with outcome. This is largely because increased ICP results in a fall in cerebral perfusion pressure (CPP) and in brain oxygenation (PbtO₂ [bt subscript]), thus starving the brain of essential substrates and oxygen necessary for repair and recovery. Nonetheless, treatments targeting increased ICP are largely ineffective and have not changed for over 40 years. In part, this is because the mechanisms responsible for oedema formation after trauma are unknown and also because existing small animal models of TBI might not duplicate all the pathophysiological features of human TBI. The aim of this thesis was therefore to study changes in ICP and PbtO₂ [bt subscript] in two different experimental animal models of TBI, both large and small, and subsequently investigate the effects of different pharmacotherapies on these variables following TBI. The thesis shows that TBI does not consistently produce increases in ICP in rodent models unless a haemorrhagic mass lesion is present. Accordingly...

Adaptive manuals as assistive technology to support and train people with acquired brain injury in their daily life activities

Gómez, Javier; Montoro, Germán; Haya, Pablo A.; Alamán, Xavier; Alves, Susana; Martínez, Mónica
Fonte: Springer London Publicador: Springer London
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
66.06%
The final publication is available at Springer via http://dx.doi.org/10.1007/s00779-012-0560-z; Assistive technologies and ubiquitous computing can be related since both try to help people in their lives. This common objective motivated us to develop and evaluate a system that puts ubiquitous computing technologies into the rehabilitation process of people with acquired brain injury. Thus, in this paper, we present and evaluate a system that shows adaptive manuals for daily-life activities for people with acquired brain injury. This first evaluation allowed us to validate our approach and also to extract valuable information about these systems as well as environmental factors that may affect the patients.

aQRdate: assessing how ubiquitous computing can help people with acquired brain injury in their rehabilitation process

Gómez, Javier; Montoro, Germán; Haya, Pablo A.; Alamán, Xavier; Alves, Susana; Martínez, Mónica; Pascual, Elisa; Robles, Olalla; González, Carlos
Fonte: Universidade Autônoma de Madrid Publicador: Universidade Autônoma de Madrid
Tipo: Conferência ou Objeto de Conferência
ENG
Relevância na Pesquisa
66.06%
This is an electronic version of the paper presented at the International Symposium on Ubiquitous Computing and Ambient Intelligence, held in Riviera Maya on 2011; In this paper we present our ideas about how Ubiquitous Computing (UbiComp) could help people with acquired brain injury. Since these people have problems to engage in daily life activities (e.g. how to do the laundry or prepare breakfast), we propose a system based on mobile devices and QR codes to help them to remember these tasks. The environment will be tagged with QR Codes that will provide mobile devices with personal and interactive manuals for routine tasks. This work has been tested with one user with acquired brain injury as a proof-of-concept.

Evaluación del deslizamiento del nervio ciático mediante ecografía en pacientes con clínica de hemiparesia secundaria a daño cerebral adquirido; Evaluation of sciatic nerve sliding with clinical ultrasound in patients with hemiparesis secondary to acquired brain injury

Duque Fernández, Mireya
Fonte: Universidade de Cantabria Publicador: Universidade de Cantabria
Tipo: Trabalho de Conclusão de Curso
SPA
Relevância na Pesquisa
66.06%
RESUMEN: OBJETIVO Determinar si, en pacientes con clínica de hemiparesia secundaria a daño cerebral adquirido, hay cambios en la biomecánica y deslizamiento del nervio ciático del miembro inferior afecto en comparación con el miembro inferior sano. MATERIAL Y MÉTODOS Se trata de un estudio transversal en el que se reclutaron 10 pacientes con clínica de hemiparesia. Se analizó el deslizamiento del nervio ciático del lado afecto utilizando el lado no afecto como control. La movilización neural fue evaluada con ecografía diagnóstica y cuantificada mediante el software que emplea el algoritmo frame to frame. El deslizamiento del nervio ciático se evaluó con el test de elevación de la pierna recta (SLR) modificado, durante la extensión de la rodilla de 90º a 0º con la cadera flexionada a 30º y 60º. RESULTADOS El resultado obtenido fue un menor deslizamiento del nervio en el lado hemiparético, que fue estadísticamente significativo en 3 de las 4 maniobras de movilización neural analizadas. CONCLUSIÓN Con este estudio concluimos que pacientes con hemiparesia secundaria a daño cerebral adquirido tienen un menor deslizamiento del nervio ciático en el lado afecto, resultados que apoyan las teorías que dicen que tras un daño en el sistema nervioso central (SNC) se producen cambios biomecánicos en el sistema nervioso periférico (SNP) encontrando así diferencias en el deslizamiento de los nervios periféricos tanto del lado sano como del lado afecto de una persona con hemiparesia.; ABSTRACT: OBJECTIVE Determine if there are changes in biomechanics and sliding of the sciatic nerve of afect lower limb in comparison with the healthy lower limb in patients with hemiparesis secondary to acquired brain injury. MATERIAL AND METHODS It is a cross-sectional study in which 10 patients with hemiparesis were recruited. Sciatic nerve sliding of the affected side was analyzed using the non-affected side a control. The neural mobilization was evaluated with diagnostic ultrasound and quantified by software that uses frame to frame algorithm. Sciatic nerve sliding was assessed with the modified straight leg raise test (SLR)...

Evaluación del deslizamiento del nervio ciático mediante ecografía en pacientes con clínica de hemiparesia secundaria a daño cerebral adquirido; Evaluation of sciatic nerve sliding with clinical ultrasound in patients with hemiparesis secondary to acquired brain injury

Fonseca Abad, Silvia
Fonte: Universidade de Cantabria Publicador: Universidade de Cantabria
Tipo: Trabalho de Conclusão de Curso
SPA
Relevância na Pesquisa
66.06%
RESUMEN: OBJETIVO Determinar si, en pacientes con clínica de hemiparesia secundaria a daño cerebral adquirido, hay cambios en la biomecánica y deslizamiento del nervio ciático del miembro inferior afecto en comparación con el miembro inferior sano. MATERIAL Y MÉTODOS Se trata de un estudio transversal en el que se reclutaron 10 pacientes con clínica de hemiparesia. Se analizó el deslizamiento del nervio ciático del lado afecto utilizando el lado no afecto como control. La movilización neural fue evaluada con ecografía diagnóstica y cuantificada mediante el software que emplea el algoritmo frame to frame. El deslizamiento del nervio ciático se evaluó con el test de elevación de la pierna recta (SLR) modificado, durante la extensión de la rodilla de 90º a 0º con la cadera flexionada a 30º y 60º. RESULTADOS El resultado obtenido fue un menor deslizamiento del nervio en el lado hemiparético, que fue estadísticamente significativo en 3 de las 4 maniobras de movilización neural analizadas. CONCLUSIÓN Con este estudio concluimos que pacientes con hemiparesia secundaria a daño cerebral adquirido tienen un menor deslizamiento del nervio ciático en el lado afecto, resultados que apoyan las teorías que dicen que tras un daño en el sistema nervioso central (SNC) se producen cambios biomecánicos en el sistema nervioso periférico (SNP) encontrando así diferencias en el deslizamiento de los nervios periféricos tanto del lado sano como del lado afecto de una persona con hemiparesia.; ABSTRACT: OBJECTIVE Determine if there are changes in biomechanics and sliding of the sciatic nerve of afect lower limb in comparison with the healthy lower limb in patients with hemiparesis secondary to acquired brain injury. MATERIAL AND METHODS It is a cross-sectional study in which 10 patients with hemiparesis were recruited. Sciatic nerve sliding of the affected side was analyzed using the non-affected side a control. The neural mobilization was evaluated with diagnostic ultrasound and quantified by software that uses frame to frame algorithm. Sciatic nerve sliding was assessed with the modified straight leg raise test (SLR)...

Técnicas de rehabilitación neuropsicológica en daño cerebral adquirido: ayudas de memoria externas y recuperación espaciada/ Neuropsychological rehabilitation techniques in acquired brain injury: external memory aids and spaced retrieval

Carlos José De Los Reyes Aragón; Universidad del Norte; Karol Gutiérrez Ruiz; Universidad del Norte; Melissa Rodríguez Díaz; Universidad del Norte; Arturo Sánchez; Universidad del Norte
Fonte: Psicología desde el Caribe Publicador: Psicología desde el Caribe
Tipo: article; publishedVersion Formato: application/pdf
SPA
Relevância na Pesquisa
96.2%
Este artículo tuvo como objetivo realizar una revisión de las técnicas de recuperación espaciada y de ayudas de memoria externas, para la rehabilitación de personas con daño cerebral adquirido. Inicialmente se expusieron las alteraciones cognitivas y funcionales comunes en personas con daño cerebral y, posteriormente se describieron cada una de las técnicas, indicando en qué consiste cada una de ellas y mostrando los resultados de las investigaciones revisadas. Se determinó que la principal utilidad de las técnicas de recuperación espaciada y ayudas de memoria externas fue en el tratamiento de dificultades de memoria, aunque sólo en algunas ocasiones se evaluaron mejorías en medidas neuropsicológicas. La utilización de ayudas de memoria externas fue la técnica que en más ocasiones demostró ganancias en funcionalidad y mantenimiento a largo plazo.Palabras clave: Rehabilitación neuropsicológica, recuperación espaciada, ayudas de memoria externa, daño cerebral adquirido.The purpose of this article is to carry out a review of the spaced retrieval and external memory aids techniques for the rehabilitation of people with acquired brain injury. Initially, the common cognitive and functional deficits in acquired brain injury were exposed; later...

The Effects of Exercise on Cognitive Recovery after Acquired Brain Injury in Animal Models: A Systematic Review

Wogensen, Elise; Malá, Hana; Mogensen, Jesper
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.17%
The objective of the present paper is to review the current status of exercise as a tool to promote cognitive rehabilitation after acquired brain injury (ABI) in animal model-based research. Searches were conducted on the PubMed, Scopus, and psycINFO databases in February 2014. Search strings used were: exercise (and) animal model (or) rodent (or) rat (and) traumatic brain injury (or) cerebral ischemia (or) brain irradiation. Studies were selected if they were (1) in English, (2) used adult animals subjected to acquired brain injury, (3) used exercise as an intervention tool after inflicted injury, (4) used exercise paradigms demanding movement of all extremities, (5) had exercise intervention effects that could be distinguished from other potential intervention effects, and (6) contained at least one measure of cognitive and/or emotional function. Out of 2308 hits, 22 publications fulfilled the criteria. The studies were examined relative to cognitive effects associated with three themes: exercise type (forced or voluntary), timing of exercise (early or late), and dose-related factors (intensity, duration, etc.). The studies indicate that exercise in many cases can promote cognitive recovery after brain injury. However, the optimal parameters to ensure cognitive rehabilitation efficacy still elude us...

Measuring coping style following acquired brain injury: a modification of the Copinging Inventory for Stressful Situations using Rasch analysis

Simblett, Sara K.; Gracey, Fergus; Ring, Howard; Bateman, Andrew
Fonte: Wiley Publicador: Wiley
Tipo: Article; accepted version
EN
Relevância na Pesquisa
96.14%
This is the accepted manuscript. It's currently embargoed pending publication by Wiley.; Objective: The importance of coping style factors in the process of emotional adjustment following acquired brain injury (ABI) has been gaining increased attention. To assess ways of coping with distress accurately, clear conceptual definitions and measurement precision is vital. The purpose of this study was to investigate the psychometric properties of a well-known measure of coping, the Coping Inventory for Stressful Situations (CISS), for people who have experienced an ABI; and to modify the CISS, where necessary, to create a more reliable and valid measurement tool for this clinical group. Methods: Psychometric properties were investigated using Rasch analysis of responses from a sample of adults with ABI (n = 207). The internal consistency reliability and construct validity of the scale were examined. Results: All originally proposed subscales were not valid or reliable and, as such, were incapable of interval-level measurement (Task: ?2 (32, N = 207) = 105.1, p < .001; Emotion: ?2 (32, N = 204) = 121.9, p < .001; Avoidance: ?2 (32, N = 207) = 66.7, p < .001). Three valid and reliable subscales were derived measuring emotion-...

A social identity approach to acquired brain injury (ABI)

Walsh, Stephen R
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/doctoralThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
96.09%
peer-reviewed; The central argument put forward in this thesis is that, in the context of acquired brain injury (ABI) social identity matters. The first article is a theoretical paper which reviews an emerging literature that is trying to draw together social psychology and neuropsychology in the study of ABI. This article argues that the social identity approach is an appropriate vehicle for such integration and introduces the concept of identity sub-types based on belonging and based on participation in activities. Social support is recognized as an important factor in rehabilitation following ABI. The second paper is an empirical study which employs the concepts of affiliative and self as doer identities to explore reciprocal relationships between social identity, social support, and emotional status following ABI. Results support a hypothesised model indicating that affiliative identities have a significant indirect relationship with emotional status via social support and self as doer identification. Evidence supports an ‘upward spiral’ between social identity and social support such that affiliative identity makes social support possible and social support drives self as doer identities. The third paper examines relationships between cause of ABI...

Clinical impact of RehaCom Software for cognitive rehabilitation of patients with acquired brain injury

Fernández,Elízabeth; Bringas,María Luisa; Salazar,Sonia; Rodríguez,Daymí; García,María Eugenia; Torres,Maydané
Fonte: Medical Education Cooperation with Cuba Publicador: Medical Education Cooperation with Cuba
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2012 EN
Relevância na Pesquisa
75.98%
We describe the clinical impact of the RehaCom computerized cognitive training program instituted in the International Neurological Restoration Center for rehabilitation of brain injury patients. Fifty patients admitted from 2008 through 2010 were trained over 60 sessions. Attention and memory functions were assessed with a pre- and post-treatment design, using the Mini-Mental State Examination, Wechsler Memory Scale and Trail Making Test (Parts A and B). Negative effects were assessed, including mental fatigue, headache and eye irritation. The program's clinical usefulness was confirmed, with 100% of patients showing improved performance in trained functions.